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Edenbrook South: Nurse Aide Gave Medications - PA
The nursing assistant had neither....
Latest reports, citations, and penalties from CMS data
The nursing assistant had neither....
Resident 23, who has been at the facility since July 2023, depends entirely on staff for personal care due to paralysis affecting his left side....
Federal inspectors observed the violations at 5:24 a.m....
Resident 40 arrived at the facility with a stage IV pressure ulcer on the sacrum that measured 4 centimeters by 6 centimeters....
The 30-bed facility admitted Resident #31 on November 11 after he reported losing 45 pounds in three months....
The facility only filed the required report on September 11th after the resident's family raised concerns during a care conference....
Federal inspectors observed Licensed Practical Nurse #652 give him his prescribed Symbicort inhaler at 10:02 A.M....
Resident 12 requires complete assistance with all bed mobility according to his medical assessment....
Federal assessments showed the resident had severely impaired cognitive skills and could not understand or make decisions about their care....
But no such signs appeared on the doors of residents receiving oxygen therapy....
The resident's diagnoses included schizoaffective disorder, schizophrenia, and depression....
RN 2 told inspectors the facility's protocol requires nursing staff to inform Psychiatrist 1 of any consultation order the same day it's written....
The Director of Nursing placed a verbal order to the pharmacy the same day, but complications quickly emerged....
The former employee hadn't worked at the facility since May 2025, according to the administrator interviewed during a December inspection....
Resident 67 has severe cerebral palsy with extreme stiffness in all limbs and cannot move....
The facility operates under a special federal exception that allows them to use a wireless call light system instead of the standard hardwired version....
DON B told the inspector she had been notified of the situation that same morning, December 23, the day the inspector arrived....
Inspectors tagged it under F0684, which covers the standard of care residents are entitled to receive....
The wound care nurse, identified as V3 in the report, said she would need to ask maintenance to fix the setting....
The December 23 inspection revealed nurses ignored basic cardiac emergency protocols when the resident needed immediate intervention....