Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sedgewood Manor Health Care Center during CMS and state inspections, most recent first.
Staff failed to ensure call lights were within reach for several residents, including one with severe cognitive impairment and multiple medical conditions, resulting in call lights being found on the floor or otherwise inaccessible. Some staff acknowledged the issue but did not correct it, and one resident reported being left wet after urinating due to lack of timely assistance.
The facility failed to maintain the required RN coverage for at least eight consecutive hours a day, seven days a week, over a seven-month period. This deficiency was due to the absence of RNs on weekends, as confirmed by the DON and FA. The DON works weekdays and is on call during weekends, but does not physically come in unless necessary. Efforts to hire additional RNs for weekend coverage have been unsuccessful.
The facility failed to discard expired food items in the kitchen, as observed with multiple bags of expired hamburger buns, some moldy. The Certified Dietary Manager was unaware of expiration dates, and despite the Kitchen Manager's daily checks, expired bread was found in the hallway. This indicates a lapse in following the facility's food storage policy.
The facility failed to implement and monitor an effective Antibiotic Stewardship Program, as they could not produce necessary documentation despite multiple requests. The DON and FA were unable to locate records, with the ADON responsible for maintaining them being on vacation. The facility relies on pharmacy input and electronic records, but lacks an organized system for stewardship. At the time, only one resident had a recent infection, with no current infections reported.
The facility failed to ensure that all CNAs completed the required 12 hours of training per employment year, with 7 out of 14 CNAs not meeting this requirement. The transition from paper-based to electronic training documentation led to gaps in record-keeping. Interviews with the DON and FA revealed a lack of oversight and documentation, with the FA unaware of the training deficiencies.
A resident's environment was not kept free from potential accident hazards when an LPN left medication unattended at the bedside, contrary to facility policy. The resident, who sometimes refused medication, did not have a self-administration order. The DON confirmed that medications should not be left at the bedside.
The facility failed to maintain an effective pest control program, resulting in multiple observations of flies in the common area, kitchen, and resident rooms. Service Inspection Reports noted unsealed cracks, gaps in doors, and standing water, which were not addressed. Interviews with staff and a resident confirmed the persistent issue, with the Kitchen Manager and Administrator acknowledging the problem but not implementing effective measures.
Call Lights Not Accessible to Residents
Penalty
Summary
Facility staff failed to ensure that call lights were within reach for five residents in rooms reviewed for call light placement. Observations revealed that call lights were found on the floor at the foot or head of the bed, or otherwise unreachable, for multiple residents. One resident, who had severe cognitive impairment and diagnoses including muscle weakness, sequelae of cerebral infarction, dementia, and hypertension, was observed lying in bed with the call light on the floor and reported being left wet after urinating on herself, stating that staff took the call light away and were slow to respond to her needs. Other residents' call lights were similarly found out of reach during the same observation period. Interviews with staff indicated that some were aware of the call lights being on the floor but did not take action to make them accessible to the residents. A CNA in training acknowledged the issue but did not correct it, and another CNA stated that the cognitively impaired resident often pulled her call light out of the wall. The facility's policy requires that call lights be within reach and accessible in resident rooms, bathrooms, and bathing areas, but this was not followed for the residents observed.
Failure to Maintain RN Coverage on Weekends
Penalty
Summary
The facility failed to ensure the presence of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week, as required by their policy. This deficiency was observed over a period of seven consecutive months, from January 2024 through July 2024, during weekends. The nursing schedule and timecard reports revealed multiple instances where no RN was on site for the required hours, affecting the provision of registered nursing assessments and services to all 32 residents in the facility. Interviews with the Director of Nursing (DON) and the Facility Administrator (FA) confirmed the absence of RNs on weekends. The DON stated that she and another RN, who works on a PRN basis, are the only registered nurses in the building. The DON works Monday through Friday and is on call during weekends, but does not physically come in unless there is an emergency. The facility does not use agency staff, and no waivers were obtained for this staffing issue. The FA acknowledged the staffing challenge and mentioned efforts to hire RNs for weekends, but no candidates have accepted the job offers.
Expired Food Items Not Discarded in Kitchen
Penalty
Summary
The facility failed to adhere to its food storage policy by not discarding expired food items in the kitchen area. Observations revealed multiple bags of hamburger buns with expired dates, some of which were moldy. The facility's policy mandates that stock must be rotated with each new order to ensure freshness and quality, but this was not followed. The Certified Dietary Manager (CDM) admitted that the kitchen staff is responsible for removing outdated bread, yet was unaware of the expiration dates of the items. Additionally, the Kitchen Manager stated that she ensures items are dated and placed correctly when opened, and checks daily for expiration dates. Despite these procedures, expired bread was found on a cart in the hallway between kitchen entrances. This indicates a lapse in the supervision and execution of the facility's food storage policy, leading to the presence of expired and potentially unsafe food items in the kitchen area.
