Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Eden Rehab Suites and Green House Homes

Oshkosh, WI · 50 certified beds · Last Life Safety survey July 16, 2026

CMS Certification Number 525704 · first certified October 2010

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

14
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within WI

14 citations — more than 34% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 1 citation; the earlier surveys on file averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 9 months from now. This facility’s last Life Safety survey was July 2026. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 519 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

Emergency preparedness

5 of the 14 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations in CMS's current file

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility14WI median17National median11
Citations in CMS's current file, compared
MeasureCitations
This facility14
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
72024-0362025-0512026-07
Citations at each Life Safety survey
Survey dateCitations
March 20, 20247
May 14, 20256
July 16, 20261

Most-cited tags

Most-cited tags at this facility
K-03411K-03531K-05111K-03211K-09181E-00221K-09201K-03461
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0341Install a fire alarm system that can be heard throughout the facility.12024-03-20
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-05-14
K-0511Have properly installed electrical wiring and gas equipment.12025-05-14
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-03-20
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-05-14
E-0022Establish policies and procedures for sheltering.12024-03-20
K-0920Ensure proper usage of power strips and extension cords.12024-03-20
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.12024-03-20

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 5
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies5
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies2
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 16, 2026 — 1 citation

Citations issued on July 16, 2026
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (July 29, 2026)

May 14, 2025 — 6 citations

Citations issued on May 14, 2025
TagWhat the surveyor checksStatus
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (June 6, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (June 6, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 5, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 5, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 30, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 6, 2025)

March 20, 2024 — 7 citations

Citations issued on March 20, 2024
TagWhat the surveyor checksStatus
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (April 19, 2024)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (April 19, 2024)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (April 19, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 19, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (April 10, 2024)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (March 28, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 19, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.