All citations for Edgewater, A Wesleylife Community

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 Edgewater, A Wesleylife Community

Last standard health inspection on record

June 19, 2025

Showing 1 to 25 of 30 citations

  1. 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 June 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  2. 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 June 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of July 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of July 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 15, 2024. Found during a standard inspection.

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

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of July 15, 2024. Found during a standard inspection.

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

  7. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of July 15, 2024. Found during a standard inspection.

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

  8. 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 15, 2024. Found during a standard inspection.

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

  9. 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 15, 2024. Found during a standard inspection.

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

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

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

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

  12. 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 November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

  13. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

  15. 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 November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

  16. 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 November 30, 2023. Found during a standard inspection.

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

  17. 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 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 7, 2024).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 7, 2024).

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

    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.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of July 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 24, 2024).

  20. 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 July 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 24, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

  23. 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 November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of February 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

  25. 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 February 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2026).

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.