Edenwald

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jun 23, 2025

  Based on observation and interview it was determined that the facility 1) failed to store, prepare, distribute and serve food in accordance with professional standards for food service and 2) failed to maintain food service equipment in a manner that ensures sanitary food service operations. This was evident during the recertification/complaint survey and has the potential to affect all residents. The findings include: On 06/16/25 at 8:15 AM during the initial tour of the kitchen, an observation of the entrance of the kitchen revealed that there were no hair nets available at the entrance. […]

• No harm, potential for more than minimal, isolatedF609Mar 30, 2026

  Based on reviews of 2 facility reported incidents, all pertinent facility documentation and staff interview, it was determined that the facility failed to report allegations of staff to resident abuse to local law enforcement. This was found to be evident for 2 (Resident #1 and Resident #2) of 2 residents reviewed during a complaint survey. The findings include: 1) On 08/20/25 the Office of Health Care Quality received a facility reported incident regarding an allegation that a resident was a victim of physical abuse. A review of the facility investigation on 03/30/26 revealed that the facility became aware of an allegation of staff to resident physical abuse on 08/20/25 at 2:30 pm. […]

• No harm, potential for more than minimal, isolatedF610Mar 30, 2026

  Based on a review of facility investigative material, medical records, and interviews with facility staff, it was determined that the facility failed to thoroughly investigate an allegation of physical abuse. This was evidenced by 1 (Resident #1) of two residents reviewed during a complaint survey. The findings include: On 08/20/25 the Office of Health Care Quality received a facility reported incident regarding an allegation a resident was a victim of physical abuse. Resident #1 was admitted to the facility on [DATE] with diagnoses that include but are not limited to dementia with aggression. Resident #1 had a BIMS score of 5/15 which indicates severe cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF689Mar 30, 2026

  Based on reviews of a facility investigation and record review, and staff interview, it was determined that the facility failed to implement an intervention, determined to be necessary, for a resident who was identified as a fall risk. This was evident of 1 (Resident #2) of 2 residents reviewed during a complaint survey. The findings include: On 07/23/25 the Office of Health Care Quality received a facility reported incident, #2569932, regarding an allegation of possible mistreatment. Resident #2 was identified with a fractured right femur (an injury of unknown source). […]

• No harm, potential for more than minimal, isolatedF582Jun 23, 2025

  Based on a review of beneficiary protection notification reviews, and staff interview, it was determined that the facility staff failed to ensure proper notification of discontinued Medicare coverage was provided to the resident or their responsible party (RP). This was evident for 2 (Residents #91 and #92) out of the 3 residents reviewed for Beneficiary Protection Notifications during the recertification/complaint survey. The findings include: A review of three Beneficiary Protection Notifications for Residents #90, #91, and #92 was conducted on 6/17/25 at 8:30 AM. The documents were handed to the Administrator. The Administrator returned the three documents on 6/17/25 at 1:42 PM. […]