Edenbrook of Oshkosh
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 47 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (14 vs median 7)
- High staff turnover (59%)
- High RN turnover (54%)
Below average in WI · Below recommended RN staffing · Below chain average · No penalties on record
What this means for your family
While the rehabilitation therapy team is frequently praised for their effectiveness, the facility has seen a concerning trend of negative reviews regarding basic care, hygiene, and medication management. If you choose this facility, ensure you have a plan for frequent, in-person visits to monitor your loved one's care and medication administration, as communication and responsiveness appear to be significant weaknesses.
Google Reviews
Google Reviews
47 reviews on Google“Edenbrook of Oshkosh presents a highly polarized experience for families, with praise for its rehabilitation therapy team contrasted by severe allegations of neglect and poor hygiene. While some residents report positive recovery outcomes and kind staff, multiple families have raised critical concerns regarding medication errors, lack of responsiveness, and unsanitary room conditions.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy programs
- Warm and compassionate individual staff members
- Recently remodeled, aesthetically pleasing facility
Concerns
- Slow or non-existent response to call lights and patient needs (mentioned by 5 reviewers)
- Medication management errors and lack of oversight (mentioned by 3 reviewers)
- Unsanitary room conditions and poor housekeeping (mentioned by 3 reviewers)
- Poor communication regarding patient care and discharge planning (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 50 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility has been recently remodeled and looks very welcoming; how do you ensure that the high standard of cleanliness is maintained throughout the resident rooms on a daily basis?
- 2We appreciate that you are active in responding to online feedback; how does your leadership team use that family input to improve communication regarding a resident's care plan and discharge process?
- 3Given the importance of timely assistance, what is your current protocol for monitoring and responding to call lights to ensure residents aren't waiting too long for help?
- 4Could you walk us through the specific oversight process you have in place for medication management to ensure accuracy and safety for every resident?
- 5With the physical and occupational therapy programs being a noted strength here, how do those teams coordinate with the nursing staff to support a resident's daily recovery goals?
- 6What does a typical day look like for residents in terms of social activities and dining, and how do you encourage participation for those who might be more reserved?
Personalized based on this facility's data
Key Review Excerpts
“My mom unfortunately had to stay here after having a stroke... From giving wrong meds, to taking blood and not having an order for it. Not knowing how to care for stroke patients.”
“Physical therapy and occupational therapy rock. They will challenge you meet or exceed expectations.”
“My friend was sent to the hospital from this facility... The bed wasn't made, there were 2 full drinks on the hospital tray, food on the tray, dirty hospital socks thrown on the bathroom floor, and used hospital gloves on the bathroom floor.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
7
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has shown concerning patterns with families filing complaints that led to 14 deficiencies being cited. The most recurring issues involve fire safety and emergency preparedness, dietary and nutrition services, and infection control. Many of the same problems appear repeatedly across multiple inspections from 2023-2025, suggesting ongoing challenges with maintaining consistent compliance despite reported corrections.
Nov 25, 2025Complaint3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Jul 29, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Jul 1, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Mar 26, 2025Routine25
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress Deficiencies
Have correct number of accessible exits for each story.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Mar 26, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Aug 21, 2024Complaint6
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Ownership & Operations
Who Operates This Facility
Edenbrook of Oshkosh
for profit
Chain Affiliation
Eden Senior Care
19 facilities nationwide
Chain avg rating: 2.6/5 · Rank 13 of 18
Ownership & Management
Owners
Feinstein, Dan
Owner
Lifsics, Channie
Owner
Polstein, Mordechai
Owner
Stesel, Maxim
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
47 reviews from families & visitors
Official Website
Visit edenbrookoshkosh.com
Medicare data downloads
Original nursing home datasets
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