Inspection Reports for
Eden Rehabilitation & Nursing Center
2806 George Street, Eden, NY, 14057
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
12% better than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 2
Date: May 8, 2024
Visit Reason
The inspection was a standard annual survey conducted to assess compliance with regulatory requirements related to resident care and facility operations.
Findings
The facility was found deficient in ensuring that residents' advanced directives were implemented consistently with their wishes, specifically regarding code status identification for Resident #8. Additionally, the facility failed to implement the care plan for Resident #3, who required positioning devices to manage edema and prevent skin breakdown.
Deficiencies (2)
F 0578: The facility did not ensure Resident #8's advanced directives identifier was consistent with the resident's wishes and provider's orders, risking delayed or inappropriate CPR.
F 0656: The facility did not implement the person-centered care plan for Resident #3, who required positioning wedges for bed mobility and edema management, resulting in pain and risk of skin breakdown.
Report Facts
Residents Affected: 1
Residents Affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #3 | Interviewed regarding code status bracelet meanings and notification procedures | |
| Licensed Practical Nurse #2 | Interviewed about code status band placement and procedures | |
| Registered Nurse #1 | Interviewed about code status band inconsistency and potential CPR delay | |
| Social Worker | Interviewed about admission procedures and code status band verification | |
| Director of Nursing | Interviewed about oversight of advanced directives and code status band audits | |
| Certified Nursing Assistant #1 | Interviewed regarding Resident #3 positioning and care plan adherence | |
| Licensed Practical Nurse #1 | Assisted with Resident #3 positioning | |
| Director of Physical Therapy | Interviewed about Resident #3 edema management and pressure relief |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 8
Date: May 8, 2024
Visit Reason
Complaint Survey with 2 Standard Health citations and 6 Life Safety Code citations, all corrected by July 1, 2024.
Findings
Complaint Survey with 2 Standard Health citations and 6 Life Safety Code citations, all corrected by July 1, 2024.
Deficiencies (8)
Develop/implement comprehensive care plan
Request/refuse/discontinue treatment; formulate advance directive
Electrical systems - essential electric system
Emergency lighting
Gas equipment - cylinder and container storage
HVAC
Sprinkler system - maintenance and testing
Subdivision of building spaces - smoke barrier
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Dec 13, 2023
Visit Reason
The inspection was conducted as an abbreviated survey triggered by Complaint #NY00329363 to investigate allegations of abuse at the facility.
Complaint Details
Complaint #NY00329363 triggered the abbreviated survey. The complaint was substantiated as the facility failed to protect Resident #1 from abuse by a Certified Nurse Aide.
Findings
The facility failed to ensure that Resident #1 was free from abuse when a Certified Nurse Aide pushed the resident through a doorway. Multiple staff witnessed the incident, and the facility's investigation confirmed the abuse with minimal harm to the resident.
Deficiencies (1)
F 0600: The facility did not protect Resident #1 from abuse when a Certified Nurse Aide pushed the resident through a doorway. The resident was cognitively impaired and required assistance to walk, and the incident was witnessed by multiple staff members.
Report Facts
Residents Affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #3 | Named as the staff member who pushed Resident #1. | |
| Licensed Practical Nurse #1 | Conducted investigation and witnessed the incident. | |
| Certified Nurse Aide #1 | Witnessed the abuse incident. | |
| Dietary Aide #1 | Witnessed the abuse incident. | |
| Housekeeper #1 | Witnessed the abuse incident. | |
| Registered Nurse Supervisor #1 | Assessed Resident #1 after the incident and obtained witness statements. | |
| Director of Nursing | Reported the incident and provided statements regarding the abuse. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Dec 13, 2023
Visit Reason
Complaint Survey with 1 Standard Health citation for abuse and neglect, corrected by January 30, 2024.
Findings
Complaint Survey with 1 Standard Health citation for abuse and neglect, corrected by January 30, 2024.
Deficiencies (1)
Free from abuse and neglect
Inspection Report
Annual Inspection
Capacity: 60
Deficiencies: 5
Date: Aug 17, 2022
Visit Reason
Certification Survey with 2 Standard Health citations and 3 Life Safety Code citations, all corrected by September 28, 2022 except one Life Safety Code citation corrected by December 1, 2022.
Findings
Certification Survey with 2 Standard Health citations and 3 Life Safety Code citations, all corrected by September 28, 2022 except one Life Safety Code citation corrected by December 1, 2022.
Deficiencies (5)
Maintains effective pest control program
Physical environment
Electrical equipment - testing and maintenance
Electrical systems - essential electric system
Gas equipment - precautions for handling oxygen
Inspection Report
Routine
Deficiencies: 1
Date: Aug 11, 2022
Visit Reason
The inspection was conducted as a standard survey to assess the facility's compliance with regulatory requirements, specifically focusing on the effectiveness of the pest control program.
Findings
The facility failed to maintain an effective pest control program, resulting in the presence of live flies in multiple areas including the kitchen, dining room, and resident rooms. Observations and interviews confirmed that flies were a persistent problem affecting residents and staff.
Deficiencies (1)
F 0925: The facility did not maintain an effective pest control program to prevent and deal with mice, insects, or other pests, as evidenced by live flies observed in the kitchen, dining room, and resident rooms during the inspection.
Report Facts
Live house flies observed: 16
Live fruit flies observed: 13
Dead fruit fly observed: 1
Glue paper size on ILT: 18
Glue paper size on ILT: 4
Glue paper size on ILT: 6
Glue paper size on ILT: 3
Open space in window: 4
Open space in window: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Aide #1 | Interviewed about exterminator visit and fly presence in kitchen | |
| Certified Nurse Aide (CNA) #1 | Observed swatting flies away from Resident #26 during lunch | |
| Certified Nurse Aide (CNA) #2 | Observed feeding Resident #35 and commented on flies presence | |
| Registered Nurse (RN) #1 | Observed swatting flies away from Resident #16 and commented on flies in farm country | |
| Interim Food Service Director/Diet Technician | Interviewed about ILT maintenance and exterminator service | |
| Director of Nursing | Observed window condition contributing to fly entry and commented on maintenance responsibility | |
| Administrator | Interviewed about ILT glue paper status and exterminator service history |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 4, 2019
Visit Reason
Annual survey inspection of Eden Rehabilitation Nursing Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
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