Edenbrook of Yeadon

In the surveyor’s words

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

• Immediate jeopardy, patternF689Mar 5, 2025

  Based on observations, review of facility policies, facility documentation and interviews with staff, it was determined the facility failed to ensure water temperatures in the central shower room and resident bathroom sinks were maintained at a safe temperature for one of four nursing units observed (TCU Nursing Unit). This failure placed residents on the TCU Nursing Unit at risk for serious injury from a burn and resulted in an Immediate Jeopardy situation. Findings include: Review of facility policy titled, Water Temps - Bathing dated February 1, 2025, revealed, It is the policy of this facility to provide a safe and comfortable temperature for residents during bathing and procedures to protect them from avoidable injury whenever possible. […]

• Immediate jeopardy, isolatedF695Jul 3, 2024

  Based on observation, review of clinical record, review of facility policies, interview with staff and resident, it was determined the facility failed provide tracheostomy care consistent with professional standards of practice for one of one resident observed. This failure resulted in an Immediate Jeopardy situation for Resident R130 who was decannulated, experienced respiratory and emotional distress and potential death. (Resident R130) Findings include: Review facility, policy title Tracheostomy dated April 1, 2022, revealed that under section Policy Statement it was stated that it was the policy of the corporation to establish standards for the care and maintenance of tracheostomy tubes. […]

• Actual harm, isolatedF600Jul 1, 2026

  Based on clinical record review, facility policy, facility documentation, and staff interviews, it was determined the facility failed to ensure Resident R1 was free from abuse. Resident R1 was included in a social media post in which he was photographed from behind, partially exposing his buttocks and without a shirt. The image also contained profanity. A reasonable person in Resident R1's position would likely feel humiliated by having such a photograph taken and posted on social media without consent. Posting this image of a cognitively impaired Resident R1 caused harm. This deficiency was cited as past noncompliance. […]

• Actual harm, isolatedF600Oct 30, 2023

  Based on observation, review of clinical record, review of facility documentation, review of facility policies and interviews with resident and staff, it was determined that the facility failed to ensure that residents were free from neglect during provision of care for one of nine residents reviewed. (Resident R1). This failure resulted in actual harm to Resident R1, who sustained a fall resulting in actual harm, transfer to the hospital and was diagnosed with a left femur fracture. (Resident R1) Findings Include: Review of the facility's policy titled Abuse revised October 24, 2022, revealed that abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. […]

• Actual harm, isolatedF689Oct 30, 2023

  Based on observations, clinical record review, and interviews with residents and staff, it was determined that the facility failed to provide adequate supervision to prevent accident hazards for one of nine residents reviewed (Resident R1) who sustained a fall resulting in actual harm, transfer to the hospital and diagnosed with a left femur fracture. (Resident R1) Findings Include: Review of Resident R1's clinical record revealed that the resident was admitted to the facility on [DATE], with diagnoses, including Muscle Wasting and Atrophy (the decrease in size and wasting of muscle tissue), Post-Traumatic Hydrocephalus (a serious complication that follows a traumatic brain injury), History of Falling, and Idiopathic Neuropathy (Nerve damage interferes with the functioning of the… […]