Eden Home

In the surveyor’s words

From the most serious findings on record at Eden Home, in the surveyor’s own words.

• Immediate jeopardy, patternF805Jun 27, 2024

  Based on observations, interviews, and record reviews the facility failed to ensure each resident received, and the facility provided food prepared in a form designed to meet individual needs for 14 of 16 residents (Resident #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, and #16) reviewed for mechanical soft diet needs. 1. The facility failed to follow the Speech Language Pathologist's (SLP) recommendations to grind meat for Resident #16's mechanical soft diet, served Resident #16 a ham sandwich, with 2 slices of ham lunch meat, each doubled in half; Resident was found shortly after unresponsive, received Cardio Pulmonary Resuscitation (CPR), was sent to the hospital via Emergency Medical Services (EMS) where she died due to a Difficult airway with lots of debris as quoted by… […]

• Immediate jeopardy, isolatedF689May 22, 2025

  Based on observations, interviews, and record reviews, the facility failed to ensure resident environments remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for one resident (Resident #1) of 3 residents reviewed for 2-person mechanical lift transfers. The facility failed to ensure CNA A transferred Resident #1 on 01/19/2025 with a mechanical lift per her [NAME] (Notes for CNAs to access in PCC to provide a quick overview of the resident's needs) and her comprehensive plan of care plan. […]

• Immediate jeopardy, isolatedF689Jun 27, 2024

  Based on observations, interviews, and record reviews the facility failed to ensure each resident the residents environment remained as free of accident hazards as was for 1 of 14 Residents (#16) reviewed for mechanical soft diet needs and supervision. 1.The facility failed to follow the Speech Language Pathologist's (SLP) recommendations to grind meat for Resident #16's mechanical soft diet, served Resident #16 a ham sandwich, with 2 slices of ham lunch meat, each doubled in half; Resident was found shortly after unresponsive, received Cardio Pulmonary Resuscitation (CPR), was sent to the hospital via Emergency Medical Services (EMS) where she died due to a Difficult airway with lots of debris as quoted by the physician. An Immediate Jeopardy (IJ) was identified on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Nov 17, 2023

  Based on observation, interview and record review revealed the facility failed to prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for meal service. Dietary staff stacked 12 trays on a food cart filled with multiple individual servings of lemon cake which were exposed to the elements in the kitchen. This deficient practice could contribute to the spread of foodborne illnesses and make the residents sick. The findings were: Observation and interview in the kitchen on 11/14/23 at 11:46 AM revealed 3 Dietary Staff preparing lunch trays. Further observation revealed a cart with 12 trays filled with 6 to 8 slices of lemon cake on individual plates next to the steam table. The food cart was not covered. […]

• No harm, potential for more than minimal, patternF695Mar 20, 2026

  Based on observation, interview, and record review the facility failed to ensure residents who need respiratory care were provided such care, consistent with professional standards of practice for 2 of 2 residents (Resident #91 and Resident #117) and in 1 of 1 oxygen storage rooms reviewed for respiratory care. 1. Resident #91's nasal cannulas for oxygen and BiPAP (bilevel positive airway pressure) mask were not covered in a plastic bag when they were not used on 03/17/2026. 2. The facility failed to ensure Resident #117's oxygen concentrator was set to 2 to 3 liters per minute as ordered by the physician on 03/17/2026 and 03/18/2026. 3. Stored oxygen was not separated -1 oxygen cylinder that was empty was in the full area. 1 oxygen cylinder that was empty was in the full side. […]