EDGEWOOD REHAB & LIVING CTR

Nursing Home Inspector

221 Fairbanks Rd
FARMINGTON, ME 04938
Franklin County
Phone: 207-778-3386
Provider Number: 205131
Last Inspection: 07/12/2017

About the Nursing Home

Number of Beds: 33
Number of Residents: 29
Beds Available: 4
Percent Occupancy: 88%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Individual
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

3

Facility
8

County
8

ME
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

3

2017
41

2016
6

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

7/12/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Pattern : Potential 3 7/21/2017
 

9/22/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 11/11/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 11/11/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Potential 3 11/11/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 11/11/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 12/20/2016
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Pattern : Minimal 4 11/11/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 11/11/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 11/11/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 11/11/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/11/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/20/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 12/20/2016
 

8/20/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 9/14/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 9/14/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

7/6/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that all full-time nurse aids employed for more than 4 months are fully trained and competent to provide nursing and nursing-related services, as defined by Federal requirements. Isolated : Minimal 3 8/16/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg ME State Avg
Number of Residents 29 41.00 60.22
Registered Nurses 1.02 1.00 1.05
Licensed Practical / Vocational Nurses 0.42 0.38 0.48
Certified Nursing Assistants 3.55 3.14 2.97
Total Staff Hours 4.99 4.52 4.50

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% ME State Avg%
of high risk long-stay residents with pressure ulcers 3 3 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 98 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 98 95
of long-stay residents experiencing one or more falls with major injury 0 2 3
of long-stay residents who have depressive symptoms 2 8 8
of long-stay residents who lose too much weight 10 11 8
of long-stay residents who received an antianxiety or hypnotic medication 16 24 18
of long-stay residents who received an antipsychotic medication 30 25 17
of long-stay residents who self-report moderate to severe pain 18 12 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 17 23 22
of long-stay residents whose need for help with daily activities has increased 14 18 13
of long-stay residents with a catheter inserted and left in their bladder 4 2 2
of long-stay residents with a urinary tract infection 19 9 5
of low risk long-stay residents who lose control of their bowels or bladder 88 69 61
of short-stay residents assessed and appropriately given the pneumococcal vaccine 85 83 79
of short-stay residents who had an outpatient emergency department visit 14 10 13
of short-stay residents who made improvements in function 74 78 71
of short-stay residents who newly received an antipsychotic medication 0 1 1
of short-stay residents who self-report moderate to severe pain 26 18 21
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93 90 81
of short-stay residents who were rehospitalized after a nursing home admission 24 18 18
of short-stay residents who were successfully discharged to the community 54 58 59
of short-stay residents with pressure ulcers that are new or worsened 3 1 0