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Complaint Investigation

Edenbrook Of Yeadon

March 5, 2025 · Yeadon, PA · Lansdowne And Lincoln Ave
Citations 1
CMS Rating 1/5
Beds 190
Provider ID 395374
Healthcare Facility
Edenbrook Of Yeadon
Yeadon, PA  ·  View full profile →
Inspection Summary

EDENBROOK OF YEADON in YEADON, PA — inspection on March 5, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF689
Minimal harm or 39344 Some determined that the facility failed to maintain an effective infection control program related to Enhanced affected

Review of Resident R1's care plan, dated initiated December 9, 2021, revealed that the resident had a stage IV pressure ulcer (most severe stage of a pressure sore, wound extends deep into muscle, tendon or bone) to her sacrum.

Continued review revealed another care plan, dated initiated April 9, 2024, for Enhanced Barrier Precautions related to the open wound on the resident's sacrum.

Observation on March 5, 2025, at 9:38 a.m. revealed Employee E4, licensed nurse, provide wound care to Resident R1's sacrum, which included removing the old dressing, cleansing the wound and application of a new dressing.

Employee E3, unit manager, provided assistance to Employee E4, licensed nurse, while the wound care was being performed.

Both employees were observed wearing only gloves while providing care.

Review of Resident R2's care plan, dated initiated February 5, 2025, revealed that the resident had a pressure wound.

Continued review revealed another care plan, dated initiated March 5, 2025, for Enhanced Barrier Precautions related to the resident's sacral wound.

Observation on March 5, 2025, at 10:07 a.m. revealed Employee E5, licensed nurse, provide wound care to Resident R2's sacrum, which included removing the old dressing, cleansing the wound and application of a new dressing.

Employee E3, unit manager, provided assistance to Employee E5, licensed nurse, while the wound care was being performed.

Both employees were observed wearing only gloves while providing care.

395374

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395374 B.

Wing 03/05/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Edenbrook of Yeadon Lansdowne and Lincoln Ave Yeadon, PA 19050

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in YEADON, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EDENBROOK OF YEADON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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