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 26 to 49 of 49 citations

  1. 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 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

    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 June 4, 2025. Found during a standard inspection.

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

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

    Have restrictions on the use of flammable curtains.

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

    Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0761, Miscellaneous 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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, 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).

  6. 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 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

  8. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care 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

    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 March 29, 2024. Found during a standard inspection.

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

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

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

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, 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).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of April 7, 2022. Found during a standard inspection.

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

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of April 7, 2022. Found during a standard inspection.

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

  16. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 7, 2022. Found during a standard inspection.

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

  17. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 7, 2022. Found during a standard inspection.

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

  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.

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

    Health citation F-0842, 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).

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

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

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

    Health citation F-0883, Infection Control 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 approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke 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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 13, 2022).

  22. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

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

  23. No harm, with potential for minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of June 4, 2025. Found during a standard inspection.

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

  24. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of April 7, 2022. Found during a standard inspection.

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

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.