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Deficiency Records for Edgewood Manor of Greenfield

A list of the most recent deficiencies for Edgewood Manor of Greenfield. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Edgewood Manor of Greenfield. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-05-02 2024-05-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-18 2023-01-19 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-12-14 2023-01-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-14 2023-01-19 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-14 2023-01-19 Y
Keep all essential equipment working safely. Health 2022-12-14 2023-01-19 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-10-19 2022-10-28 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-10-19 2022-10-28 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-09-13 2022-09-16 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-09-13 2022-09-16 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-09-13 2022-09-16 Y
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2022-09-13 2022-09-16 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2022-06-06 2022-07-14 N
Assure the security of all personal funds of residents deposited with the facility. Health 2022-06-06 2022-07-14 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-06-06 2022-07-14 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-06-06 2022-07-14 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-06-06 2022-07-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-06 2022-07-14 N
Provide and implement an infection prevention and control program. Health 2022-06-06 2022-07-14 N
Ensure staff are vaccinated for COVID-19 Health 2022-06-06 2022-07-14 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-06-06 2022-07-14 N
Use approved construction type or materials. Fire Safety 2022-05-31 2022-07-14 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-05-31 2022-07-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-05-31 2022-07-14 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-05-31 2022-07-14 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2022-05-31 2022-07-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-05-31 2022-07-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-05-31 2022-07-14 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-05-31 2022-07-14 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-31 2022-07-14 N
Have power receptacles that are properly grounded. Fire Safety 2022-05-31 2022-07-14 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-06-06 2022-07-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-05 2021-11-12 Y
Ensure medication error rates are not 5 percent or greater. Health 2021-11-05 2021-11-12 Y
Ensure that residents are free from significant medication errors. Health 2021-11-05 2021-11-12 Y
Provide and implement an infection prevention and control program. Health 2021-11-05 2021-11-12 Y
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2019-08-01 2019-09-20 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-08-01 2019-09-20 N
Ensure each resident receives an accurate assessment. Health 2019-08-01 2019-09-20 N
Assist a resident in gaining access to vision and hearing services. Health 2019-08-01 2019-09-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-08-01 2019-09-20 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-08-01 2019-09-20 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2019-08-01 2019-09-20 N
Provide and implement an infection prevention and control program. Health 2019-08-01 2019-09-20 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-08-01 2019-09-20 N
Install noncombustible or limited-combustible interior walls. Fire Safety 2019-08-02 2019-09-20 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2019-08-02 2019-09-20 N
Provide properly protected cooking facilities. Fire Safety 2019-08-02 2019-09-20 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2019-08-02 2019-09-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-08-02 2019-09-20 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-08-02 2019-09-20 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-08-02 2019-09-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-08-02 2019-09-20 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-08-02 2019-09-20 N
Have proper power supply for life support equipment. Fire Safety 2019-08-02 2019-09-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-08-02 2019-09-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-08-02 2019-09-20 N
Have proper medical gas storage and administration areas. Fire Safety 2019-08-02 2019-09-20 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2018-07-26 2018-08-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-07-26 2018-08-24 N
Provide and implement an infection prevention and control program. Health 2018-07-26 2018-08-24 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2018-07-23 2018-08-24 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-07-23 2018-08-24 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2018-07-23 2018-08-24 N
Provide a written emergency evacuation plan. Fire Safety 2018-07-23 2018-08-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-07-23 2018-08-24 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2018-07-23 2018-08-24 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2018-07-23 2018-08-24 N
Have power receptacles that are properly grounded. Fire Safety 2018-07-23 2018-08-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-07-23 2018-08-24 N

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