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 26 to 50 of 55 citations

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

  3. 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 December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

  4. 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 December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

  5. 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 December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

  6. 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 December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

  7. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

  11. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

  14. 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 July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2024).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

  25. No harm, with potential for minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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.