Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Edgewood Health And Rehab during CMS and state inspections, most recent first.
IV antibiotics were observed for two residents without required labeling, dating, timing, or initials. One resident had an intraspinal abscess and another had osteomyelitis of the foot; both were receiving IV antibiotics, and surveyors found infusing and residual IV bags lacking hang time, date, time, or initials. An LPN stated the antibiotics should be timed, dated, and initialed, and the DON and Administrator acknowledged there was no policy/procedure on IV antibiotics.
Unsecured Medications Kept at Bedside Without Self-Administration Rights: A resident with COPD, diabetes, foot ulcer, and moderate cognitive impairment had an OTC inhaler, antacids, and loose pills stored in an unlocked bedside drawer despite not having self-administration rights. The resident said a family member brought the inhaler and that nurses gave pills, while the LPN and DON were unaware the medications were being kept at the bedside.
A resident who was dependent on staff for toileting and transfers was sexually abused by a Laundry/Housekeeper who entered the room, closed the curtain, sniffed the resident’s brief, and kissed the resident’s pubic area multiple times while making inappropriate comments. The resident was cognitively intact and later described as calm and at baseline. Staff interviews showed they knew abuse should be reported immediately and the resident separated from the perpetrator, but the incident still occurred.
The facility did not ensure RN coverage for 8 consecutive hours daily, 7 days a week, as required. The DON and ADON were not counted on staffing sheets, despite being the RNs present on days without other RN coverage. The ADON covered for the DON during a vacation but could not fulfill RN duties while acting as DON. The facility lacked a staffing waiver, potentially affecting all 84 residents.
The facility failed to ensure proper hand hygiene during meal service and perineal care, and did not implement Enhanced Barrier Precautions (EBP) for residents with pressure ulcers. A CNA did not sanitize hands between serving meal trays, and another CNA did not change gloves or sanitize hands during perineal care for a resident requiring EBP. Additionally, EBP was not implemented for a resident with pressure ulcers, despite facility policy requiring it.
A resident with a history of depression and anxiety inflicted self-harm and was hospitalized, but the LTC facility failed to report the incident. The resident was found with a sharp object in their neck and a note indicating a suicide attempt. Despite no signs of worsening depression, missed telehealth appointments, and the resident's preference for in-person visits, the facility did not report the incident, assuming it was a personal matter.
IV Antibiotics Not Labeled or Dated
Penalty
Summary
The facility failed to develop and implement policies for IV therapy that followed accepted professional standards of practice, including medication labeling and dating for infusion fluids. For Resident #17, who had diagnoses including an intraspinal abscess, left heel deep tissue injury, and neurogenic bladder, the admission MDS showed a BIMS score of 15 and indicated IV medications. On 07/13/2026, an infused bag of a first-generation antibiotic was observed without a hung time, date, or initials, and on 07/14/2026 the surveyor observed a first-generation antibiotic IV bag hanging with trace residual fluid and no date, time, or initials noted. The resident’s physician order dated 06/01/2026 directed the antibiotic to be given IV four times a day for abscess, and the care plan indicated Enhanced Barrier Precautions related to a central venous catheter and foley catheter, with interventions to administer the antibiotic as ordered and follow policy and procedure. For Resident #26, who had diagnoses including osteomyelitis of the foot, type-2 diabetes with foot ulcer, and stage II sacral pressure ulcer, the care plan identified infection and osteomyelitis of the right foot and ankle, and the 5-day MDS showed a BIMS score of 11 with IV medications. On 07/13/2026, the surveyor observed the resident receiving a broad-spectrum antibiotic via IV that was not dated, timed, or initialed, and on 07/14/2026 observed a residual broad-spectrum antibiotic without a hang time, date, or initials. During interview, an LPN stated the IV antibiotics were supposed to be timed, dated, and initialed, and during a joint interview the DON and Administrator stated staff were expected to throw away IV tubing after the medication infuses and that there was no policy/procedure on IV antibiotics.
Unsecured Medications Kept at Bedside Without Self-Administration Rights
Penalty
Summary
The facility failed to ensure medications were not stored in an unsecured manner at the bedside of a resident who did not have self-administration rights. Resident 26 had diagnoses including osteomyelitis of the foot, type 2 diabetes with foot ulcer, stage II sacral pressure ulcer, and COPD with shortness of breath related to smoking. The resident’s MDS showed a BIMS score of 11, indicating moderate cognitive impairment. During observation, an inhaler was seen on top of the bedside table, and the resident identified it as an over-the-counter asthma inhaler used for breathing. The resident stated a family member brought it in and that staff knew it was kept on the bedside table, where it was sometimes misplaced and later found in the drawer of the over-the-bed table. During a later observation, the inhaler was found in an unlocked drawer along with a small bottle of chewable antacids and loose pills. The resident stated the medications were kept there and that nurses gave them pills. The Nurse Manager/LPN stated there were no residents with self-administration rights on the hall and was not aware the resident had medications stored in the bedside table drawer. The Administrator later identified the loose pills as a prescription anti-gastrointestinal medication, a multivitamin, and two dietary supplements, and confirmed the resident did not have self-administration rights and that unsecured medications were present in the room. The Administrator also stated the expectation was for staff to watch residents swallow medication and that medication at the bedside was not the proper way to store medications.
