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Deficiency Records for Edgehill Nursing and Rehab Cen
A list of the most recent deficiencies for Edgehill Nursing and Rehab Cen. 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 Edgehill Nursing and Rehab Cen. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-25 | 2024-09-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-25 | 2024-09-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-25 | 2024-09-09 | Y |
| Meet other general requirements. | Fire Safety | 2024-02-16 | 2024-03-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-16 | 2024-03-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-16 | 2024-03-25 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-12-21 | 2024-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-03 | 2023-04-24 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-03 | 2023-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-03 | 2023-04-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-13 | 2023-04-07 | N |
| Meet other general requirements. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-29 | 2022-06-25 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-04-27 | 2022-06-03 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-04-27 | 2022-06-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-27 | 2022-06-03 | N |
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