Edgewater Health And Rehabilitation
Edgewater Health and Rehabilitation in LAKEWOOD, CO — inspection on August 27, 2025.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited WESTLAKE CARE COMMUNITY in LAKEWOOD, CO for a deficiency under regulatory tag F-F0569 during a standard health inspection conducted on 2025-08-27.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of WESTLAKE CARE COMMUNITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
Federal health inspectors cited WESTLAKE CARE COMMUNITY in LAKEWOOD, CO for a deficiency under regulatory tag F-F0604 during a standard health inspection conducted on 2025-08-27.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of WESTLAKE CARE COMMUNITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
Federal health inspectors cited WESTLAKE CARE COMMUNITY in LAKEWOOD, CO for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-08-27.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of WESTLAKE CARE COMMUNITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
Federal health inspectors cited WESTLAKE CARE COMMUNITY in LAKEWOOD, CO for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-27.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of WESTLAKE CARE COMMUNITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
failed to open the alcohol wipe diagonally, inserting the thermometer probe into the opening and cleaning the probe without the packaging touching the probe. D.
Staff interviewsThe CK was interviewed on 8/26/25 at 11:40 a.m.
The CK said he was taught to poke the thermometer through the alcohol wipe packaging to disinfect the thermometer.The dietary manager (DM) and the NHA were interviewed together on 8/27/25 at 9:30 a.m.
The DM showed how she was taught to clean a thermometer.
She took an alcohol wipe out to clean the thermometer and she poked the thermometer through the middle of the alcohol wipe square.
She then ran the alcohol wipe and its packaging up and down the thermometer probe. -The DM failed to open the alcohol wipe diagonally, inserting the thermometer probe into the opening and cleaning the probe without the packaging touching the probe.
Facility ID:
Federal health inspectors cited WESTLAKE CARE COMMUNITY in LAKEWOOD, CO for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-27.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of WESTLAKE CARE COMMUNITY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-10.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.