EDENBROOK OF FOND DU LAC

πŸ“ 265 S NATIONAL AVE, fond-du-lac, WI 54935 πŸ“ž 9209227342 πŸ›οΈ 90 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

55
Total Violations
9 years of data
$20,000
Total Fines
2 penalties
6
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 2 violations

Tag 0690 D May 6, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: May 29, 2025
Tag 0880 D Mar 5, 2025

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 3, 2025

2024 5 violations

Tag 0607 D May 15, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Jun 7, 2024
Tag 0644 D May 15, 2024

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

βœ“ Corrected: Jun 17, 2024
Tag 0757 E May 15, 2024

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jun 17, 2024
Tag 0812 F May 15, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jun 17, 2024
Tag 0880 E May 15, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 17, 2024

2023 2 violations

Tag 0684 D Apr 19, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: May 18, 2023
Tag 0812 F Apr 19, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 15, 2023

2022 5 violations

Tag 0686 D Nov 2, 2022

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

βœ“ Corrected: Nov 30, 2022
Tag 0880 E Nov 2, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 30, 2022
Tag 0887 D Nov 2, 2022

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

βœ“ Corrected: Nov 30, 2022
Tag 0812 E Apr 20, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 19, 2022
Tag 0880 D Apr 20, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 19, 2022

2021 3 violations

Tag 0684 D Aug 16, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Sep 14, 2021
Tag 0584 D Apr 15, 2021

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.

βœ“ Corrected: May 14, 2021
Tag 0812 D Apr 15, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 14, 2021

2020 2 violations

Tag 0585 D Jul 14, 2020

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.

βœ“ Corrected: Aug 21, 2020
Tag 0880 D Jul 14, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 21, 2020

2019 30 violations

Tag 0551 D Dec 17, 2019

Give the resident's representative the ability to exercise the resident's rights.

βœ“ Corrected: Jan 10, 2020
Tag 0552 D Dec 17, 2019

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Jan 10, 2020
Tag 0578 E Dec 17, 2019

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Jan 10, 2020
Tag 0584 D Dec 17, 2019

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.

βœ“ Corrected: Jan 10, 2020
Tag 0585 D Dec 17, 2019

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.

βœ“ Corrected: Jan 10, 2020
Tag 0623 B Dec 17, 2019

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

βœ“ Corrected: Jan 10, 2020
Tag 0625 B Dec 17, 2019

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Jan 10, 2020
Tag 0641 D Dec 17, 2019

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jan 10, 2020
Tag 0656 D Dec 17, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jan 10, 2020
Tag 0677 D Dec 17, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 10, 2020
Tag 0684 D Dec 17, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jan 10, 2020
Tag 0685 D Dec 17, 2019

Assist a resident in gaining access to vision and hearing services.

βœ“ Corrected: Jan 10, 2020
Tag 0693 D Dec 17, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Jan 10, 2020
Tag 0725 E Dec 17, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jan 10, 2020
Tag 0758 D Dec 17, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jan 10, 2020
Tag 0759 D Dec 17, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jan 10, 2020
Tag 0760 D Dec 17, 2019

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jan 10, 2020
Tag 0791 D Dec 17, 2019

Provide or obtain dental services for each resident.

βœ“ Corrected: Jan 10, 2020
Tag 0805 D Dec 17, 2019

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

βœ“ Corrected: Jan 10, 2020
Tag 0580 D Aug 22, 2019

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

βœ“ Corrected: Sep 18, 2019

2018 5 violations

Tag 0582 B Dec 17, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Jan 17, 2019
Tag 0623 B Dec 17, 2018

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

βœ“ Corrected: Jan 17, 2019
Tag 0692 D Dec 17, 2018

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jan 17, 2019
Tag 0842 D Dec 17, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jan 17, 2019
Tag 0573 D Jun 27, 2018

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

βœ“ Corrected: Jul 13, 2018

2017 1 violations

Tag 0314 D Oct 5, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Oct 31, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $20,000

$5,000
Fine
November 2, 2022
$15,000
Fine
April 20, 2022
Average: $10,000 | Range: $5,000 - $15,000

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 15, 2024
0.00

Health

April 19, 2023
0.00

Health

November 2, 2022
0.00

Health

April 20, 2022
0.00

Health

August 16, 2021
0.00

Health

April 15, 2021
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
525274
525274
9209227342
Fond Du Lac

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual