Facility profile · CCN 395374
Edenbrook Of Yeadon
55 federal citations on record , including 2 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $34,298.
Record summary
Federal record · Q1 202655
Total citations
55
Last 3 years
4
Actual harm+
4
Federal penalties
$34,298
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
55 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 5, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint |
| May 1, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint |
| May 1, 2025 | F839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Complaint |
| May 1, 2025 | F814 | Dispose of garbage and refuse properly. | D | Complaint |
| May 1, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| May 1, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| May 1, 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 |
| May 1, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| May 1, 2025 | 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. | D | Complaint |
| May 1, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 1, 2025 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard |
| May 1, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard |
| May 1, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| May 1, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard |
| May 1, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 1, 2025 | 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 |
| May 1, 2025 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| May 1, 2025 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| May 1, 2025 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| May 1, 2025 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Apr 9, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Mar 5, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Mar 5, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint |
| Mar 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint |
| Mar 5, 2025 | 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. | D | Complaint |
| Aug 29, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Aug 19, 2024 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| Jul 3, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 3, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Jul 3, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | J | Standard |
| Jul 3, 2024 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard |
| Jul 3, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Jul 3, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jul 3, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Jul 3, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Jul 3, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Jul 3, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Mar 15, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Mar 15, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint |
| Oct 30, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Oct 30, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Sep 14, 2023 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Complaint |
| Sep 14, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Sep 14, 2023 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint |
| Sep 14, 2023 | 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. | D | Complaint |
| Sep 14, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Sep 14, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Sep 14, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 14, 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 | Complaint |
| Sep 14, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Sep 14, 2023 | 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 |
| Sep 14, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Sep 14, 2023 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Complaint |
| Sep 14, 2023 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint |
| May 18, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $34,298 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 5, 2025 | Fine | $10,631 | — |
| Oct 30, 2023 | Fine | $8,469 | — |
| Sep 14, 2023 | Fine | $7,599 | — |
| Sep 14, 2023 | Fine | $7,599 | — |
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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