Eden Springs Nursing and Rehab Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801May 17, 2022

  Based on staff interviews and record review, the facility failed to designate a qualified staff member to serve as the director of food and nutrition services. The findings include: A tour of the kitchen was conducted on 5/16/22 at 12:10 PM with the kitchen manager. The kitchen manager was asked if she had any certification or training to serve as the kitchen manager. She stated she was enrolled in a course but had not yet completed the course. Review of the kitchen manager's employee file revealed no certifications for food or dietary management or degree to qualify the individual as the kitchen manager. An interview was conducted with the facility's Registered Dietician on 5/16/22 at 12:39 PM. He stated he works at the facility 3 days per week and is not full-time. […]

• No harm, potential for more than minimal, widespreadF584Jun 18, 2021

  Based on observation, interview and record review, the facility failed to provide a safe, clean and homelike environment for 4 of 4 zones observed during the tour. The findings include: On 6/17/2021 from 10:13 AM to 11:54 AM, a tour of the facility was conducted. The following observations were made: Zone 1 (Activity Room and non-resident occupied rooms) - The bilateral hall siderails contained a visible layer of light gray microparticles. The floor down the length of the hallway contained scattered dark brown smears and stains of dried liquids. The floor down the length of the hall contained approximately 2-3 inches of brown/gray discoloration along the baseboards. […]

• No harm, potential for more than minimal, patternF584Jan 19, 2024

  Based on observations and interviews with staff and residents, the facility failed to provide a safe clean homelike environment in 17 of 40 sampled resident rooms or shower rooms in the facility. (Resident rooms 142, 141,140, 139, 138, 137, 136, 135, 134, 128, 127,116, 111, 108, as well as shower rooms [ROOM NUMBER]) The findings include: On 1/18/24 at approximately 10:15 AM, a facility tour was initiated. The following issues were noted: A live roach was observed crawling on the floor in room [ROOM NUMBER]A. The room had an area where a cabinet was removed. The floor was unfinished in this area. Two wheelchair foot rests were on the bare floor. […]

• No harm, potential for more than minimal, patternF925Jan 19, 2024

  Based on observations and interviews with staff and residents, the facility failed to maintain an effective pest control program. The findings include: Observations: On 1/18/24 at approximately 10:15 AM, a live roach was observed crawling on the floor in room [ROOM NUMBER]A. (Photographic evidence obtained) On 1/18/24 at approximately 11:20 AM in room [ROOM NUMBER], there was a roach on the floor under an unfinished cabinet. (Photographic evidence obtained) Interviews: Based upon the observations made by surveyors, staff and residents were asked about the effectiveness of the pest control program at the facility. On 1/18/24 at approximately 10:15 AM, Certified Nursing Assistant (CNA) E said she sees roaches crawling around the facility frequently. […]

• No harm, potential for more than minimal, patternF584Sep 14, 2022

  Based on observations and staff interviews, the facility failed to provide adequate maintenance services to maintain a clean environment for 1 of 4 zones observed in the facility (Zone 4). Affected areas included black bio-growth substances observed in 3 resident rooms (rooms 106, 107 and 109) and water stained ceiling tiles observed in room 109. The findings include: On 9/12/22 a tour of the facility was conducted beginning at approximately 9:55 AM. Upon entry into room 106, an interview was conducted with the resident who expressed concerns with black mold she saw in her bathroom. Upon inspection, it was found that the top of the inside door jamb had numerous spots of black bio-growth substance. […]