Health inspection·February 28, 2024

F 0921 Level of Harm - Minimal harm or potential for actual harm Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Based on observation and interview, the facility failed to provide adequate supplies of clean laundry in all resident care areas throughout the entire facility. Residents Affected - Few The findings include: On 2/28/24 at approximately 1:20 PM, Resident #3 was observed in the hallway in a reclined geriatric chair. He had a pillow under his legs. The pillow did not have a pillow case on it. On 2/28/24 at approximately 1:20 PM, an interview was conducted with Resident #6. Her bed was stripped with no sheets on it and the call light was on. Resident #6 explained that she has been waiting for staff to change her bed so she can lay down. She complained that there has been a shortage of sheets and other linens. The resident said she has to lay on the bed without sheets sometimes. She stated that staff often run out of sheets and it is not until evening time when she gets her bed made. She said she likes a sheet under her blanket and often staff are unable to put a flat sheet under the blanket due to the shortage of linen supplies. She also explained that sometimes staff runs out of under pads to place on the bed. The resident's husband is present during the interview. He agreed that there has been a problem with the linen supplies. On 2/28/2024 at approximately 10:50 AM, an interview was conducted with Nurse A, a Licensed Practical Nurse (LPN). She said they have been running out of linens recently. She explained that staff found it difficult to complete showers and other activities of daily living due to inadequate linen supplies. Nurse A indicated this has been a problem in the past and has been a problem again over the last week or so. Nurse A presented each of the facility's linen storage areas. Storage cabinet #1 had a stack of approximately 25 washcloths and no fitted bedsheets, no flat bedsheets, no pillow cases, no bed pads, no towels, and no bed spreads. Storage cabinets #2 and #3 had no linen of any kind. The main linen storage area contained approximately 20 pillow cases, 10 towels, 10 flat and fitted sheets and 10 gowns in a box that was sitting on the floor. In the laundry room, there was a table on which staff had folded a few items. There were approximately 2 blankets, 2 fitted sheets, 5 washcloths, 6 flat sheets, and 15 towels on the table. There was also a cart with a few bed pads, sheets, and towels on it. Nurse A was asked if this was all of the linen storage available for the facility with a census of more than 100 residents. Nurse A explained that there might be more in central supply. She explained that someone would need to contact the Director of Housekeeping and Laundry to gain access to those areas. (Photographic evidence of each linen storage area was obtained) On 2/28/24 at approximately 11:37 AM, an interview was conducted with the Director of Housekeeping and Laundry. The surveyor showed him the pictures of the linen storage areas that were taken at approximately 11:00 AM. He was asked if there are specific stock levels for the different types of linen (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 105282 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105282 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/28/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Eden Springs Nursing and Rehab Center 4679 Crawfordville Hwy Crawfordville, FL 32326 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)