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 34 citations

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).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems 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 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 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
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pattern (more than a few residents). CMS level E.
Health citation F-0921, Environmental Deficiencies. Inspection of August 21, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (September 20, 2024).
No harm, with potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights 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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, 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
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 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 corridors or aisles that are unobstructed and are at least 8 feet in width.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0232, Egress 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 exits that are accessible at all times.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0271, Egress 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, 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 corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, 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 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 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 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 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 posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0741, 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
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 August 21, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (September 20, 2024).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Isolated (one or a few residents). CMS level D.
Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 21, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (September 20, 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.