Nursing HomeInspections

Edenbrook of Fond Du Lac

Nursing home in Fond Du Lac, WI

Medicare & Medicaid certified4★ overall (CMS)

Call (920) 922-7342Send a messageMap ↗

Public-record details

Address
265 S National Ave, Fond Du Lac, WI 54935
Phone
(920) 922-7342
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
525274
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
90
Average residents per day
55
Ownership
For-profit, corporation
Legal business name
Fond Du Lac Nursing and Rehab, LLC
Chain
Eden Senior Care (21 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 1976
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525274. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 11, 2025. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 19, 2023 to Jun 11, 2025): 4 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 11, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 11, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jun 11, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Jun 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
May 6, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 5, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 8, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
May 15, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
May 15, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 15, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service
E
Potential for more than minimal harm, pattern
May 15, 2024Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
May 15, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 14. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $9,113 in the last three years.

Jun 11, 2025Fine: $9,113

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.28 hours
Registered nurse (RN) time per resident per day
0.91 hours
Nurse aide time per resident per day
1.86 hours
Total nurse staffing on weekends
3.00 hours
Nursing staff turnover (yearly)
51%
RN turnover (yearly)
25%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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