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

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 7, 2024).

  2. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

  3. 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 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

  4. 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 February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

  5. 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 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

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

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0500, Services Deficiencies. Inspection of January 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2024).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

  8. 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 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

  9. 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 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

  12. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2024).

  13. 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 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 12, 2024).

  14. 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 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 7, 2024).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

  16. 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 February 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

  17. 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 February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

  19. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.

    A waiver was granted (April 5, 2024).

  20. 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.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

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

    Have power receptacles that are properly grounded.

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

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

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

    Ensure that sources of ignition are removed from patients receiving respiratory therapy.

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

    Fire safety citation K-0925, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 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.