All citations for Edgemont Healthcare

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 Edgemont Healthcare

Last standard health inspection on record

July 25, 2025

Showing 1 to 18 of 18 citations

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

  2. 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 July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 2, 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 July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

  5. 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 July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2019).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 25, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2021).

  10. 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 March 25, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2021).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2025).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of March 25, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2021).

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

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

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 25, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2021).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 25, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2021).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 25, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2021).

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

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

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

    Fire safety citation K-0361, Smoke Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2019).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2019).

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.