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Deficiency Records for Edenbrook of Greenwood Hill
View the most recent health deficiencies and inspection results for Edenbrook of Greenwood Hill. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edenbrook of Greenwood Hill. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-12-11 | 2026-02-04 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2025-08-08 | 2025-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-08 | 2025-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-08 | 2025-09-30 | Y |
| 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 | 2025-08-08 | 2025-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-08 | 2025-09-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-08-08 | 2025-09-30 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-08 | 2025-09-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-08 | 2025-09-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-08-08 | 2025-09-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-06-27 | 2025-08-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-08 | 2025-07-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-03 | 2025-04-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-13 | 2025-04-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-02-13 | 2025-04-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-02-13 | 2025-04-03 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-02-13 | 2025-04-03 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-01 | 2024-12-17 | N |
| Have policies on smoking. | Health | 2024-11-01 | 2024-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-01 | 2024-12-17 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-11-01 | 2024-12-17 | N |
| Provide or obtain dental services for each resident. | Health | 2024-11-01 | 2024-12-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-11-01 | 2024-12-17 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-11-01 | 2024-12-17 | N |
| Provide activities to meet all resident's needs. | Health | 2024-11-01 | 2024-12-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-11-01 | 2024-12-17 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-11-01 | 2024-12-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-15 | 2024-04-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-18 | 2024-04-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-18 | 2024-04-29 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-11-17 | 2024-03-26 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-11-17 | 2024-03-26 | N |
| Keep all essential equipment working safely. | Health | 2024-01-18 | 2024-03-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-01-18 | 2024-03-26 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-01-18 | 2024-03-26 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-01-18 | 2024-03-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-18 | 2024-03-26 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-02-15 | 2024-03-26 | 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 | 2024-02-15 | 2024-03-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-15 | 2024-03-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-18 | 2024-03-26 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-02-15 | 2024-03-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-02-15 | 2024-03-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-17 | 2024-01-18 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-11-17 | 2024-01-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-17 | 2024-01-18 | Y |
| Have policies on smoking. | Health | 2023-11-17 | 2024-01-18 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-11-17 | 2024-01-18 | N |
| 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 limited. | Health | 2023-11-17 | 2024-01-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-11-17 | 2024-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-17 | 2024-01-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-17 | 2024-01-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-17 | 2024-01-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-17 | 2024-01-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-11-17 | 2024-01-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-17 | 2024-01-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-17 | 2024-01-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-11-17 | 2024-01-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-17 | 2024-01-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-17 | 2024-01-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-11-17 | 2024-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-16 | 2023-09-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-16 | 2023-09-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-21 | 2023-08-16 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-05-23 | 2023-06-21 | Y |