All citations for Edenbrook of Appleton North

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Edenbrook of Appleton North

Last standard health inspection on record

August 6, 2025

Showing 1 to 25 of 54 citations

Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level J.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 9, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (March 10, 2026).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2025).
No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Create arrangements with other facilities to receive patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 25, 2024).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 23, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 23, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 23, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2025).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 29, 2025).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 6, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 6, 2025. Found during a standard inspection.
The home has a plan to correct it (July 16, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of June 30, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 30, 2025).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 9, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
A waiver was granted (September 5, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 6, 2024).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.