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Deficiency Records for Edenbrook North

View the most recent health deficiencies and inspection results for Edenbrook North. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Edenbrook North. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2026-03-09 2026-04-07 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-03-09 2026-04-07 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2025-11-08 2025-12-12 Y
Conduct testing and exercise requirements. Fire Safety 2025-04-04 2025-05-28 N
Use approved construction type or materials. Fire Safety 2025-04-04 2025-05-28 N
Provide properly protected cooking facilities. Fire Safety 2025-04-04 2025-05-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-04-04 2025-05-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-04-04 2025-05-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-04-04 2025-05-28 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-04-04 2025-05-28 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 2025-04-04 2025-05-13 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-04-04 2025-05-13 N
Provide enough food/fluids to maintain a resident's health. Health 2025-04-04 2025-05-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-04-04 2025-05-13 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2025-04-04 2025-05-13 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2025-04-04 2025-05-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-04-04 2025-05-13 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2025-04-04 2025-05-13 N
Provide and implement an infection prevention and control program. Health 2025-04-04 2025-05-13 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-04-04 2025-05-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-04-04 2025-05-13 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2025-04-04 2025-05-13 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 2025-04-04 2025-05-13 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2025-04-04 2025-05-13 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-09-19 2024-10-22 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 2024-05-23 2024-07-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-05-23 2024-07-09 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 2024-05-23 2024-07-09 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 2024-05-23 2024-07-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-23 2024-07-09 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 2024-05-23 2024-07-09 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-05-23 2024-07-09 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-05-23 2024-07-09 N
Post nurse staffing information every day. Health 2024-05-23 2024-07-09 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-05-23 2024-07-09 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-05-23 2024-07-09 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-05-23 2024-07-09 N
Provide enough food/fluids to maintain a resident's health. Health 2024-05-23 2024-07-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-05-23 2024-07-09 N
Assist a resident in gaining access to vision and hearing services. Health 2024-05-23 2024-07-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-23 2024-07-09 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-05-23 2024-07-09 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-05-23 2024-07-09 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-05-23 2024-07-09 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 2024-05-23 2024-07-09 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-05-23 2024-07-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-05-23 2024-07-09 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-05-23 2024-07-09 N
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2024-02-02 2024-03-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-02 2024-03-12 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-02 2024-03-12 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-02 2024-03-12 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 2023-08-01 2023-08-29 Y
Ensure that residents are free from significant medication errors. Health 2023-08-01 2023-08-29 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 2023-06-16 2023-08-29 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-06-16 2023-08-01 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-06-16 2023-08-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-16 2023-07-25 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 2023-06-16 2023-07-25 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-06-16 2023-07-25 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-06-16 2023-07-25 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-06-16 2023-07-25 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-06-16 2023-07-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-16 2023-07-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-16 2023-07-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-16 2023-07-25 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-06-16 2023-07-25 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-06-16 2023-07-25 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-16 2023-07-25 N

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