Eden Rehabilitation Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF925Aug 17, 2022

  Based on observation, interview, and record review during the Standard survey started on 8/11/22 and completed on 8/17/22, the facility did not maintain an effective pest control program so that the facility was free from insects. Observations of one of one kitchen, main dining room, and the resident unit revealed flies in the facility. The findings are: Review of the facility policy and procedure titled, Pest Control, dated 1/20/21, revealed the facility shall maintain an effective pest control program to prevent entry of insects and rodents into the facility, reduce the threat of infection and disease, provide a safe and sanitary environment, and to maintain the appearance and cleanliness of the facility. 1a. […]

• No harm, potential for more than minimal, isolatedF609Jan 9, 2026

  Based on observation, interview, and record review conducted during the Standard survey completed on 01/09/2025, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source, were reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation did not involve abuse and do not result in serious bodily injury, to the administrator of the facility for one (1) (Resident #12) of one (1) resident reviewed. Specifically, Resident #12 was found to have an injury of unknown origin that was not reported to the administrator. […]

• No harm, potential for more than minimal, isolatedF658Jan 9, 2026

  Based on interview and record review the facility did not ensure that services being provided met professional standards of quality for one (1) (Resident #6) of one (1) resident reviewed. Specifically, an order for an antiviral medication was not continued upon readmission to the facility for an influenza (viral infection) positive resident. Additionally, there was a physician order placed to test/swab residents for influenza on [DATE], the testing supplies were not available until [DATE].The findings are: The policy titled Admission/readmission procedure, dated [DATE], documented the purpose of the policy was to establish a clear procedure for the admission and re-admission of residents to ensure compliance with federal and state regulations, including Centers for Medicare and Medicaid… […]

• No harm, potential for more than minimal, isolatedF578May 8, 2024

  Based on observation, interview, and record review conducted during the Standard survey completed on [DATE], the facility did not ensure the system developed for advanced directives was implemented in a manner that was consistent with residents' wishes for one (Resident #8) of one resident reviewed for advanced directives. Specifically, the facility did not ensure Resident #8's advanced directives identifier was consistent with the resident's wishes and provider's orders. The finding is: The policy and procedure titled Advanced Directives effective [DATE] documented advanced directives will be respected in accordance with state law and facility policy. […]

• No harm, potential for more than minimal, isolatedF656May 8, 2024

  Based on observation, interview, and record review conducted during the Standard survey completed on 5/8/24, the facility did not ensure that the resident's person-centered care plan was implemented to meet the resident's medical and nursing needs for one (Resident #3) of one resident reviewed for positioning. Specifically, a resident who required extensive assist of two for bed mobility was not provided with their planned positioning devices. The findings are: The policy and procedure titled Quality of Care dated 2/2024 documented that residents will have an individualized plan of care that is consistent with their needs. The plan will be implemented upon admission and revised when indicated. […]