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 26 to 50 of 61 citations

  1. 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 July 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2023).

  2. 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 July 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2023).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2023).

  4. 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 July 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 24, 2023).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  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 August 27, 2025. Found during a standard inspection.

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

  12. 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).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of August 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of June 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2025).

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

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

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 25, 2025).

  17. 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 February 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 25, 2025).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 25, 2025).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Have an externally vented heating system.

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

    Fire safety citation K-0522, Services Deficiencies. Inspection of July 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 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.