Inspection Reports for Edgewood Convalescent Home

The document is a statement of deficiencies and plan of correction following a survey ending September 25, 2025, related to the facility's compliance status.

The facility was found to be in substantial compliance based on acceptance of the credible allegation and plan of correction, resulting in certification effective October 25, 2025. No specific deficiencies are detailed in this document.

The inspection was conducted as part of the facility's annual recertification survey and investigation of complaint #1714110-C from September 22 to September 25, 2025.

The facility failed to offer updated pneumococcal vaccination to 2 of 5 residents sampled (Resident #7 and Resident #36) despite having a census of 41 residents. Documentation and offering of updated pneumococcal vaccines were lacking, and the facility policy was to assess pneumococcal vaccination upon admission but did not ensure annual assessment.

The deficiency resulted from the investigation of complaint #1714110-C.

The document serves as a Plan of Correction following a prior inspection, indicating acceptance of the facility's credible allegation of substantial compliance.

The facility will be certified in compliance effective November 30, 2024, based on acceptance of the Plan of Correction and credible allegation of substantial compliance.

The inspection resulted from the facility's annual recertification survey and investigation of complaint #124467-C conducted from October 28, 2024 to October 31, 2024.

The facility was found to have insufficient nursing staff, particularly on weekends, failing to meet resident needs as evidenced by staff and resident interviews and staffing data reviews. The complaint was substantiated.

Complaint #124467-C was substantiated based on the investigation conducted during the annual recertification survey.

The document serves as a statement of deficiencies and plan of correction related to the facility's certification compliance.

Based on acceptance of the credible allegation of substantial compliance and the Plan of Correction, the facility will be certified in compliance effective October 6, 2023.

The inspection was conducted as the facility's annual recertification survey from October 2, 2023 to October 5, 2023.

The facility failed to prime the insulin pen with 2 units of insulin prior to administration for one resident, resulting in a deficiency related to meeting professional standards of care in comprehensive care plans and medication administration.

The document is a plan of correction following a previous inspection, indicating acceptance of a credible allegation of compliance and certification of the facility effective June 10, 2022.

The facility was found to be in compliance based on the accepted plan of correction and credible allegation of compliance, with no specific deficiencies detailed in this document.

The inspection was conducted as part of the facility's annual health survey with a facility reported incident #99977 from 6/6/22 to 6/9/22.

The facility failed to offer Bed Hold agreements to 2 of 2 residents who transferred to the hospital, and failed to hold routine quarterly Quality Assurance and Performance Improvement (QAPI) meetings in 2021 and 2022, including lack of Medical Director attendance at one meeting in 2021.

Facility reported incident #99977-I was not substantiated.

The Iowa Department of Inspections and Appeals conducted a Medicare Recertification Survey and Investigation of complaints and Facility Reported Incident.

The facility was found to be in compliance. Three complaints and one facility reported incident were reviewed and all were not substantiated.

Complaint numbers #95186-C, #99014-C, and #99158-I were reviewed and found not substantiated.

A COVID-19 Focused Infection Control Survey and an investigation of a Facility Reported Incident #93435 were conducted by the Department of Inspections and Appeals from 11/5/20 to 11/12/20.

The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19. The Facility Reported Incident was not substantiated.

Complaint #91669-C was investigated from 2020-06-25 to 2020-06-30.

The complaint investigation was completed and the complaint was not substantiated.

Complaint #91669-C was investigated on 6/25/20-6/30/20 and was not substantiated.

A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.

The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.