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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.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
63
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
SurveyF-TagViolationSeveritySource
Dec 11, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Aug 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 8, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 8, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Aug 8, 2025F761Ensure 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.EStandard
Aug 8, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Aug 8, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Aug 8, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.BStandard
Apr 3, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Feb 13, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Feb 13, 2025F610Respond appropriately to all alleged violations.DComplaint
Feb 13, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Feb 13, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Nov 1, 2024F926Have policies on smoking.EStandard
Nov 1, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Nov 1, 2024F809Ensure 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.EStandard
Nov 1, 2024F791Provide or obtain dental services for each resident.EStandard
Nov 1, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Nov 1, 2024F693Ensure 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.DStandard
Nov 1, 2024F679Provide activities to meet all resident's needs.EStandard
Nov 1, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Nov 1, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Nov 1, 2024F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.BStandard
Feb 15, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Feb 15, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Feb 15, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Feb 15, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Feb 15, 2024F584Honor 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.EComplaint
Feb 15, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint
Jan 18, 2024F908Keep all essential equipment working safely.DComplaint
Jan 18, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Jan 18, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.EComplaint
Jan 18, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Jan 18, 2024F679Provide activities to meet all resident's needs.EComplaint
Jan 18, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.GComplaint
Jan 18, 2024F610Respond appropriately to all alleged violations.EComplaint
Jan 18, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 17, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.EComplaint
Nov 17, 2023F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Nov 17, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Nov 17, 2023F926Have policies on smoking.EStandard
Nov 17, 2023F809Ensure 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.EStandard
Nov 17, 2023F758Implement 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.DStandard
Nov 17, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Nov 17, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Nov 17, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Nov 17, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 17, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Nov 17, 2023F688Provide 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.DStandard
Nov 17, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Nov 17, 2023F679Provide activities to meet all resident's needs.EStandard
Nov 17, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Nov 17, 2023F641Ensure each resident receives an accurate assessment.DStandard
Nov 17, 2023F625Notify 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.EStandard
Nov 17, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard
Nov 17, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Nov 17, 2023F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Aug 16, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FComplaint
Aug 16, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Jun 21, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 23, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Mar 29, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Mar 29, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint

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.

DateTypeFinePayment denial
Feb 13, 2025Fine$42,484
Nov 17, 2023Fine$12,048
Nov 17, 2023Payment DenialFeb 17, 2024 · 72 days
Mar 29, 2023Fine$185,567
Mar 29, 2023Payment DenialJun 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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