Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

EDGEHILL NURSING AND REHAB CEN

GLENSIDE, PA · 60 certified beds · Last Life Safety survey August 14, 2025

CMS Certification Number 395757 · first certified August 1988

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within PA

13 citations — more than 61% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (June 2026 to August 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was August 2025. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 13 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 13 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility13PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-1282024-1022025-08
Citations at each Life Safety survey
Survey dateCitations
December 21, 20233
October 9, 20248
August 14, 20252

Most-cited tags

Most-cited tags at this facility
K-03532K-05112E-00261K-05211K-09201K-01001K-02811K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-08-14
K-0511Have properly installed electrical wiring and gas equipment.22024-10-09
E-0026Establish roles under a Waiver declared by secretary.12024-10-09
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12025-08-14
K-0920Ensure proper usage of power strips and extension cords.12024-10-09
K-0100Meet other general requirements.12023-12-21
K-0281Install proper backup exit lighting.12024-10-09
K-0923Have proper medical gas storage and administration areas.12024-10-09

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Services Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Emergency Preparedness Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Services Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Emergency Preparedness Deficiencies2
Egress Deficiencies1
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 14, 2025 — 2 citations

Citations issued on August 14, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 1, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (October 1, 2025)

October 9, 2024 — 8 citations

Citations issued on October 9, 2024
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (December 3, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (December 3, 2024)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (December 3, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 3, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 3, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 3, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 3, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 3, 2024)

December 21, 2023 — 3 citations

Citations issued on December 21, 2023
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (March 25, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 25, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 25, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.