Meadowbrook at Oconto Falls
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 48 Google reviews
Watch Meadowbrook at Oconto Falls
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
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)
Below average in WI · Meets national RN staffing standard · Above recommended total nurse staffing · $66,514 in fines
What this means for your family
This facility shows a clear divide between high-quality hospice/rehab services and significant failures in basic daily care. When touring, ask specifically about their current nurse-to-patient ratios and their protocol for preventing pressure sores and falls, as these have been recurring points of failure for multiple families.
Google Reviews
Google Reviews
48 reviews on Google“Meadowbrook at Oconto Falls receives polarized feedback, with many families praising the compassionate end-of-life and rehab care, while others report severe concerns regarding basic hygiene, understaffing, and patient safety. While some visitors highlight a warm, family-like atmosphere, multiple reports of pressure sores, falls, and missed care routines suggest significant inconsistencies in daily nursing oversight.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate end-of-life and hospice care
- Effective rehabilitation therapy team
- Warm and welcoming staff interactions
- Active administrator involvement
Concerns
- Chronic understaffing leading to neglected care (mentioned by 5 reviewers)
- Failure to follow fall prevention protocols (mentioned by 3 reviewers)
- Poor hygiene and infrequent bathing/cleaning (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 51 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed the facility has a strong rehabilitation team; how do you coordinate that therapy with the daily nursing care to ensure residents stay active?
- 2With the current staffing levels, what specific systems are in place to ensure that residents receive consistent assistance with hygiene and bathing needs?
- 3Can you walk me through your fall prevention protocols and how you adjust those plans if a resident shows signs of increased mobility challenges?
- 4I appreciate that the administrator is very involved here; how does that leadership style translate into how you communicate updates or concerns to family members?
- 5What does a typical daily schedule look like for residents, and how do you encourage participation in activities to keep everyone engaged?
- 6In the event of a medical emergency, what is the protocol for notifying family, and how quickly can we expect a status update from the clinical team?
Personalized based on this facility's data
Key Review Excerpts
“My step-father just came home after spending 30 days here. He was only given 1 shower. He was given poor care as he came home with a very serious pressure sore that will now require hospitalization.”
“The rehab team is amazing and definitely gets people back on their feet. Their dietary team has fantastic meals. The nursing staff are a dedicated team that works hard to keep everyone healthy while working with complex medical situations.”
“The staff at Meadow Brook is terrific! But—they are very short staffed. Also they knew my son was a fall risk—and yet they had no alarm on his chair, & he fell.”
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
11
measures
6
measures
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
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 concerning patterns with 64 deficiencies across 7 surveys and families have filed 13 complaints triggering additional inspections. The most recurring problems involve medication management (with high error rates), nursing staffing shortages, and repeated safety violations including fire safety and emergency preparedness issues. Most troubling is a recent abuse/neglect citation and ongoing issues with grievance procedures, though the facility has corrected each deficiency when cited.
Mar 13, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 29, 2025Routine15
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Dec 16, 2024Complaint5
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 14, 2024Complaint2
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.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
May 21, 2024Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Apr 30, 2024Routine24
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Environmental Deficiencies
Keep all essential equipment working safely.
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
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Federal Penalties
Fine
Dec 16, 2024
$43,234
Payment Denial
Apr 30, 2024
18-day denial
Ownership & Operations
Who Operates This Facility
Meadowbrook at Oconto Falls
for profit
Chain Affiliation
Synergy Senior Care
5 facilities nationwide
Chain avg rating: 2.4/5 · Rank 4 of 5
Ownership & Management
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
48 reviews from families & visitors
Official Website
Visit meadowbrookocontofalls.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.