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Edenbrook Omro

500 Grant Ave
Omro, WI 54963 · 9206852755 · Winnebago County

CMS Star Ratings

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

Facility Facts

Certified beds50
OwnershipFor profit - Limited Liability company
State rank#105

By the numbers

17
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
1
Actual-harm (G/H/I)
$0
Federal fines (CMPs)
The trend: Citation volume is steady at 5 in both the most recent and oldest of the last three cycles.

Recent Health Citations

Apr 1, 2026 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 21, 2025 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 10, 2025 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Sep 10, 2025 · Health survey · F-tag 0578
D — No actual harm
Resident Rights Deficiencies
Honor 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.
Sep 10, 2025 · Health survey · F-tag 0725
F — No actual harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Oct 16, 2024 · Health survey · F-tag 0755
D — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Oct 16, 2024 · Health survey · F-tag 0558
D — No actual harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Oct 16, 2024 · Health survey · F-tag 0554
D — No actual harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Oct 16, 2024 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 16, 2024 · Health survey · F-tag 0761
E — No actual harm
Pharmacy Service Deficiencies
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.
Jul 24, 2024 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 24, 2024 · Health survey · F-tag 0692
D — No actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Jun 14, 2023 · Health survey · F-tag 0756
D — No actual harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Jun 14, 2023 · Health survey · F-tag 0692
D — No actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Jun 14, 2023 · Health survey · F-tag 0580
D — No actual harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jun 14, 2023 · Health survey · F-tag 0880
F — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 14, 2023 · Health survey · F-tag 0686
G — Actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Details
Correction status: Corrected Jul 12, 2023 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Standard survey

Showing the 17 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Wisconsin →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.