CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Edenbrook of Yeadon
View the most recent health deficiencies and inspection results for Edenbrook of Yeadon. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edenbrook of Yeadon. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-08-05 | 2025-09-24 | Y |
| Meet other general requirements. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-05-01 | 2025-06-12 | 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 | 2025-05-01 | 2025-06-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-01 | 2025-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-01 | 2025-06-12 | 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 | 2025-05-01 | 2025-06-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-01 | 2025-06-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-05-01 | 2025-06-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-05-01 | 2025-06-02 | N |
| 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 | 2025-05-01 | 2025-06-02 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-05-01 | 2025-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-01 | 2025-06-02 | 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 | 2025-05-01 | 2025-06-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-01 | 2025-06-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-01 | 2025-06-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-01 | 2025-06-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-01 | 2025-06-02 | Y |
| Dispose of garbage and refuse properly. | Health | 2025-05-01 | 2025-06-02 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2025-05-01 | 2025-06-02 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-05-01 | 2025-06-02 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-05-01 | 2025-06-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-05-01 | 2025-06-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-05-01 | 2025-06-02 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-05-01 | 2025-06-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-09 | 2025-04-22 | 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 | 2025-03-05 | 2025-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-05 | 2025-03-17 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-03-05 | 2025-03-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-05 | 2025-03-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-29 | 2024-09-13 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-08-19 | 2024-09-12 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| 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. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Meet other general requirements. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Develop a communication plan. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-03 | 2024-08-14 | 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 | 2024-07-03 | 2024-08-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-07-03 | 2024-08-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-03 | 2024-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-03 | 2024-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-03 | 2024-08-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-07-03 | 2024-08-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-07-03 | 2024-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-03 | 2024-08-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-07-03 | 2024-08-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-07-03 | 2024-08-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-03 | 2024-08-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-03 | 2024-07-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-15 | 2024-04-17 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-15 | 2024-04-17 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-14 | 2023-11-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-30 | 2023-11-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-30 | 2023-11-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-14 | 2023-10-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-14 | 2023-10-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-14 | 2023-10-30 | Y |
| 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 | 2023-09-14 | 2023-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-14 | 2023-10-30 | 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 | 2023-09-14 | 2023-10-30 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-09-14 | 2023-10-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-30 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-09-14 | 2023-10-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-14 | 2023-10-30 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-09-14 | 2023-10-30 | Y |
| 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 | 2023-09-14 | 2023-10-30 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-14 | 2023-10-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-14 | 2023-10-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-14 | 2023-10-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-09-14 | 2023-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-10-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-14 | 2023-10-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-12 | Not Fixed | Y |