Failure to Protect a Cognitively Intact Resident from Sexual Abuse
Penalty
Summary
The facility failed to ensure that one resident who was dependent on staff for personal care was free from sexual abuse by a staff member. Resident #87 was admitted with diagnoses including non-Hodgkin lymphoma, heart failure, and depression, and a quarterly MDS showed a BIMS score of 13, indicating the resident was cognitively intact. The MDS also showed the resident was dependent on staff for toileting and transfers. The deficiency was based on an allegation that a Laundry/Housekeeper entered the resident’s room, closed the curtain, sniffed the resident’s brief, kissed the resident’s pubic area multiple times, and made inappropriate comments. The resident reported the incident to staff. A police narrative documented that the Laundry/Housekeeper later made a statement indicating something had been done to the resident and made a licking motion with the tongue. The resident was later described in progress notes and nursing assessments as calm, cheerful, oriented, happy, and at baseline. Interviews with staff showed they understood abuse reporting expectations and stated that abuse should be reported immediately and the resident separated from the alleged perpetrator. The Administrator stated the resident was safe, police were contacted, witness statements were taken, and body audits were completed on non-cognizant residents. The report also noted that the Laundry/Housekeeper had pre-employment background checks and abuse training, and that the facility’s investigation and staff interviews showed the corrective actions had been completed before the survey team entered the facility, resulting in the citation being classified as past non-compliance.
Failure to Maintain Required RN Coverage
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for at least 8 consecutive hours a day, 7 days a week, as required. The Director of Nursing (DON) and the Assistant Director of Nursing (ADON) were not counted on the Direct Care Daily Staffing sheets, although they were the RNs in the building on the days when no other RN coverage was noted. The staffing schedule showed that an as-needed (PRN) RN was scheduled only on certain days, and the ADON stated that there was one RN scheduled for weekends. However, the Direct Care Daily Staffing report revealed multiple days in October and November without RN coverage. The Human Resources (HR) department confirmed that the DON and ADON were not included in the staffing sheets, and the ADON was covering for the DON, who was on vacation. The ADON admitted to being unable to work on the floor and fulfill the RN hours while acting as the DON. The facility did not have a staffing waiver in place, and the Administrator was unaware of any rule preventing the DON or ADON from counting towards the required RN hours. This oversight had the potential to affect all 84 residents residing in the facility.
Inadequate Hand Hygiene and EBP Implementation
Penalty
Summary
The facility failed to ensure proper hand hygiene practices during meal service and perineal care, as well as the implementation of Enhanced Barrier Precautions (EBP) for residents. During meal service on the 300 hall, a Certified Nursing Assistant (CNA) was observed not performing hand hygiene between serving meal trays to residents. Despite being aware of the facility's hand hygiene policy, the CNA admitted to not sanitizing hands between trays until instructed by Human Resources. This lack of hand hygiene was confirmed by the Assistant Director of Nursing (ADON), who stated that staff were expected to perform hand hygiene between each tray served and before leaving a resident's room. In another instance, a CNA failed to perform proper hand hygiene during perineal care for a resident with a urinary tract infection and requiring EBP. The CNA used gloves and a gown but did not change gloves or sanitize hands during the brief change process, despite handling soiled materials and clean items. The CNA believed it was unsanitary to change gloves and sanitize hands in a room where EBP was used. The ADON confirmed that gloves should be changed when soiled, and hands should be sanitized between glove changes. Additionally, the facility did not implement EBP for a resident with pressure ulcers, as required by the facility's policy. The resident had an unstageable pressure ulcer on the right heel and a stage II pressure ulcer on the sacrum, but no EBP was in place. The lack of EBP was confirmed by a Licensed Practical Nurse (LPN) and the ADON, who acknowledged that the resident should have been on EBP. The facility's policy indicated that EBP should be used for residents with wounds and/or indwelling medical devices, regardless of multi-drug resistant organism colonization.
Failure to Report Resident Self-Harm Incident
Penalty
Summary
The facility failed to report an incident involving a resident who inflicted self-harm, which required hospitalization. The resident, who had a history of COPD, generalized muscle weakness, depression, anxiety, and dementia, was found on the bathroom floor with a sharp object lodged in their neck. Despite the presence of a note indicating a suicide attempt, the facility did not report the incident to the appropriate authorities, believing it was unnecessary as it did not involve others. The resident had a BIMS score indicating intact cognition and required supervision for ambulation, using a walker and sometimes a wheelchair. The incident occurred when the resident was found by an LPN and a CNA after failing to appear for dinner. The resident was stabilized and transported to the hospital, where they continued to attempt self-harm. The family decided to relocate the resident to another state post-hospitalization. Interviews with facility staff revealed that there were no apparent signs of worsening depression, and the resident was engaged in activities and social interactions. Scheduled telehealth appointments for depression and anxiety were missed, partly due to the resident's preference for in-person visits. The facility's administrator and SSD believed the resident would have communicated any worsening symptoms, but the incident was not reported as they assumed it was a personal matter.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Springdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Butterfield Trail Village | 2.5 mi | ★★★★★ | 3 | 0 |
| Westwood Health And Rehab, Inc | 2.5 mi | ★★★★★ | 1 | 0 |
| Fayetteville Health And Rehabilitation Center | 3.2 mi | ★★★★★ | 7 | 0 |
| Springdale Health And Rehabilitation Center | 3.4 mi | ★★★★★ | 13 | 0 |
| Windcrest Health And Rehab Inc | 3.9 mi | ★★★★★ | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.