Edgemere Estates

Inspection history (70)

• March 14, 2024 · E

  Citation F0609

  Federal surveyors cited this nursing home on 2024-03-14 under CMS tag F0609 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-14.GOV

• March 14, 2024 · E

  Citation F0641

  Federal surveyors cited this nursing home on 2024-03-14 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-14.GOV

• March 14, 2024 · E

  Citation F0842

  Federal surveyors cited this nursing home on 2024-03-14 under CMS tag F0842 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-14.GOV

• March 14, 2024 · E

  Citation F0686

  Federal surveyors cited this nursing home on 2024-03-14 under CMS tag F0686 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-14.GOV

• March 14, 2024 · C

  Citation F0732

  Federal surveyors cited this nursing home on 2024-03-14 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-14.GOV

• March 14, 2024 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2024-03-14 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-14.GOV

• March 14, 2024 · E

  Citation F0695

  Federal surveyors cited this nursing home on 2024-03-14 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-14.GOV

• March 14, 2024 · F

  Citation F0921

  Federal surveyors cited this nursing home on 2024-03-14 under CMS tag F0921 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-14.GOV

• March 14, 2024 · E

  Citation F0758

  Federal surveyors cited this nursing home on 2024-03-14 under CMS tag F0758 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-14.GOV

• March 14, 2024 · E

  Citation F0908

  Federal surveyors cited this nursing home on 2024-03-14 under CMS tag F0908 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-14.GOV

• March 14, 2024 · E

  Citation F0835

  Federal surveyors cited this nursing home on 2024-03-14 under CMS tag F0835 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2024-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-14.GOV

• August 31, 2023 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2023-08-31 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-31.GOV

• August 8, 2023 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2023-08-08 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2023-08-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-08.GOV

• August 8, 2023 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2023-08-08 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-09-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-08.GOV

• August 8, 2023 · C

  Citation F0732

  Federal surveyors cited this nursing home on 2023-08-08 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2023-09-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-08.GOV

• June 26, 2023 · C

  Citation F0732

  Federal surveyors cited this nursing home on 2023-06-26 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2023-08-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-26.GOV

• June 26, 2023 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2023-06-26 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2023-08-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-26.GOV

• June 26, 2023 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2023-06-26 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2023-08-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-26.GOV

• February 10, 2023 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2023-02-10 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2023-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-10.GOV

• February 10, 2023 · D

  Citation F0848

  Federal surveyors cited this nursing home on 2023-02-10 under CMS tag F0848 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide a neutral and fair arbitration process and agree to arbitrator and venue. The deficiency was recorded as corrected on 2023-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-02-10.GOV

Penalties

Total fines on file: $49,292

Staffing

Latest: 3.34 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Corporation

1. Parent organization: El Paso County Hospital District

   parent · PAC 2365431509