All citations for Edenbrook Sheboygan

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 Sheboygan

Last standard health inspection on record

July 8, 2026

Showing 1 to 23 of 23 citations

  1. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0686, 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 19, 2025).

  2. 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 April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  3. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  4. 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 April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2026).

  5. 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 April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  7. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  8. 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 April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  9. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of July 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 29, 2025).

  10. 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 April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  11. 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 April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  14. 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 April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 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 April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  16. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

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

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

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

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of November 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 25, 2024).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 25, 2024).

  21. 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 November 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 25, 2024).

  22. 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 November 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 25, 2024).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of November 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 25, 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.