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Deficiency Records for Eden Healthcare Center
View the most recent health deficiencies and inspection results for Eden Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Eden Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-02-20 | 2026-04-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-13 | 2025-10-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-04-30 | 2025-07-07 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-04-30 | 2025-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-02 | 2025-01-20 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-10-05 | 2024-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-05 | 2024-10-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-05 | 2024-10-30 | N |
| Dispose of garbage and refuse properly. | Health | 2024-10-05 | 2024-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-05 | 2024-10-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-10-05 | 2024-10-30 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-10-05 | 2024-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-05 | 2024-10-30 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-10-05 | 2024-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-05 | 2024-10-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-10-05 | 2024-10-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-05 | 2024-10-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-10-05 | 2024-10-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-05 | 2024-10-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-05 | 2024-10-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Use approved construction type or materials. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-05 | 2024-10-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-18 | 2024-08-02 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-04-10 | 2024-05-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-06 | 2024-04-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-06 | 2024-04-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-06 | 2024-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-06 | 2024-04-02 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-02-06 | 2024-04-02 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-02-06 | 2024-04-02 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-02-06 | 2024-04-02 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-02-06 | 2024-04-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-21 | 2023-12-11 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-08-30 | 2023-09-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-28 | 2023-09-13 | Y |
| Provide appropriate foot care. | Health | 2023-06-01 | 2023-06-25 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-07-08 | 2021-08-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-08 | 2021-08-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-08 | 2021-08-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-08 | 2021-08-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-07-08 | 2021-08-17 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-07-08 | 2021-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-08 | 2021-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-08 | 2021-08-17 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-07-08 | 2021-08-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-08 | 2021-08-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-08 | 2021-07-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-07-08 | 2021-07-29 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-07-08 | 2021-07-29 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-08 | 2021-07-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-08 | 2021-07-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-08 | 2021-07-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-07-25 | 2019-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-25 | 2019-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-08-21 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-07-25 | 2019-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-25 | 2019-08-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-07-25 | 2019-08-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-25 | 2019-08-21 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-07-25 | 2019-08-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-25 | 2019-08-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-25 | 2019-08-21 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-07-25 | 2019-08-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-25 | 2019-08-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-07-25 | 2019-08-21 | N |