Elder Care Record

Wisconsin › Winnebago County › Omro

Edenbrook Omro

500 Grant Ave, Omro, WI 54963

CCN 525406 · For-profit, limited liability company · 50 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.

Certified for 50 beds, Edenbrook Omro serves Omro in Winnebago County, Wisconsin and has taken Medicare and Medicaid residents since 1987.

CMS gives it 4 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 4, staffing 2 and quality measures 3.

Inspectors recorded 17 health deficiencies across the three most recent survey cycles (5, 7, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 34.0 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 4.2 hours per resident per day (1.2 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 71.7%.

17health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.2nurse hours per resident per daystate median 4.0
67%occupancy (residents ÷ beds)33 residents a day

Compared with county, state and nation

MeasureThis facilityWinnebago Co. medianWisconsin medianUS average
Overall star rating4433.0
Health citations, 3 cycles17172128.7
Citations per 100 beds34.027.331.826.8
Total nurse hours per resident day4.24.84.03.9
RN hours per resident day1.21.30.90.7
Nursing staff turnover71.7%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)5
Cycle 27
Cycle 35

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Sep 2025, 24 Jul 2024.

Severity mix: G ×1 D ×12 E ×2 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
1 Apr 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation22 Apr 2026
21 Oct 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Dec 2025
10 Sep 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey9 Oct 2025
10 Sep 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey13 Sep 2025
10 Sep 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey3 Oct 2025
16 Oct 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.EComplaint investigation15 Nov 2024
16 Oct 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation15 Nov 2024
16 Oct 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation15 Nov 2024
16 Oct 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation15 Nov 2024
16 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation15 Nov 2024
24 Jul 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey20 Aug 2024
24 Jul 2024F0880Provide and implement an infection prevention and control program.DStandard survey20 Aug 2024
14 Jun 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey12 Jul 2023
14 Jun 2023F0880Provide and implement an infection prevention and control program.FStandard survey12 Jul 2023
14 Jun 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey12 Jul 2023
14 Jun 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey12 Jul 2023
14 Jun 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey12 Jul 2023

Penalties

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

Staffing

Total nursing4.19 h
Nurse aides2.37 h
LPN0.61 h
RN1.21 h
Weekend total3.73 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 71.7%, RNs 57.1%; 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 Stay9.3%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 Stay3.0%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.0%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay4.4%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.5%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: Omro 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
Evergreen Health CenterOshkosh8044478.8—27 May 2026
Peabody ManorAppleton584352339.7—19 Mar 2026
Edenbrook of OshkoshOshkosh1103323027.3—5 May 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 Omro been cited for?

17 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Edenbrook Omro been fined?

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

How does staffing at Edenbrook Omro compare?

Reported total nurse staffing is 4.2 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Edenbrook Omro?

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 Omro last inspected?

The most recent survey or investigation in the CMS record is dated 1 Apr 2026; the most recent standard health survey was 10 Sep 2025.

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.