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Complaint Investigation

Edenbrook Of Green Bay

August 18, 2025 · Green Bay, WI · 2961 St Anthony Dr
Citations 1
CMS Rating 3/5
Beds 90
Provider ID 525307
Healthcare Facility
Edenbrook Of Green Bay
Green Bay, WI  ·  View full profile →
Inspection Summary

Edenbrook of Green Bay in Green Bay, WI — inspection on August 18, 2025.

Found 1 citation. Severity: Standard violations.

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

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Inspection Findings

FF0697
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Home Administrator (NHA)-A and ADON-C indicated to Surveyor that a grievance was started for the concern that 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, R4 received Tylenol. On 7/20/25, 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 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.

Facility ID:

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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