Edenbrook South

Certification

Medicare-certified.

Ratings

Inspection history (70)

Records from June 2023 to February 2026.

• September 12, 2024

  Tag F0688

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 22, 2024.

• September 12, 2024

  Tag F0677

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 22, 2024.

• August 6, 2024

  Tag F0584

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 10, 2024.

• May 22, 2024

  Tag F0757

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 2, 2024.

• May 22, 2024

  Tag F0710

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 2, 2024.

• May 22, 2024

  Tag F0607

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 2, 2024.

• May 22, 2024

  Tag F0677

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 2, 2024.

• May 22, 2024

  Tag F0756

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 2, 2024.

• May 2, 2024

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity G: isolated, actual harm. Corrected April 26, 2024.

• February 16, 2024

  Tag F0580

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2024.

• February 16, 2024

  Tag F0684

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2024.

• February 16, 2024

  Tag F0761

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2024.

• February 16, 2024

  Tag F0686

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 2, 2024.

• February 16, 2024

  Tag F0812

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

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 2, 2024.

• February 16, 2024

  Tag F0550

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2024.

• February 16, 2024

  Tag F0756

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 2, 2024.

• February 16, 2024

  Tag F0584

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2024.

• February 16, 2024

  Tag F0677

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2024.

• February 16, 2024

  Tag F0695

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 2, 2024.

• February 16, 2024

  Tag F0758

  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 l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2024.

Penalties (1)

Total fines: $10,824

• May 2, 2024 · Fine

  CMS recorded a civil money penalty of $10,824 against this nursing home on May 2, 2024.

Staffing

3.34 nurse hours per resident per day in Q2 2026, down from 3.81 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

• Parent company: LZ PA Holdings LLC