Facility profile · CCN 395344
Edenbrook Of Greenwood Hill
63 federal citations on record , including 1 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $240,099.
Record summary
Federal record · Q1 202663
Total citations
61
Last 3 years
4
Actual harm+
5
Federal penalties
$240,099
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
63 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 11, 2025 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint |
| Aug 8, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 8, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Aug 8, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Aug 8, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Aug 8, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 8, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Aug 8, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | Standard |
| Apr 3, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Feb 13, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint |
| Feb 13, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Feb 13, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Feb 13, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Nov 1, 2024 | F926 | Have policies on smoking. | E | Standard |
| Nov 1, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Nov 1, 2024 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard |
| Nov 1, 2024 | F791 | Provide or obtain dental services for each resident. | E | Standard |
| Nov 1, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Nov 1, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Nov 1, 2024 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Nov 1, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Nov 1, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard |
| Nov 1, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | Standard |
| Feb 15, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Feb 15, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint |
| Feb 15, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Feb 15, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Feb 15, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Feb 15, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint |
| Jan 18, 2024 | F908 | Keep all essential equipment working safely. | D | Complaint |
| Jan 18, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint |
| Jan 18, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Complaint |
| Jan 18, 2024 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Complaint |
| Jan 18, 2024 | F679 | Provide activities to meet all resident's needs. | E | Complaint |
| Jan 18, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint |
| Jan 18, 2024 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Jan 18, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Nov 17, 2023 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Complaint |
| Nov 17, 2023 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| Nov 17, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Nov 17, 2023 | F926 | Have policies on smoking. | E | Standard |
| Nov 17, 2023 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard |
| Nov 17, 2023 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Nov 17, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Nov 17, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Nov 17, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Nov 17, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Nov 17, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Nov 17, 2023 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| Nov 17, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Nov 17, 2023 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Nov 17, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Nov 17, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Nov 17, 2023 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard |
| Nov 17, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard |
| Nov 17, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Nov 17, 2023 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Aug 16, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Complaint |
| Aug 16, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Jun 21, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| May 23, 2023 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint |
| Mar 29, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Mar 29, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $240,099 and 2 payment-denial actions spanning 154 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 13, 2025 | Fine | $42,484 | — |
| Nov 17, 2023 | Fine | $12,048 | — |
| Nov 17, 2023 | Payment Denial | — | Feb 17, 2024 · 72 days |
| Mar 29, 2023 | Fine | $185,567 | — |
| Mar 29, 2023 | Payment Denial | — | Jun 29, 2023 · 82 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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