All citations for The Plaza at Edgemere

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 The Plaza at Edgemere

Last standard health inspection on record

January 22, 2026

Showing 1 to 25 of 32 citations

Harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level G.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 27, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 1, 2026).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 12, 2026).
No harm, with potential for more than minimal harm
Include a process for Emergency Preparedness collaboration.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 12, 2026).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 12, 2026).
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 January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 12, 2026).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (January 28, 2026).
No harm, with potential for more than minimal harm
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0343, Smoke Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2026).
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 January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2026).
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 January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2026).
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 January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 12, 2026).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 3, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (November 1, 2024).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2024).
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 October 3, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2024).
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 October 3, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2024).
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 January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (January 29, 2026).
No harm, with potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Pattern (more than a few residents). CMS level E.
Health citation F-0851, Administration Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (January 29, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 2026).
No harm, with potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Pattern (more than a few residents). CMS level E.
Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of October 3, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (November 1, 2024).
No harm, with potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Pattern (more than a few residents). CMS level E.
Health citation F-0851, Administration Deficiencies. Inspection of October 3, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (November 1, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of October 3, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (November 1, 2024).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2024).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2024).
No harm, with potential for more than minimal harm
Ensure electrical receptacles or cover plates have distinctive color or marking.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0917, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2024).
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 January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (January 29, 2026).
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 January 22, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (January 26, 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.