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Edenbrook of Fond DU Lac
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Edenbrook of Fond DU Lac Share
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Fond DU Lac, Wisconsin
Medicare and Medicaid

Edenbrook of Fond DU Lac is a nursing home located in Fond DU Lac, Wisconsin with 90 beds and an average of 59 residents per day.

Address
265 S. National Avenue
Fond DU Lac, Wisconsin 54935
Contact
Scoreboard
Overall:
Health inspection:
Quality measures:
Long-term stay quality measures:
Short-term stay quality measures:
Staffing:
Nurse staffing:
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Facts & features Share
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Continuing care retirement community: No
Automatic sprinkler systems: Yes
Council: Family and resident council
Provider type: Medicare and Medicaid
Date first approved to provide Medicare and Medicaid services: December 1, 1976
Number of beds: 90
Number of residents per day: 59
Percent of beds that are filled: 65% of beds are filled
Health inspection Share
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Health inspection rating

Health inspection ratings are based on the number, scope, and severity of deficiencies identified during the three most recent annual inspection surveys, as well as substantiated findings from the most recent 36 months of complaint investigations. All deficiency findings are weighted by scope and severity. This measure also takes into account the number of revisits required to ensure that deficiencies identified during the health inspection survey have been corrected.

Number of health deficiencies by year

A health citation is a finding that a nursing home failed to meet one or more federal health requirements during an annual health inspection or a complaint inspection. Inspectors identify health citations by observing the nursing home's performance, its practices, or the conditions in the facility.

2019 28
2018 8
2017 1
Learn more about health inspection ratings
Staff Share
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Staff rating
Nurse staff rating

Staff ratings are based on nursing home staffing levels. They are based on two measures: (1) Registered nurse hours per resident per day and (2) Total nurse staffing (registered nurses, licensed practical nurses, and nurse aides) hours per resident per day.

Higher staffing hours per resident per day means that each resident receives more hours of care.

At Edenbrook of Fond DU Lac, residents receive around 3.3 hours of care each day.

Nurse staffing hours per resident per day
Nurse aid staffing hours per resident per day 1.9 hours
Licensed practical nurse hours per resident per day 0.8 hours
Registered nurse staffing hours per resident per day 0.6 hours
Total nurse staffing hours per resident per day 3.3 hours
Quality of care Share
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Overall quality of care rating
Long-term stay quality of care rating
Short-term stay quality of care rating

The quality of care rating is based on a variety of measures including:

Percent of residents whose need for help with activities of daily living has increased
Percent of residents whose ability to move independently worsened
Percent of high-risk residents with pressure ulcers
Percent of residents who have/had a catheter inserted and left in their bladder
Percent of residents with a urinary tract infection
Percent of residents experiencing one or more falls with major injury
Percent of residents who received an antipsychotic medication
Number of hospitalizations
Number of outpatient emergency department visits
Management Share
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Edenbrook of Fond DU Lac is operated by Fond DU Lac Nursing and Rehab, LLC. It was first approved to provide Medicare and Medicaid services on December 1, 1976.
Ownership
Name Role Ownership percentage Association date

Channie Lifsics

Individual
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5% Or Greater Direct Ownership Interest 12% Since 11/01/2018

Dovie Mauer

Individual
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5% Or Greater Direct Ownership Interest 12% Since 11/01/2018

Dovie Mauer

Individual
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Operational/Managerial Control Not Applicable Since 11/01/2018

Stacy Neis

Individual
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Managing Employee Not Applicable Since 11/01/2018

Mordechai Polstein

Individual
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Operational/Managerial Control Not Applicable Since 11/01/2018

Mordechai Polstein

Individual
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5% Or Greater Direct Ownership Interest 19% Since 11/01/2018

Rostislav Pukshansky

Individual
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5% Or Greater Direct Ownership Interest 10% Since 11/01/2018

Pamela Rice

Individual
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Operational/Managerial Control Not Applicable Since 11/01/2018

Pamela Rice

Individual
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Managing Employee Not Applicable Since 11/01/2018

Maxim Stesel

Individual
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5% Or Greater Direct Ownership Interest 47% Since 11/01/2018
Incidents and fines Share
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Number of facility reported incidents 0
Number of substantiated complaints 6
Number of fines 0
Total fines $0
Number of payment denials 0
Number of penalties 0
Nearby Share
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Test Share
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Federal Provider Number 525274
Ownership Type
Special Focus Status
Abuse Icon
Most Recent Health Inspection More Than 2 Years Ago
Provider Changed Ownership in Last 12 Months
Overall Rating 2
Health Inspection Rating 2
QM Rating 2
Long-Stay QM Rating 2
Short-Stay QM Rating 2
Staffing Rating 3
RN Staffing Rating 3

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