Elder Care Record

Wisconsin › Sheboygan County › Sheboygan

Edenbrook Sheboygan

3014 Erie Ave, Sheboygan, WI 53081

CCN 525568 · For-profit, corporation · 121 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 Sheboygan, in Sheboygan, Wisconsin, is certified for 121 beds under for-profit, corporation ownership and belongs to the Eden Senior Care chain.

CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.

Inspectors recorded 38 health deficiencies across the three most recent survey cycles (14, 12, 12 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 31.4 per 100 beds, about the same as the state median of 31.8.

CMS lists 4 penalties in the period covered: fines totalling $346K.

Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 55.1%.

38health deficiencies, 3 survey cycles5 at actual harm or worse
$346Kfines listed by CMS4 penalties in period
3.3nurse hours per resident per daystate median 4.0
50%occupancy (residents ÷ beds)61 residents a day

Compared with county, state and nation

MeasureThis facilitySheboygan Co. medianWisconsin medianUS average
Overall star rating1333.0
Health citations, 3 cycles38262128.7
Citations per 100 beds31.434.031.826.8
Total nurse hours per resident day3.33.84.03.9
RN hours per resident day0.61.00.90.7
Nursing staff turnover55.1%55.1%46.2%45.8%
Fines listed$345,576$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)14
Cycle 212
Cycle 312

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Apr 2025, 28 Feb 2024.

Severity mix: J ×4 G ×1 D ×28 E ×2 F ×3

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 Jul 2026F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint investigation16 Jun 2026
4 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation23 Feb 2026
4 Feb 2026F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint investigation23 Feb 2026
17 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation12 Jan 2026
17 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation12 Jan 2026
17 Dec 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation12 Jan 2026
17 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation12 Jan 2026
3 Sep 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigation2 Oct 2025
9 Jul 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation29 Jul 2025
30 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 May 2025
30 Apr 2025F0551Give the resident's representative the ability to exercise the resident's rights.DStandard survey30 May 2025
30 Apr 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey30 May 2025
30 Apr 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey30 May 2025
30 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey30 May 2025
30 Apr 2025F0880Provide and implement an infection prevention and control program.DStandard survey30 May 2025
26 Feb 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation19 Mar 2025
25 Nov 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation25 Dec 2024
25 Nov 2024F0610Respond appropriately to all alleged violations.DComplaint investigation25 Dec 2024
25 Nov 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation25 Dec 2024
25 Nov 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation25 Dec 2024
25 Nov 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation25 Dec 2024
19 Aug 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.DComplaint investigation12 Sep 2024
19 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation12 Sep 2024
11 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation7 Aug 2024
11 Jul 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 investigation7 Aug 2024
28 Feb 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey27 Mar 2024
28 Feb 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey27 Mar 2024
28 Feb 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey27 Mar 2024
28 Feb 2024F0610Respond appropriately to all alleged violations.DComplaint investigation27 Mar 2024
25 Jan 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey23 Feb 2023
25 Jan 2023F0551Give the resident's representative the ability to exercise the resident's rights.DStandard survey23 Feb 2023
25 Jan 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey23 Feb 2023
25 Jan 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey23 Feb 2023
25 Jan 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey23 Feb 2023
25 Jan 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey23 Feb 2023
25 Jan 2023F0761Ensure 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.DStandard survey23 Feb 2023
25 Jan 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey23 Feb 2023
25 Jan 2023F0880Provide and implement an infection prevention and control program.DStandard survey23 Feb 2023

Penalties

DateTypeAmountDetail
17 Dec 2025Fine$142,630
26 Feb 2025Fine$161,788
11 Jul 2024Fine$14,053
28 Feb 2024Fine$27,105

Staffing

Total nursing3.26 h
Nurse aides2.03 h
LPN0.59 h
RN0.64 h
Weekend total2.86 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 55.1%, RNs 50.0%; 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 Stay7.8%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.6%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.5%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.4%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.6%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.1%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay45.2%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, corporation. Legal business name: Sheboygan Snf Operations, Llc. Chain: Eden Senior Care (21 facilities).

OrganisationRole in the CMS recordInterestSince
Sunny Ridge Investors LLC5% or greater indirect ownership interest60%01/01/2025
Sheboygan SNF Realty LLC5% or greater mortgage interestNOT APPLICABLE01/01/2025
Eden Senior Care LLCOperational/managerial controlNOT APPLICABLE01/01/2025
Eden Senior Care LLCAdp of the snfNOT APPLICABLE01/01/2025
Sheboygan SNF Realty LLCAdp of the snfNOT APPLICABLE01/01/2025
Sunny Ridge Investors LLCAdp of the snfNOT APPLICABLE01/01/2025

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 Sheboygan County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Meadow View Health ServicesSheboygan504351224.0—18 Dec 2025
Morningside Health ServicesSheboygan503441734.0—11 Feb 2026
Rocky Knoll Health CarePlymouth1493342617.4—10 Jun 2026
Sheboygan Health ServicesSheboygan643342132.8—19 Mar 2026
Plymouth Health ServicesPlymouth501233672.0—1 Jul 2026
Sheboygan Progressive Health ServicesSheboygan501232142.0—23 Jun 2026
Sheboygan Senior Community IncSheboygan601212846.7—20 Jan 2026

All 8 facilities in Sheboygan County

Questions and answers

How many deficiencies has Edenbrook Sheboygan been cited for?

38 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Edenbrook Sheboygan been fined?

Yes. CMS lists fines totalling $346K in the period covered.

How does staffing at Edenbrook Sheboygan compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Edenbrook Sheboygan?

It is part of the Eden Senior Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Sunny Ridge Investors LLC and Eden Senior Care LLC. Individual owners and managers are not listed on this site.

When was Edenbrook Sheboygan last inspected?

The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 30 Apr 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.