Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Eden Rehabilitation Nursing Center during CMS and state inspections, most recent first.
The facility failed to ensure that a resident's advanced directives identifier was consistent with their wishes and provider's orders. The resident's wheelchair had a red band indicating DNR status, despite the resident's wish to be a full code. This inconsistency was confirmed through multiple interviews and observations, highlighting a failure in the facility's system for managing advanced directives.
A resident with mobility deficits and edema was not provided with planned positioning devices, leading to pain and potential skin breakdown. Staff failed to consistently implement the care plan intervention of placing a positioning wedge beneath the resident's feet while in bed.
Inconsistent Advanced Directives Implementation
Penalty
Summary
The facility did not ensure that the system developed for advanced directives was implemented in a manner consistent with the residents' wishes for one resident reviewed. Specifically, the facility failed to ensure that Resident #8's advanced directives identifier was consistent with the resident's wishes and the provider's orders. The resident had a diagnosis including a fracture of the sixth cervical vertebra, dementia, and intracerebral hemorrhage. The Minimum Data Set documented that Resident #8 was severely cognitively impaired and had a do-not-resuscitate (DNR) order. However, the comprehensive care plan and the Medication Review Report indicated that Resident #8 wished to be a full code, meaning they wanted CPR if needed. Despite this, the resident's wheelchair had a red band indicating DNR status, and there was no MOLST form in the advanced directives binder for Resident #8. This inconsistency was confirmed through multiple interviews with staff and the resident's family member, who stated that the resident wished to be a full code. During observations and interviews, it was found that the staff relied on various identifiers to determine a resident's code status, including arm bands, electronic medical records, and the MOLST form. However, in the case of Resident #8, these identifiers were not consistent. Certified Nurse Aide #3 and Licensed Practical Nurse #2 both confirmed that a red bracelet indicated DNR and a blue bracelet indicated full code. The Social Worker and the Director of Nursing also confirmed that the code status bands should match the orders and the MOLST form. The inconsistency in Resident #8's code status band could have led to a delay in receiving CPR if needed, as staff would have wasted time looking for the correct documentation. The Director of Nursing stated that the Registered Nurse Resident Care Coordinator and the Social Worker were responsible for checking the code bands weekly and documenting it on an audit sheet. However, in this case, the system failed to ensure that Resident #8's code status band matched the resident's wishes and the provider's orders. This failure to implement the advanced directives system correctly could have resulted in the resident not receiving the life-saving measures they wanted or receiving measures they did not want.
Failure to Implement Care Plan for Resident Positioning
Penalty
Summary
The facility did not ensure that a resident's person-centered care plan was implemented to meet their medical and nursing needs. Specifically, a resident who required extensive assistance for bed mobility was not provided with their planned positioning devices. The resident, who had diagnoses including unspecified fracture of the right lower leg, periprosthetic fracture around the internal prosthetic left knee joint, and congestive heart failure, was observed multiple times with their left foot pressed firmly against the footboard, causing pain and potential risk for skin breakdown. The care plan had documented the need for a positioning wedge beneath the resident's feet while in bed, but this intervention was not consistently implemented by the staff. During observations and interviews, it was noted that the resident's left leg had pitting edema, and the resident expressed pain due to their foot being pressed against the footboard. The resident was unable to reposition themselves independently and stated that staff had not placed the wedges under their feet as required. Certified Nursing Assistant #1 and Registered Nurse #1 acknowledged the care plan intervention but failed to implement it consistently. The Director of Physical Therapy and the Director of Nursing also confirmed the importance of the intervention to prevent pain and skin breakdown. The facility's policies and procedures for quality of care, turning and positioning, and edema management were not followed. There was no documented evidence that the resident refused or did not tolerate the use of the positioning wedges. The failure to implement the care plan interventions as documented led to the resident experiencing pain and potential risk for skin issues due to improper positioning in bed.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Eden
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumn View Health Care Facility L L C | 6 mi | — | 3 | 0 |
| Elderwood At Hamburg | 6.4 mi | — | 2 | 0 |
| Father Baker Manor | 8.9 mi | — | 1 | 1 |
| Fox Run At Orchard Park | 10.6 mi | — | 0 | 0 |
| Mercy Hospital Skilled Nursing Facility | 12.2 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.