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Complaint Investigation

Edenbrook Of Yeadon

March 5, 2025 · Yeadon, PA · Lansdowne And Lincoln Ave
Citations 5
CMS Rating 2/5
Beds 190
Provider ID 395374
Healthcare Facility
Edenbrook Of Yeadon
Yeadon, PA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

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

Found 5 citations. 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.

Inspection Findings

FF0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not

28 Pa Code 205.63(b) Plumbing and piping systems required for existing and new construction

395374 03/05/2025

Edenbrook of Yeadon Lansdowne and Lincoln Ave Yeadon, PA 19050

that water temperatures should not exceed 110 degrees Fahrenheit, what to do if water temperatures

jeopardy to resident health or Unit at residents' hand sinks and in the Central Shower Room were tested and verified that they did safety not exceed 110 degrees Fahrenheit.

Maintenance and Supervisory staff were observed checking water temperatures and completing audit logs.

Water temperature logs were reviewed and revealed

Following verification of the implementation of the immediate action plan, review of water temperature logs and review of staff education documentation, the Immediate Jeopardy was lifted on March 5, 2025, at 5:20 p.m. 28 Pa Code 201.14(a) Responsibility of licensee 28 Pa Code 201.18(b)(1) Management 28 Pa Code 201.18(b)(3) Management 28 Pa Code 205.63(c) Plumbing and piping systems required for existing and new construction 28 Pa Code 211.12(d)(5) Nursing services

395374 03/05/2025

Edenbrook of Yeadon Lansdowne and Lincoln Ave Yeadon, PA 19050

Observation conducted at the time of the interview, revealed the hot water temperature reading from the shower stall in the TCU Central Shower Room was 122.3 degrees Fahrenheit.

Further interview with Employee E10, nurse aide, revealed that she was assigned to work on the TCU Nursing Unit that shift.

Employee E10, nurse aide, stated that four residents in her assignment, Residents R7, R8, R6 and R9, were able to independently use the hand sinks in their rooms.

Interview on March 5, 2025, at 11:30 a.m. with Employee E11, nurse aide, revealed that she was assigned to work on the TCU Nursing Unit that shift.

Continued interview revealed Employee E11 was unable to state what the safe water temperature range should be when bathing a resident.

Further interview, Employee E11, nurse aide, stated that three residents in her assignment, Residents R10, R11 and R12, were able to independently use the hand sinks in their rooms.

Based on the deficiencies identified in this report, the NHA failed to fulfill essential duties and responsibilities of their position, contributing to the Immediate Jeopardy situation.

Refer to F-F689. 28 Pa.

Code 201.14(a) Responsibility of licensee 28 Pa Code 201.18(b)(1) Management

395374 03/05/2025

Edenbrook of Yeadon Lansdowne and Lincoln Ave Yeadon, PA 19050

R3 on her side to assess her sacral wound dressing.

Employee E3, unit manager, then provided

signage posted to indicate that the residents required Enhanced Barrier Precautions.

Interview on March 5, 2025, at 10:15 a.m.

Employee E3, unit manager, confirmed that Enhanced Barrier Precautions were not maintained while care was being provided by nursing staff to Residents R1, R2 and R3.

Employee E3, unit manager, also confirmed that there was no signage posted to indicate that the residents required Enhanced Barrier Precautions. 28 Pa Code 211.10(d) Resident care policies 28 Pa Code 211.12(d)(5) Nursing services

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.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.