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 20 of 20 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 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).

  18. 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).

  19. 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).

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

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

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.