All citations for Edenbrook South

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Edenbrook South

Last standard health inspection on record

February 11, 2026

Showing 51 to 67 of 67 citations

  1. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  2. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of September 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 22, 2024).

  3. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  4. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  5. No harm, with potential for more than minimal harm

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0710, Nursing and Physician Services Deficiencies. Inspection of May 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  6. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  7. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

  8. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of February 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

  9. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

  10. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

  11. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

  12. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of February 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

  13. No harm, with potential for more than minimal harm

    Implement 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of February 16, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

  14. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

  15. No harm, with potential for minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Widespread (many residents). CMS level C.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2026).

  16. No harm, with potential for minimal harm

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level C.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2026).

  17. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of February 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.