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Complaint Investigation

Edenbrook Of Green Bay

Inspection Date: August 18, 2025
Total Violations 1
Facility ID 525307
Location GREEN BAY, WI
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Inspection Findings

F-Tag F0697

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0697 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Home Administrator (NHA)-A and ADON-C indicated to Surveyor that a grievance was started for the concern that Resident R4 had not received PRN pain medication timely. ADON-C indicated ADON-C spoke with LPN-D and they narrowed the date down to either 7/8/25 or 7/20/25. On 7/8/25, Resident R4 received Tylenol. On 7/20/25, Resident R4 received PRN morphine at 8:30 AM which was documented as effective. ADON-C later provided Surveyor with the phone number of the nurse who worked with LPN-D and administered pain medication to Resident R4 on both dates. Surveyor left a message with the nurse but did not receive a return call.

ADON-C indicated staff should have filled out a grievance form and indicated ADON-C would provide staff education. In a subsequent interview at 4:01 PM, ADON-C indicated when PRN pain medication is requested, the nurse should finish what they are doing and provide the medication to the resident.

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📋 Inspection Summary

EDENBROOK OF GREEN BAY in GREEN BAY, WI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GREEN BAY, WI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EDENBROOK OF GREEN BAY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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