All citations for Edgebrook Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Edgebrook Care Center

Last standard health inspection on record

November 19, 2025

Showing 1 to 25 of 34 citations

  1. Immediate jeopardy to resident health or safety

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 19, 2025).

  2. No harm, with potential for more than minimal harm

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of November 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2025).

  3. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2025).

  4. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of November 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2025).

  5. No harm, with potential for more than minimal harm

    Have horizontal exits used in accordance with safety requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0226, Egress Deficiencies. Inspection of November 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

  6. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2024).

  7. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2024).

  8. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2024).

  9. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2024).

  10. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2024).

  11. No harm, with potential for more than minimal harm

    Install properly constructed and protected linen or trash chutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0541, Services Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2024).

  12. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

  13. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2024).

  14. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2024).

  15. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2024).

  16. No harm, with potential for more than minimal harm

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

  17. No harm, with potential for more than minimal harm

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of January 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2024).

  18. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

  19. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

  20. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of November 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

  21. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of November 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

  22. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 9, 2024).

  23. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2024).

  24. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of October 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2024).

  25. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.