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Deficiency Records for Edenbrook of Green Bay
View the most recent health deficiencies and inspection results for Edenbrook of Green Bay. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edenbrook of Green Bay. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-27 | 2026-03-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-08-27 | 2025-10-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-27 | 2025-09-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-08-27 | 2025-09-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-27 | 2025-09-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-08-27 | 2025-09-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-27 | 2025-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-27 | 2025-09-18 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-08-27 | 2025-09-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-27 | 2025-09-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-27 | 2025-09-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-27 | 2025-09-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-08-18 | 2025-09-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-06-06 | 2025-07-02 | 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 | 2025-06-06 | 2025-07-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-06 | 2025-07-02 | Y |
| Post nurse staffing information every day. | Health | 2025-02-26 | 2025-03-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-26 | 2025-03-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-26 | 2025-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-26 | 2025-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-17 | 2024-08-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-17 | 2024-08-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-17 | 2024-08-16 | 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 | 2024-07-17 | 2024-08-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-17 | 2024-08-16 | N |
| 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 | 2024-07-17 | 2024-08-16 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-17 | 2024-08-16 | 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 | 2024-07-17 | 2024-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-17 | 2024-08-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-17 | 2024-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Have an externally vented heating system. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-17 | 2024-08-16 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-02-27 | 2024-03-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-27 | 2024-03-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-27 | 2024-03-22 | Y |
| Provide immediate access to any resident. | Health | 2024-03-04 | 2024-03-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-26 | 2023-08-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-26 | 2023-08-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-26 | 2023-08-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-26 | 2023-08-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-26 | 2023-08-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-26 | 2023-08-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-26 | 2023-08-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-26 | 2023-08-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-26 | 2023-08-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-26 | 2023-08-24 | 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 | 2023-07-26 | 2023-08-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-26 | 2023-08-24 | 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 | 2023-07-26 | 2023-08-24 | N |