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Deficiency Records for Edenbrook of Fond Du Lac
View the most recent health deficiencies and inspection results for Edenbrook of Fond Du Lac. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edenbrook of Fond Du Lac. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide a written emergency evacuation plan. | Fire Safety | 2025-06-11 | 2025-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-11 | 2025-08-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-06-11 | 2025-07-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-06-11 | 2025-07-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-06-11 | 2025-07-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-06-11 | 2025-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-11 | 2025-07-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-11 | 2025-07-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-06-11 | 2025-07-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-11 | 2025-06-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-05-06 | 2025-05-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-11 | 2025-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-05 | 2025-04-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-08 | 2024-12-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-15 | 2024-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-15 | 2024-09-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-05-15 | 2024-08-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-05-15 | 2024-06-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-15 | 2024-06-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-15 | 2024-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-15 | 2024-06-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-15 | 2024-06-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-15 | 2024-06-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-15 | 2024-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-19 | 2023-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-19 | 2023-05-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-19 | 2023-05-18 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-04-19 | 2023-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-19 | 2023-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-04-19 | 2023-05-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-19 | 2023-05-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-19 | 2023-05-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-19 | 2023-05-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-19 | 2023-05-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-19 | 2023-05-08 | N |