Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Edenbrook Of Wisconsin Rapids during CMS and state inspections, most recent first.
Delayed and inconsistent ADL assistance was observed for multiple residents. One resident with paraplegia and intact cognition had a call light turned off by the Activity Director before care was completed, then remained in bed waiting for help to get up for a visitor. Another resident with hemiplegia and intact cognition waited 14 to 24 minutes for a brief change, while a nearby resident reported prior waits of about 60 minutes and typical call light response times of 30 minutes. A third resident with stroke and fracture diagnoses, and moderately impaired cognition, also reported call light waits of up to 30 minutes; staff and the DON acknowledged that responses were not always timely and that call lights should not be turned off before needs are met.
A resident with intact cognition and no listed next of kin was involved in an allegation that an HSKP supervisor used the resident’s bank card to pay $1501.97 in personal bills after the resident used the supervisor’s phone. The facility notified police and interviewed staff, but its investigation did not include bill copies, email receipts, payment history, or complete follow-up with the utility companies, and it did not state whether the resident’s funds were repaid. The NHA and DON acknowledged the missing documentation and uncertainty about recovery of the money.
Failure to provide ordered wound care for a resident with a healed left posterior thigh wound that later reopened as a skin tear. The record showed wound care orders were discontinued or not transcribed, and documentation did not show the area was treated or covered as ordered for several days. Surveyors observed a foam dressing with dried serous drainage over superficial excoriation on healed scar tissue, and the DON stated the order should have remained in place to protect the area.
Surveyors observed an LPN leaving a medication cart unlocked and unattended on multiple occasions, with medications left unsecured on top of the cart. Several residents were present in the area during these incidents. Both the LPN and DON confirmed that carts should be locked and medications secured when not in direct view, in accordance with facility policy.
A resident prescribed furosemide for edema did not have monitoring interventions for adverse reactions included in their care plan. Despite the potential side effects of the medication, the oversight was confirmed by the NHA and DON during a surveyor interview.
A CNA failed to follow hand hygiene protocols while providing incontinence care to a resident with hemiplegia and hemiparesis. The CNA did not change gloves or perform hand hygiene after providing perineal care and before applying a clean brief and protective cream, contrary to the facility's policy. The oversight was confirmed through observation and staff interviews.
Delayed and Inconsistent ADL Assistance
Penalty
Summary
The facility did not ensure assistance with ADLs was provided in a timely and consistent manner for 4 residents. Surveyor observation, resident interviews, staff interviews, and record review showed delayed responses to call lights and, in one case, a call light being turned off before care was completed. Residents and staff reported that call lights could take 10 to 30 minutes to be answered, and one resident reported a prior wait of about 60 minutes. The April 2026 Resident Council minutes also reflected resident concerns about long call light response times on weekends and staff turning lights off without providing care or returning to provide care. One resident with paraplegia and intact cognition was dependent on staff for toileting, showering, transfers, lower body dressing, and needed partial to moderate help with upper body dressing. On 5/19/26 at 1:31 PM, the resident’s call light was activated. Surveyor observed the Activity Director enter and exit the room at 1:39 PM, and the call light was no longer on. The resident stated the Activity Director told them CNAs were busy and would come after assisting another resident, and confirmed the call light had been turned off. The resident remained in bed at 2:00 PM and said staff had forgotten again and had not returned to help with getting up and getting ready for a visitor. Staff later entered the room at 2:11 PM. The Activity Director verified the resident wanted to get up but staff were busy and that a CNA told the Activity Director to turn the call light off. Another resident with hemiplegia and hemiparesis following cerebral infarction, and intact cognition, was dependent or required substantial assistance for most ADLs including toileting, bathing, and personal hygiene. The resident’s call light was observed on for between 14 and 24 minutes before two staff answered and provided assistance for a brief change before therapy. A nearby resident stated call lights are typically answered in 30 minutes and reported the other resident’s call light had previously been on for about 60 minutes. A third resident with stroke and fracture diagnoses, and moderately impaired cognition, stated staff can take up to 30 minutes to answer the call light. A CNA stated staff try to answer within 10 to 20 minutes but this is not always possible, and the DON confirmed staff should not turn a call light off before meeting a resident’s needs.
