Complaint Investigation

Edwardsville Care And Rehab

January 29, 2025 · Edwardsville, KS · 751 Blake Street

Citations 1

CMS Rating 2/5

Beds 102

Provider ID 175245

Healthcare Facility

Edwardsville Care And Rehab

Edwardsville, KS · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov) · 4 pages

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

EDWARDSVILLE CARE AND REHAB in EDWARDSVILLE, KS — inspection on January 29, 2025.

Found 1 citation. 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

FF689

Immediate Conducted an Ad Hoc QAPI meeting with the Executive Director, (ED) Director of Nursing (DON), and Few The Surveyor verified the facility completed the above corrective actions prior to the onsite survey on affected

The facility failed to provide adequate supervision and appropriate interventions to prevent R1, who was diagnosed with psychiatric illness and identified, as at risk for elopement, from exiting the facility without staff awareness.

For approximately 45 minutes facility staff did not know R1 was missing in freezing weather until law enforcement returned R1 to the facility.

This deficient practice placed R1 in immediate jeopardy for potentially life-threatening injury.

On 01/29/25 at 03:21 PM, Administrative Staff A was provided a copy of the Immediate Jeopardy Template and informed of the facility's failure to provide adequate supervision and appropriate interventions to prevent R1 from elopement, placed R1 in immediate jeopardy.

The facility completed the following corrective actions to remove the immediacy for R1:

Staff conducted a headcount ensuring the safety of all residents in the facility.

Camera footage was reviewed, identified the malfunction, and effected immediate repairs on the faulty exit door.

Audited all doors and windows to ensure no similar situations existed.

Reported the issue to the stated agency, physician et al.

175245

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 175245 B.

Wing 01/29/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Edwardsville Care and Rehab 751 Blake Street Edwardsville, KS 66111

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in EDWARDSVILLE, KS, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EDWARDSVILLE CARE AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

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.