Elder Care Record

Wisconsin › Winnebago County › Oshkosh

Edenbrook of Oshkosh

1850 Bowen St, Oshkosh, WI 54901

CCN 525299 · For-profit, limited liability company · 110 certified beds · chain Eden Senior Care

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Edenbrook of Oshkosh is a For-profit, limited liability company nursing home in Oshkosh, Wisconsin, certified for 110 beds and caring for about 66 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Wisconsin median; the health inspection rating is 3, staffing 2 and quality measures 3.

Inspectors recorded 30 health deficiencies across the three most recent survey cycles (8, 17, 5 by cycle, most recent first), none at the actual-harm level. That is 27.3 per 100 beds, about the same as the state median of 31.8.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.4 hours per resident per day (0.7 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 59.8%.

30health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.4nurse hours per resident per daystate median 4.0
60%occupancy (residents ÷ beds)66 residents a day

Compared with county, state and nation

MeasureThis facilityWinnebago Co. medianWisconsin medianUS average
Overall star rating3433.0
Health citations, 3 cycles30172128.7
Citations per 100 beds27.327.331.826.8
Total nurse hours per resident day3.44.84.03.9
RN hours per resident day0.71.30.90.7
Nursing staff turnover59.8%50.9%46.2%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (8 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)8
Cycle 217
Cycle 35

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 May 2026, 26 Mar 2025.

Severity mix: D ×21 E ×7 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
5 May 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey4 Jun 2026
5 May 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey4 Jun 2026
5 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey4 Jun 2026
5 May 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey4 Jun 2026
5 May 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey4 Jun 2026
25 Nov 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation23 Dec 2025
25 Nov 2025F0809Ensure 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.EComplaint investigation23 Dec 2025
25 Nov 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation23 Dec 2025
29 Jul 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation16 Aug 2025
29 Jul 2025F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint investigation16 Aug 2025
1 Jul 2025F0610Respond appropriately to all alleged violations.DComplaint investigation31 Jul 2025
26 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey26 Apr 2025
26 Mar 2025F0880Provide and implement an infection prevention and control program.EStandard survey26 Apr 2025
26 Mar 2025F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey26 Apr 2025
26 Mar 2025F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DStandard survey26 Apr 2025
26 Mar 2025F0584Honor 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.DComplaint investigation26 Apr 2025
26 Mar 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey26 Apr 2025
26 Mar 2025F0688Provide 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.DComplaint investigation26 Apr 2025
26 Mar 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey26 Apr 2025
21 Aug 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation20 Sep 2024
21 Aug 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation20 Sep 2024
21 Aug 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation20 Sep 2024
21 Aug 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 Sep 2024
21 Aug 2024F0761Ensure 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.DComplaint investigation20 Sep 2024
21 Aug 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation20 Sep 2024
6 Feb 2024F0803Ensure 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.FStandard survey6 Mar 2024
6 Feb 2024F0584Honor 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.EStandard survey6 Mar 2024
6 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey6 Mar 2024
6 Feb 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey6 Mar 2024
6 Feb 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey6 Mar 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.39 h
Nurse aides2.07 h
LPN0.58 h
RN0.74 h
Weekend total3.07 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 59.8%, RNs 47.1%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.9%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay7.3%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.9%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.8%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.8%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.1%14.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Northpoint Nursing And Rehab Llc. Chain: Eden Senior Care (21 facilities).

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Winnebago County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bethel HomeOshkosh1005451111.0—10 Sep 2025
Park View Health CenterOshkosh16855574.2—16 Apr 2025
Edenbrook OmroOmro504421734.0—1 Apr 2026
Evergreen Health CenterOshkosh8044478.8—27 May 2026
Peabody ManorAppleton584352339.7—19 Mar 2026
Oakridge Gardens Nur Ctr, IncMenasha1063342119.8—14 May 2025
Eden Rehab Suites and Green House HomesOshkosh502241632.0$14K5 Feb 2026

All 8 facilities in Winnebago County

Questions and answers

How many deficiencies has Edenbrook of Oshkosh been cited for?

30 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Edenbrook of Oshkosh been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Edenbrook of Oshkosh compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Edenbrook of Oshkosh?

It is part of the Eden Senior Care chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Edenbrook of Oshkosh last inspected?

The most recent survey or investigation in the CMS record is dated 5 May 2026; the most recent standard health survey was 5 May 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.