Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395396

Edenbrook South

58 federal citations on record , and 1 federal enforcement actions totaling $10,824.

Record summary

Federal record · Q1 2026
58
Total citations
49
Last 3 years
1
Actual harm+
1
Federal penalties
$10,824
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care20 Medication & Pharmacy11 Resident Rights9 Nutrition & Dietary6 Care Planning4

Most common F-tags at this facility

F6845 F5845 F6774 F6884 F7564

Citation history

58 on record
SurveyF-TagViolationSeveritySource
Dec 23, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jun 4, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 4, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Mar 4, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jan 24, 2025F880Provide and implement an infection prevention and control program.EStandard
Jan 24, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 24, 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.DStandard
Jan 24, 2025F758Implement 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.EStandard
Jan 24, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Jan 24, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Jan 24, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 24, 2025F688Provide 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.EStandard
Jan 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 24, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jan 24, 2025F641Ensure each resident receives an accurate assessment.DStandard
Jan 24, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Jan 24, 2025F584Honor 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.DStandard
Jan 24, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Sep 12, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Sep 12, 2024F688Provide 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.EComplaint
Sep 12, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Aug 6, 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
May 22, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EComplaint
May 22, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
May 22, 2024F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
May 22, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 22, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
May 2, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Feb 16, 2024F758Implement 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.DComplaint
Feb 16, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Feb 16, 2024F761Ensure 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.DStandard
Feb 16, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Feb 16, 2024F732Post nurse staffing information every day.BStandard
Feb 16, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Feb 16, 2024F688Provide 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
Feb 16, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Feb 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Feb 16, 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.DStandard
Feb 16, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Feb 16, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 8, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Oct 13, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Sep 20, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Sep 20, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EComplaint
Jul 13, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Jul 13, 2023F761Ensure 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.EComplaint
Jun 22, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Jun 22, 2023F584Honor 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
Mar 17, 2023F888Ensure staff are vaccinated for COVID-19DStandard
Mar 17, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard
Mar 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
Mar 17, 2023F692Provide enough food/fluids to maintain a resident's health.EStandard
Mar 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.EStandard
Mar 17, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 17, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 17, 2023F641Ensure each resident receives an accurate assessment.DStandard
Mar 17, 2023F584Honor 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.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $10,824 .

DateTypeFinePayment denial
May 2, 2024Fine$10,824—
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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