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Deficiency Records for Edenbrook of Oshkosh
View the most recent health deficiencies and inspection results for Edenbrook of Oshkosh. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edenbrook of Oshkosh. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-11-25 | 2025-12-23 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-11-25 | 2025-12-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-25 | 2025-12-23 | Y |
| 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 | 2025-07-29 | 2025-08-16 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-07-29 | 2025-08-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-07-01 | 2025-07-31 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-03-26 | 2025-05-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-03-26 | 2025-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-26 | 2025-04-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-03-26 | 2025-04-26 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| 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. | Health | 2025-03-26 | 2025-04-26 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-26 | 2025-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-26 | 2025-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-26 | 2025-04-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-03-26 | 2025-04-26 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-03-26 | 2025-04-26 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-03-26 | 2025-04-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-03-26 | 2025-04-26 | 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 | 2025-03-26 | 2025-04-26 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-03-26 | 2025-04-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-21 | 2024-09-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-21 | 2024-09-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-21 | 2024-09-20 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-08-21 | 2024-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-21 | 2024-09-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-21 | 2024-09-20 | Y |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-02-06 | 2024-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-06 | 2024-03-06 | N |
| 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. | Health | 2024-02-06 | 2024-03-06 | 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 | 2024-02-06 | 2024-03-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-06 | 2024-03-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-06 | 2024-03-06 | 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 | 2024-02-06 | 2024-03-06 | N |
| Establish methods for sharing information. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-02-06 | 2024-03-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-25 | 2023-02-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-25 | 2023-02-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-25 | 2023-02-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-25 | 2023-02-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-25 | 2023-02-23 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-01-25 | 2023-02-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-25 | 2023-02-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-25 | 2023-02-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-25 | 2023-02-23 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2024-02-06 | Not Fixed | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2025-03-26 | Not Fixed | N |