EDENBROOK OF FOND DU LAC
265 S NATIONAL AVE
FOND DU LAC, WI, 54935
9209227342
CCN: 525274
3
Overall3
Health3
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| PUKSHANSKY, ROSTISLAV | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 9% |
| MAUER, DOVIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% |
| POLSTEIN, MORDECHAI | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% |
| LIFSICS, CHANNIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% |
| STESEL, MAXIM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% |
| RICE, PAMELA | CORPORATE OFFICER | NOT APPLICABLE |
| POLSTEIN, MORDECHAI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (14)
2025-06-11 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
2025-05-06 · Health
D
F690 · 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.
2025-03-05 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2024-11-08 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2024-05-15 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2023-04-19 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.60
RN Hrs/Resident/Day0.54
0.94
LPN Hrs/Resident/Day0.81
0.66
CNA Hrs/Resident/Day2.33
2.00
PT Hrs/Resident/Day0.12
0.13
Data as of 2026-03-01