Inspection Reports for
Eden Rehabilitation & Nursing Center
2806 George Street, Eden, NY, 14057
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Inspection Report — Jan 9, 2026
Complaint Investigation State
Date: Jan 9, 2026
Visit Reason
State-compiled facility profile showing 5 inspections from 2022 to 2026 with deficiency history and complaint details.
Complaint Details
The state logged 14 complaints about this facility; 3 led to on-site inspections. One citation resulted from those complaints.
Findings
Across 5 inspections, 18 citations were issued including 8 standard health and 10 Life Safety Code citations. The facility had 14 complaints with 3 on-site inspections and no formal enforcement actions.
Citations (18)
Department Criminal History Review: Standard Health Citation — quality of care with Level 2 minor potential harm.
Reporting Of Alleged Violations: Standard Health Citation — quality of care with Level 2 minor potential harm.
Services Provided Meet Professional Standards: Standard Health Citation — quality of care with Level 2 minor potential harm.
Subdivision Of Building Spaces - Smoke Barrier: Life Safety Code Citation — NFPA requirements with Level 2 minor potential harm.
Develop/implement Comprehensive Care Plan: Standard Health Citation — quality of care with Level 2 minor potential harm.
Request/refuse/discontinue Treatment; formulate Advance Directive: Standard Health Citation — quality of care with Level 2 minor potential harm.
Electrical Systems - Essential Electric System: Life Safety Code Citation — NFPA requirements with Level 2 minor potential harm.
Emergency Lighting: Life Safety Code Citation — NFPA requirements with Level 2 minor potential harm.
Gas Equipment - Cylinder And Container Storage: Life Safety Code Citation — NFPA requirements with Level 2 minor potential harm.
HVAC: Life Safety Code Citation — NFPA requirements with Level 2 minor potential harm.
Sprinkler System - Maintenance And Testing: Life Safety Code Citation — NFPA requirements with Level 2 minor potential harm.
Subdivision Of Building Spaces - Smoke Barrier: Life Safety Code Citation — NFPA requirements with Level 2 minor potential harm.
Free From Abuse And Neglect: Standard Health Citation — quality of care with Level 2 minor potential harm.
Maintains Effective Pest Control Program: Standard Health Citation — quality of care with Level 2 minor potential harm.
Physical Environment: Standard Health Citation — quality of care with Level 0 no harm potential.
Electrical Equipment - Testing And Maintenance: Life Safety Code Citation — NFPA requirements with Level 2 minor potential harm.
Electrical Systems - Essential Electric System: Life Safety Code Citation — NFPA requirements with Level 2 minor potential harm.
Gas Equipment - Precautions For Handling Oxygen: Life Safety Code Citation — NFPA requirements with Level 2 minor potential harm.
Report Facts
Inspections on page: 5
Total violations/deficiencies cited: 18
Inspections with violations: 4
Inspections without violations: 1
Total complaints: 14
On-site complaint inspections: 3
Citations from complaints: 1
Enforcement actions: 0
Inspection Report — May 8, 2024
Annual Inspection CMS
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.
Citations (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 — Dec 13, 2023
Abbreviated Survey CMS
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.
Citations (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 — Aug 11, 2022
Routine CMS
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.
Citations (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 — Dec 4, 2019
Annual Inspection CMS
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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