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 26 to 50 of 86 citations

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

  8. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of September 12, 2024. Found during a complaint inspection.

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

  9. 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.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of September 12, 2024. Found during a complaint inspection.

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

  10. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, 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).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, 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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, 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).

  14. 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.

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

    Health citation F-0756, 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 more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 8, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 17, 2023).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 9, 2023).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of September 20, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 20, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 26, 2023).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.

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

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.

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

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.

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

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.

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

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.