All citations for Edgemere Estates

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 Edgemere Estates

Last standard health inspection on record

June 3, 2026

Showing 1 to 25 of 29 citations

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0352, Smoke Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

  4. 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 April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Conform to length requirements for dead end corridors.

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

    Fire safety citation K-0251, Egress Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

  14. 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 April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Have restrictions on the use of flammable curtains.

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

    Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 11, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 11, 2025).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 31, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 20, 2024. Found during a complaint inspection.

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

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of February 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 11, 2025).

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

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of February 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 11, 2025).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of February 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 11, 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.