C

EDENBROOK OF FOND DU LAC

265 S NATIONAL AVE, FOND DU LAC, WI 54935
Score: 63 / 100

With a score of 63 out of 100, Edenbrook Of Fond Du Lac earns a C grade — placing it near the middle of Wisconsin nursing facilities. Families should review the detailed metrics below when considering this Fond Du Lac location.

Staffing at Edenbrook Of Fond Du Lac is near the national average, with 3.60 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 14 deficiencies at Edenbrook Of Fond Du Lac, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.60 3.8 Average
Registered Nurses (RN) 0.94 0.7 Above Average
Licensed Practical Nurses (LPN) 0.66 0.7 Average
Certified Nursing Assistants (CNA) 2.00 2.4 Below Average
Weekend Total Nursing 3.18 3.8 Below Average
Weekend RN Hours 0.55 0.7 Below Average

🔍 Inspection & Deficiency History

14
Total Deficiencies
Jun 10, 2025
Most Recent Inspection
🟠 13 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jun 10, 2025 · Quality of Life and Care Deficiencies
  • Tag 0552 Severity D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    Jun 10, 2025 · Resident Rights Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Jun 10, 2025 · Pharmacy Service Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jun 10, 2025 · Infection Control Deficiencies
  • Tag 0690 Severity D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent
    May 5, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.1% 4.5% Worse
Falls with major injury 7.9% 3.0% Worse
On antipsychotic medication 10.8% 14.5% Better
Urinary tract infections 1.2% 2.5% Better
ADL decline (daily activities) 7.9% 14.0% Better
Excessive weight loss 4.5% 7.5% Better
New/worsened incontinence 24.8% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 63 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
90
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 10, 2025
Deficiencies (Cycle 1)
6