01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-25 | 1 | 2025-09-25 | 2 |
| Cycle 2 | 2024-10-31 | 1 | 2024-10-31 | 3 |
| Cycle 3 | 2023-10-05 | 1 | 2023-10-05 | 4 |
CMS CCN 1653792026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Edgewood Convalescent Home
513 Bell Street · Edgewood, IA 52042 · Clayton County
Certified beds56CMS provider file
Recent citation rows12current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
12 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-25 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-10-252025-09-25 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-10-062025-09-25 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-10-022024-10-31 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2024-11-052024-10-31 · FIREE0029Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop a communication plan.
Correction field: Deficient, Provider has date of correction · 2024-11-052024-10-31 · HEALTHF0725Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2024-11-30 · complaint2024-10-31 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-11-132023-10-05 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2023-10-262023-10-05 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2023-10-062023-10-05 · FIREK0223Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2023-10-122023-10-05 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2023-10-102023-10-05 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2023-11-0903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ARTHUR, KRISTENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2023
- FUNKE, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2000
- KENDRICK, TIMOTHYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2005
- MEYER, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/30/2021
- OSTWINKLE, ANTHONYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2009
- PERRINJAQUET, JERODIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- SAMPSON, ELAINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/30/2021
- STONE, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/30/2021
- ARTHUR, KRISTENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2023
- FUNKE, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2024
- KENDRICK, TIMOTHYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/26/2016
- KRUGER, GISELEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/17/2022
- STRAMER, PAIGEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/15/2021
- KEVIN PERRINJAQUET ESTATEOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2024
- KRUGER, GISELEIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/17/2022
- MOSER, MAYLOIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/05/2000
- PERRINJAQUET, MARJORIEIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/21/2024
- STRAMER, PAIGEIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/15/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.39per resident day
RN hours0.89per resident day
Weekend nurse hours2.83per resident day
Staff turnover29.4%CMS reported field
06 / LOCAL RECORDS
Open the Iowa ledger →Other published facilities nearby
No second facility in the same city met the directory rule.