Deficiency Records for Edenbrook of Oshkosh
Updated as of May 01, 2019
This is not the most recent data for Edenbrook of Oshkosh. For the most recent information, click here.
A list of the most recent deficiencies for Edenbrook of Oshkosh. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2018-06-27 | 2018-07-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-25 | 2018-02-28 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-01-25 | 2018-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-01-25 | 2018-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-25 | 2018-02-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-25 | 2018-02-28 | 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 | 2018-01-31 | 2018-02-28 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-01-31 | 2018-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-31 | 2018-02-28 | N |
| Post nurse staffing information every day. | Health | 2018-01-31 | 2018-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-31 | 2018-02-28 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-19 | 2017-08-17 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-19 | 2017-08-17 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-03-08 | 2017-04-04 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-08 | 2017-04-04 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-11-29 | 2016-12-29 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2016-11-29 | 2016-12-29 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-11-29 | 2016-12-29 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-29 | 2016-12-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-29 | 2016-12-29 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-11-29 | 2016-12-29 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-11-29 | 2016-12-29 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-11-29 | 2016-12-29 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-11-29 | 2016-12-29 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-29 | 2016-12-29 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-11-29 | 2016-12-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-29 | 2016-12-29 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-11-29 | 2016-12-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-29 | 2016-12-29 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-11-29 | 2016-12-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-10-13 | 2015-11-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-10-15 | 2015-11-13 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-10-15 | 2015-11-13 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-10-15 | 2015-11-13 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-10-15 | 2015-11-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-10-15 | 2015-11-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-15 | 2015-11-13 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2015-10-15 | 2015-11-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-10-15 | 2015-11-11 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-10-15 | 2015-11-06 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-10-15 | 2015-11-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-10-15 | 2015-11-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-10-15 | 2015-11-03 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-10-13 | 2015-10-29 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-10-13 | 2015-10-15 | N |
| Hire sufficient dietary support personnel. | Health | 2015-10-15 | 2015-10-15 | N |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2015-10-15 | 2015-10-15 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2015-10-15 | Not Fixed | N |
