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 26 to 50 of 76 citations

  1. 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).

  2. 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).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2026).

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

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

    Health citation F-0809, 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).

  5. 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 March 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  6. 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 March 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  7. 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 March 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  9. 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 March 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  10. 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 March 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  11. 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 March 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  12. 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 March 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 26, 2025).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of May 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2026).

  25. 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 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 4, 2026).

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.