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Deficiency Records for Edgewood Manor of Wellston
A list of the most recent deficiencies for Edgewood Manor of Wellston. 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 Wellston. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-07-31 | 2024-08-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-31 | 2024-08-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-31 | 2024-08-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-31 | 2024-08-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-07-31 | 2024-08-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-31 | 2024-08-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-31 | 2024-08-19 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-07-31 | 2024-08-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-07-31 | 2024-08-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-25 | 2024-08-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-25 | 2024-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-25 | 2024-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-25 | 2024-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-25 | 2024-08-19 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-07-25 | 2024-08-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-09 | 2024-05-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-09 | 2024-05-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-10 | 2023-01-11 | Y |
| 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 | 2022-10-21 | 2022-11-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-17 | 2022-11-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-20 | 2020-03-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-20 | 2020-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-19 | 2020-03-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-19 | 2020-03-17 | N |
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