All citations for Edgemoor Hospital

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 Edgemoor Hospital

Last standard health inspection on record

December 4, 2025

Showing 1 to 13 of 13 citations

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

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

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2021).

  2. 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 October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2021).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2021).

  4. 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 October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2021).

  5. 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 October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2021).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2021).

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

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

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

    Fire safety citation K-0352, Smoke Deficiencies. Inspection of October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2021).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

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

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2021).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2021).

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

    Have restrictions on the use of highly flammable decorations.

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

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2021).

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

    Ensure medical gas and vacuum systems have documented maintenance programs.

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

    Fire safety citation K-0907, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2021).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2021).

  13. No harm, with potential for minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of October 22, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2021).

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.