All citations for Edenbrook of Oshkosh

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 Oshkosh

Last standard health inspection on record

May 5, 2026

Showing 1 to 25 of 76 citations

No harm, with potential for more than minimal harm
Have correct number of accessible exits for each story.
Widespread (many residents). CMS level F.
Fire safety citation K-0241, Egress Deficiencies. Inspection of May 5, 2026. Found during a standard inspection.
No plan of correction on record.
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 23, 2026).
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 May 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 5, 2026).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of May 5, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 5, 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 November 25, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (December 23, 2025).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 26, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2025).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of March 26, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 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 March 26, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 23, 2025).
No harm, with potential for more than minimal harm
Establish policies and procedures including evacuation.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of March 26, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 26, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 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 March 26, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2025).
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 March 26, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2025).
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 March 26, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 21, 2025).
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 March 26, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2025).
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 March 26, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 26, 2025).
No harm, with potential for more than minimal harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Widespread (many residents). CMS level F.
Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 2024).
No harm, with potential for more than minimal harm
Establish procedures for tracking staff and patients during an emergency.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 2024).
No harm, with potential for more than minimal harm
Establish policies and procedures for sheltering.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 2024).
No harm, with potential for more than minimal harm
Establish methods for sharing information.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0033, Emergency Preparedness Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 2024).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 2024).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 2024).
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 February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 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 February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 2024).
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 February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 2024).
No harm, with potential for more than minimal harm
Have restrictions on the use of highly flammable decorations.
Widespread (many residents). CMS level F.
Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of February 6, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 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.