Incomplete Investigation of Alleged Misappropriation
Penalty
Summary
The facility did not thoroughly investigate an allegation of misappropriation involving a resident whose cognition was intact, with a BIMS score of 15 out of 15 and who was his own decision maker. The resident had no next of kin listed and died at the facility. A facility-reported incident stated that the Housekeeping Supervisor used the resident’s bank card to pay personal bills after allowing the resident to use the supervisor’s phone to order items online. The supervisor reported that the resident had saved the bank card in the phone wallet, and the supervisor later used that card to pay an electric bill, a cable/internet bill, and a gas bill totaling $1501.97. The investigation included interviews with staff and other residents, and police were notified and placed the allegation on file. However, the facility concluded the event did not meet the definition of misappropriation because it believed there was no evidence the resident intentionally took funds. The investigation did not include copies of the supervisor’s bills, email receipts from the bill payments, or payment history to verify the supervisor’s account. It also did not include follow-up communication with the gas company or proof that the supervisor communicated with the electric company. The investigation also did not state whether the $1501.97 was repaid to the resident’s funds. During surveyor interviews, the NHA and DON acknowledged the facility did not review copies of the bills, email receipts, or payment history, and were unsure whether any funds had been recovered. The BOM stated the facility would not be paid for the resident’s stay during the final days of life, and the Housekeeping Supervisor stated the resident’s belongings were cleaned out and later discarded after the resident died.
Failure to Provide Ordered Wound Care
Penalty
Summary
The facility did not provide wound care as ordered for one resident with chronic venous hypertension with ulcer and inflammation of the left lower extremity and peripheral vascular disease. The resident had a BIMS score of 15 out of 15. The medical record showed orders for the left posterior thigh wound, including cleansing with soap and water and applying petroleum gauze with an absorbent foam dressing, and later an order to check dressings every shift and replace them as needed for an excoriated area on the posterior upper left leg. A DON note stated wound orders would continue until new orders were received, and a wound clinic visit documented the wound as healed with instructions to continue care for the healed wound site. The record did not show that the left posterior thigh wound was treated or covered as ordered between the discontinuation of the earlier order and the later transcribed order. On a later date, an LPN documented that the provider was notified that the wound had opened and the resident had a skin tear on the left posterior thigh. Surveyors observed the area with a foam border dressing dated and initialed by an LPN; the dressing contained dried yellow serous drainage, the skin tear was on healed scar tissue and appeared superficial, and the surrounding skin had slight excoriation without signs of infection. The DON stated the confusion with the wound care order was an oversight, that the order had been discontinued because the wound was thought to be healed, and that the order should have remained in place to protect the area.
Unattended and Unlocked Medication Carts and Improper Medication Storage
Penalty
Summary
Surveyors observed that staff did not ensure medication carts were locked when unattended and that medications were stored appropriately, as required by facility policy. On multiple occasions, an LPN left a medication cart unlocked and unattended while walking away to ask questions or administer medications. During these times, several residents were in the vicinity of the unattended cart. Additionally, medications were left on top of the unattended cart, including five medication cards and two bottles, without staff present to supervise them. Interviews with the LPN and the Director of Nursing confirmed that the medication cart should have been locked when not in direct view of the staff member administering medications, and that medications should not be left unsecured on top of the cart. These lapses in medication security were directly observed by surveyors and acknowledged by staff, indicating non-compliance with the facility's own medication administration and storage policies.
Lack of Monitoring for Adverse Reactions to Furosemide
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary drugs by not monitoring for adverse reactions to a high-risk medication. The resident, who had intact cognition, was prescribed furosemide, a diuretic medication, for edema. Despite the potential side effects associated with furosemide, the resident's care plan did not include any monitoring interventions for adverse reactions. This oversight was confirmed by both the Nursing Home Administrator and the Director of Nursing during interviews with the surveyor.
Failure to Adhere to Hand Hygiene Protocol During Resident Care
Penalty
Summary
The facility failed to ensure proper hand hygiene was completed by staff during the provision of care for a resident, identified as R28. On February 26, 2025, a Certified Nursing Assistant (CNA-D) was observed providing incontinence care to R28 without adhering to the facility's hand hygiene policy. The policy, revised on May 8, 2024, mandates that hand hygiene should be performed after removing personal protective equipment (PPE) and before moving from a contaminated body site to a clean one. However, CNA-D did not change gloves or perform hand hygiene after providing rear perineal care and removing the resident's soiled brief. Instead, CNA-D continued to place a clean brief, apply protective cream, and assist with repositioning the resident before finally removing gloves and performing hand hygiene. R28, who was admitted to the facility with diagnoses including hemiplegia and hemiparesis following a cerebral infarction, was dependent on staff for personal hygiene. The surveyor's observation and subsequent interviews with CNA-D and the Director of Nursing (DON-B) confirmed the failure to adhere to the hand hygiene protocol. CNA-D acknowledged the oversight and verified the expectation to perform hand hygiene immediately after glove removal and before transitioning from dirty to clean tasks during resident care.
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Illustrative
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Nursing homes near Wisconsin Rapids
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wisconsin Rapids Health Services | 2.2 mi | ★★★★★ | 15 | 0 |
| Edgewater Haven Nursing Home | 4.6 mi | ★★★★★ | 0 | 0 |
| Stevens Point Health Services | 12.5 mi | ★★★★★ | 0 | 0 |
| Timber Ridge Health And Rehabilitation | 13.2 mi | ★★★★★ | 10 | 0 |
| North Shore Healthcare At Marshfield | 25.6 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.