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 16 of 16 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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 December 2, 2025. Found during a complaint inspection.

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

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.