All citations for Edenbrook of Green Bay

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 Green Bay

Last standard health inspection on record

August 27, 2025

Showing 1 to 17 of 17 citations

  1. No harm, with potential for more than minimal harm

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of August 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  2. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

  3. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2025).

  4. 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 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  5. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of August 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  6. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of August 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  7. 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 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  8. 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.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0521, Services Deficiencies. Inspection of August 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  9. No harm, with potential for more than minimal harm

    Give the resident's representative the ability to exercise the resident's rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0551, Resident Rights Deficiencies. Inspection of July 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 10, 2026).

  10. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 10, 2026).

  11. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

  13. No harm, with potential for more than minimal harm

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0770, Administration Deficiencies. Inspection of May 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  15. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  16. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of August 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  17. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

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.