Failure to Implement and Monitor Antibiotic Stewardship Program
Penalty
Summary
The facility failed to develop, implement, and monitor an effective Antibiotic Stewardship Program, as evidenced by the inability to produce documentation related to the program. Despite multiple requests from surveyors over several days, the facility's administrative staff, including the Director of Nursing (DON) and the Facility Administrator (FA), were unable to locate the necessary documentation. The DON indicated that the Assistant Director of Nursing (ADON), who also serves as the Infection Control Preventionist, was responsible for maintaining the program's records but was on vacation at the time of the survey. The DON mentioned that the facility uses a Line Listing to track infections and treatments, but could not provide documentation for the past 12 months. The FA stated that the facility relies on pharmacy input and the electronic medical record system to track antibiotic use, with trends addressed in quarterly QAPI meetings. However, the lack of accessible documentation and an organized system for antibiotic stewardship was evident. The FA acknowledged the expectation to have a documented and organized system to prevent and treat infections, but neither he nor the regional consultant could locate the stewardship book. At the time of the survey, there was only one resident with a recent infection, who had completed antibiotic treatment, and no current infections were reported.
Deficiency in CNA Training Compliance
Penalty
Summary
The facility failed to ensure that all Certified Nursing Assistants (CNAs) completed the required 12 hours of training per employment year, as mandated by their policy. A review of the facility's training records revealed that 7 out of 14 CNAs did not meet this requirement. The training records showed varying deficiencies in training hours, with some CNAs having completed as little as 2 hours. The facility's policy on competency evaluation requires that staff knowledge and skills be assessed through a training program, with competency forms maintained in the Director of Nursing's office before being filed in the employee's personnel file. Interviews with the Director of Nursing (DON) and the Facility Administrator (FA) highlighted issues with the transition from paper-based training documentation to an electronic system (Relias) in mid-2023. The DON acknowledged the lack of documentation for training conducted on paper and expressed the need for a better tracking method. The FA was unaware of the training deficiencies and emphasized the responsibility of the Assistant Director of Nursing (ADON) and Human Resources (HR) in ensuring compliance with training requirements. Both the DON and FA expressed expectations for timely completion of training but admitted to gaps in oversight and documentation.
Medication Left Unattended at Resident's Bedside
Penalty
Summary
The facility failed to ensure the environment was free from potential accident hazards for a resident, identified as R23, by leaving medications at the bedside. The facility's policy on medication administration and storage requires that medications be administered by licensed nurses or authorized staff and that they remain under direct observation or locked away. However, during an observation, a medication pill was found in a cup on R23's bedside table, which the resident identified as a stool softener. The resident stated that nurses often left the medication in her room per her choice, despite not having a self-administration order. Further investigation revealed that an LPN left the medication at the bedside because the resident sometimes refused to take it during administration. The LPN admitted to leaving the medication unattended, which was against the facility's policy. The Director of Nursing confirmed that the expectation was for nurses to check their orders and not leave medications at the bedside. The resident's care plan indicated that R23 was slow and noncompliant with taking medication, sometimes spitting out or hiding pills, and required supervision during medication administration.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by multiple observations of flies in various areas of the facility. The facility's policy on pest control, which aims to eradicate and contain common household pests, was not effectively implemented. Service Inspection Reports from June 2024 highlighted several open conditions that could facilitate pest entry, including unsealed cracks and crevices, gaps in doors, and standing water under kitchen equipment. These conditions were not addressed, leading to the presence of flies in the common area, kitchen, and resident rooms over several days. Interviews with staff and residents further confirmed the persistent issue with flies. A resident expressed frustration with the ongoing presence of flies, indicating a lack of effective action from the facility. The Kitchen Manager acknowledged the frequent presence of flies in the kitchen and mentioned that the Administrator occasionally arranges for spraying. The Facility Administrator admitted that flies have been a significant problem, particularly due to the heat, and stated that the issue would be discussed in the next Quality Assurance and Performance Improvement meeting. However, these actions were not sufficient to prevent the deficiency observed by the surveyors.
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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 Hopkins
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Columbia | 8.2 mi | — | 0 | 0 |
| Wildewood Downs | 8.9 mi | — | 2 | 0 |
| Midlands Health & Rehabilitation Center | 9.7 mi | — | 7 | 0 |
| White Oak Manor - Columbia | 9.9 mi | — | 2 | 0 |
| Forest Acres Post Acute | 9.9 mi | — | 0 | 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 August 2026) and official state health department websites.