F

Edenbrook Sheboygan

3014 ERIE AVE, SHEBOYGAN, WI 53081
Score: 2 / 100

With a score of 2/100, Edenbrook Sheboygan ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Edenbrook Sheboygan is near the national average, with 3.48 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 40 deficiencies at Edenbrook Sheboygan, including 3 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 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.48 3.8 Average
Registered Nurses (RN) 0.79 0.7 Above Average
Licensed Practical Nurses (LPN) 0.66 0.7 Average
Certified Nursing Assistants (CNA) 2.03 2.4 Below Average
Weekend Total Nursing 3.14 3.8 Below Average
Weekend RN Hours 0.54 0.7 Below Average

🔍 Inspection & Deficiency History

40
Total Deficiencies
Dec 16, 2025
Most Recent Inspection
🟠 37 Moderate 🔴 3 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.
    Dec 16, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Dec 16, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Dec 16, 2025 · Resident Rights Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Dec 16, 2025 · Quality of Life and Care Deficiencies
  • Tag 0605 Severity D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    Sep 2, 2025 · Freedom from Abuse, Neglect, and Exploitation 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 7.4% 4.5% Worse
Falls with major injury 2.0% 3.0% Better
On antipsychotic medication 36.6% 14.5% Worse
Urinary tract infections 8.2% 2.5% Worse
ADL decline (daily activities) 10.1% 14.0% Better
Excessive weight loss 2.9% 7.5% Better
New/worsened incontinence 21.0% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $202,946

How This Grade Was Calculated

This facility's grade of F is based on a score of 2 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
121
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 29, 2025
Deficiencies (Cycle 1)
12