Odd Fellow Home: Accident Hazard Violation - Green Bay, WI
The inspection was a complaint investigation, meaning someone, whether a resident, a family member, or a staff member, had contacted regulators with concerns before inspectors ever walked through the door. What they found on October 8, 2025 was enough to cite the facility under a deficiency category that covers one of the most fundamental obligations a nursing home carries: keeping the people in its care from getting injured.
The citation was tagged F0689, which falls under Quality of Life and Care Deficiencies. It is the regulatory category that addresses accident hazards and supervision failures, the kind of finding that appears when a facility has left something dangerous in place, or left someone without the watchfulness they needed.
Inspectors classified the deficiency at Scope and Severity Level D. That designation means the problem was isolated rather than widespread, and that no resident suffered documented harm. But Level D also means inspectors concluded there was potential for more than minimal harm. In the language regulators use, that is not a minor threshold. It means something was wrong enough that a resident could have been genuinely hurt.
The inspection report does not name the resident or residents involved, does not describe the specific hazard inspectors observed, and does not detail what supervision failures contributed to the finding. What the record shows is that inspectors found the conditions serious enough to cite, and that the facility did not contest the finding.
Odd Fellow Home reported a correction date of December 16, 2025, more than two months after inspectors identified the problem. Whether the hazard remained in place during that entire interval, or was addressed more quickly and the paperwork followed later, the inspection record does not say.
Complaint-driven inspections like this one follow a different path than routine annual surveys. A routine survey is scheduled, predictable in its general timing even if not its exact date. A complaint investigation starts with an allegation. Someone believed conditions at Odd Fellow Home were unsafe enough to report to regulators. Inspectors came, looked, and agreed.
The gap between what a facility looks like on a routine survey and what a complaint investigation turns up is one of the persistent tensions in nursing home oversight. Facilities can perform adequately across a broad annual review and still have specific conditions, in specific areas, on specific days, that fall short. Complaint investigations are how some of those conditions come to light.
For the residents living at Odd Fellow Home, the October citation describes a period when something in their environment carried risk that the facility had not eliminated. The inspection report does not say how long that condition existed before someone made the call to regulators. It does not say whether any resident came close to being hurt. It records what inspectors found, assigns a severity level, and moves on.
The facility has since reported the problem corrected. Regulators will determine whether that correction holds.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Odd Fellow Home from 2025-10-08 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 10, 2026 · Our methodology
Odd Fellow Home in Green Bay, WI was cited for violations during a health inspection on October 8, 2025.
The citation was tagged F0689, which falls under Quality of Life and Care Deficiencies.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.