Edenbrook North

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 4, 2025

  Based on observation and staff interview, it was determined that the facility failed to store food items in a safe and sanitary manner and maintain the environment in a safe and sanitary condition in the facility's main kitchen. Findings included: Observation of the facility's main kitchen with Employee 2, dietitian, on April 1, 2025, at 8:30 AM revealed the following: A mobile rack holding bowls had various debris on the base and felt greasy to touch. Two floor drains had an extensive amount of debris in them. The perimeter of the grease trap in the floor of the dishwasher area had an extensive build-up of debris, including food debris. A windowsill had a build-up of dust, a dead bug, and a discarded potato chip. […]

• No harm, potential for more than minimal, widespreadF812Jun 16, 2023

  Based on observation and staff interview, it was determined that the facility failed to store, prepare, and serve food in a manner to prevent the potential for food borne illness and maintain equipment in a clean and safe operating condition in the facility's main kitchen, and on three of three nursing units (first floor, second floor, and third floor). Findings include: An observation of the facility's main kitchen on [DATE], at 8:30 AM revealed the following: A tiered cart beside the tray line area contained visible dust buildup and dried food debris. The lower shelf of the prep area contained dried food debris, and grease/dust build up. The flooring under and in between equipment was observed to have dirt and debris and buildup of both along the wall edges where they meet the floor. […]

• No harm, potential for more than minimal, widespreadF812Jul 16, 2021

  Based on observation and staff interview, it was determined that the facility failed to store, prepare, and serve food in a manner to prevent the potential for food borne illness and maintain equipment in a clean and safe operating condition in the facility's main kitchen, and on one of three nursing units (first floor). Findings include: Initial tour of the facility's main kitchen on July 13, 2021 at 8:00 AM revealed the following: A basket of potholders was on a preparation table. The potholders were worn, frayed, and stained. A metal shelf above the stove top area was observed with a coating of dust. An upright freezer contained a clear plastic container labeled beef ravioli, which appeared to be in a red sauce. […]

• No harm, potential for more than minimal, patternF584Apr 24, 2026

  Based on observation, and staff and resident family interviews, it was determined that the facility failed to provide adequate housekeeping and maintenance services to ensure a clean, comfortable, orderly, and homelike environment located in the Central Supply Room, an outdoor storage area behind the dumpsters, and on one of three nursing units (Nursing Units 1; Residents 48, 36, 12, and 84).Findings include: Observations on April 21, 2026, at 7:55 AM revealed the central supply room, which houses a deep freezer and refrigerator for the kitchen, as well as facility supplies, was noted to have a blackened floor around the refrigerator and the freezer. There was dust and debris, in addition to leaves noted on the floor around the entrance area. […]

• No harm, potential for more than minimal, patternF692Apr 24, 2026

  Based on clinical record review, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to implement interventions to promote acceptable parameters of nutrition for three of seven residents reviewed (Residents 7, 84, and 82).Findings include: Clinical record review for Resident 82 revealed that the facility admitted the resident on February 13, 2026. Further review of Resident 82's clinical record revealed the following weight assessments: February 13, 2026, 110.0 poundsFebruary 24, 2026, 107.0 poundsMarch 2, 2026, 107.0 poundsMarch 11, 2026, 101.0 pounds (a 9-pound, 8% severe weight loss in less than 30 days)March 17, 2026, 100.6 poundsApril 1, 2026, 98.0 pounds Clinical record review revealed a weight change note written by… […]