All citations for Sedgewood Commons

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 Sedgewood Commons

Last standard health inspection on record

June 4, 2025

Showing 1 to 25 of 49 citations

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

  2. 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 March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of April 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 3, 2022).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

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

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

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

  8. 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 June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2024).

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  11. 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 March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

  12. 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 March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2024).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2024).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2022).

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

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

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of April 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 3, 2022).

  21. 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 June 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2025).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2025).

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

    Install a two-hour-resistant firewall separation.

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

    Fire safety citation K-0133, Construction Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

  25. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

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.