Cycle 1
Health 2025-02-26 · Fire 2025-02-26
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Wisconsin Rapids, WI
Edenbrook Of Wisconsin Rapids
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
130 Strawberry Ln, Wisconsin Rapids, WI
(715) 424-1600
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
80
Certified beds
Average residents
47
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Eden Senior Care
Operator or chain grouping
Approved since
1989-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.07
Registered nurse staffing · state 0.97 · national 0.68
LPN hours / resident day
0.44
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.19
Nurse aide staffing · state 2.59 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 4.20 · national 3.89
Licensed hours
1.51
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.72 · national 3.43
Weekend RN hours
0.88
Weekend registered nurse coverage · state 0.66 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.08
CMS adjusted RN staffing hours
Adjusted total hours
3.77
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,928
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.85
Baseline 19.77% · Performance 20.57% · Measure score 1.85 · Achievement 1.85 · Improvement 0
Healthcare-associated infections
5.67
Baseline 7.77% · Performance 6.14% · Measure score 5.67 · Achievement 5.67 · Improvement 5.38
Total nurse turnover
1.86
Baseline 35.29% · Performance 56.06% · Measure score 1.86 · Achievement 1.86 · Improvement 0
Adjusted total nurse staffing
0.71
Baseline 3.15 hours · Performance 3.28 hours · Measure score 0.71 · Achievement 0.71 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.74% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 108 · Observed rate 14.81% · Lower 95% interval 8.37% |
| Discharge to community | 51.04% |
50.57%
0.5 pts better
|
No Different than the National Rate · Eligible stays 99 · Observed rate 44.44% · Lower 95% interval 39.29% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.68% |
95.27%
3.4 pts better
|
Numerator 75 · Denominator 76 |
| Falls with major injury | 1.32% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 76 |
| Discharge self-care score | 53.57% |
53.69%
0.1 pts worse
|
Numerator 15 · Denominator 28 |
| Discharge mobility score | 53.57% |
50.94%
2.6 pts better
|
Numerator 15 · Denominator 28 |
| Pressure ulcers or injuries, new or worsened | 6.58% |
2.29%
4.3 pts worse
|
Numerator 5 · Denominator 76 · Adjusted rate 7.08% |
| Healthcare-associated infections requiring hospitalization | 6.14% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 67 · Observed rate 4.48% · Lower 95% interval 3.26% |
| Staff COVID-19 vaccination coverage | 17.81% |
8.2%
9.6 pts better
|
Numerator 13 · Denominator 73 |
| Staff flu vaccination coverage | 47.25% |
42%
5.2 pts better
|
Numerator 43 · Denominator 91 |
| Discharge function score | 46.43% |
56.45%
10 pts worse
|
Numerator 13 · Denominator 28 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 24 · Denominator 24 |
| Transfer of health information to patient | 97.56% |
96.28%
1.3 pts better
|
Numerator 40 · Denominator 41 |
| Resident COVID-19 vaccinations up to date | 38.1% |
25.2%
12.9 pts better
|
Numerator 16 · Denominator 42 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
95.7%
4.3 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.0%
5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.2%
3.2 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
5.0%
3.3 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 3.3% · Q4 0.0% · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 3.3% |
4.9%
1.6 pts better
|
5.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 6.9% · Q3 0.0% · Q4 3.0% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.7% |
16.6%
0.1 pts worse
|
19.6%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 20.7% · Q3 12.9% · Q4 12.1% · 4Q avg 16.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.4% |
16.7%
6.3 pts better
|
16.7%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 12.5% · Q3 8.3% · Q4 11.5% · 4Q avg 10.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.3% |
21.1%
15.8 pts better
|
16.3%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 0.9% |
17.3%
16.4 pts better
|
14.9%
14 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.3%
2.3 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
3.0%
2.3 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.9% |
25.5%
4.6 pts better
|
19.8%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 26.5% · Q3 11.0% · Q4 20.9% · 4Q avg 20.9% |
| Percentage of long-stay residents with pressure ulcers | 8.5% |
5.5%
3 pts worse
|
5.1%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 11.4% · Q3 4.9% · Q4 10.1% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
86.8%
10.1 pts better
|
81.7%
15.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.6% · Q2 99.1% · Q3 97.2% · Q4 95.7% · 4Q avg 96.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.9% |
15.0%
4.9 pts worse
|
12.0%
7.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 17.7% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.3%
1.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.4% |
82.2%
14.2 pts better
|
79.7%
16.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.4% |
22.7%
4.3 pts better
|
23.9%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 16.1% · Expected 20.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-07 · Fire 2023-12-07
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-11-09 · Fire 2022-11-09
3 health deficiencies
Top issue: Resident Rights (2 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-26
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2025-03-26
F · Potential for more than minimal harm
2025-02-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-07
F · Potential for more than minimal harm
2025-02-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-31
E · Potential for more than minimal harm
2025-02-26
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-26
D · Potential for more than minimal harm
2025-02-26
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Not marked corrected
D · Potential for more than minimal harm
2025-02-26
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-16
D · Potential for more than minimal harm
2025-02-26
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-03-26
D · Potential for more than minimal harm
2025-02-26
K927 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2025-03-26
F · Potential for more than minimal harm
2023-12-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-08
D · Potential for more than minimal harm
2023-12-07
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-02-08
D · Potential for more than minimal harm
2023-12-07
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-05
F · Potential for more than minimal harm
2022-11-09
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-11-29
E · Potential for more than minimal harm
2022-11-09
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Not marked corrected
E · Potential for more than minimal harm
2022-11-09
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-12-02
E · Potential for more than minimal harm
2022-11-09
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-12-09
E · Potential for more than minimal harm
2022-11-09
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-04
E · Potential for more than minimal harm
2022-11-09
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-12-30
D · Potential for more than minimal harm
2022-11-09
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-12-02
D · Potential for more than minimal harm
2022-11-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-09
D · Potential for more than minimal harm
2022-11-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-09
D · Potential for more than minimal harm
2022-11-09
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-12-09
D · Potential for more than minimal harm
2022-11-09
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-11-29
D · Potential for more than minimal harm
2022-11-09
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2022-11-29
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-07-25
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-08-25
D · Potential for more than minimal harm
2025-02-26
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-03-26
D · Potential for more than minimal harm
2025-02-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-26
D · Potential for more than minimal harm
2023-12-07
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-01-05
E · Potential for more than minimal harm
2023-03-14
F559 · Resident Rights Deficiencies
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2023-04-14
D · Potential for more than minimal harm
2022-11-09
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-12-09
D · Potential for more than minimal harm
2022-11-09
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-12-09
Penalties and ownership
What sits behind the stars
Ownership
Stesel, Maxim
5% Or Greater Direct Ownership Interest · Individual
Polstein, Mordechai
5% Or Greater Direct Ownership Interest · Individual
Feinstein, Dan
5% Or Greater Direct Ownership Interest · Individual
Lifsics, Channie
5% Or Greater Direct Ownership Interest · Individual
Mauer, Dovie
5% Or Greater Direct Ownership Interest · Individual
Pukshansky, Rostislav
5% Or Greater Direct Ownership Interest · Individual
Lifsics, Channie
Operational/Managerial Control · Individual
Mauer, Dovie
Operational/Managerial Control · Individual
Rice, Pamela
Operational/Managerial Control · Individual
Schmitz, Arthur
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Wisconsin Rapids Health Services
Wisconsin Rapids, WI
1-star overall rating with 1-star inspections with $99,626 in total fines with 20 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Edgewater Haven Nursing Home
Port Edwards, WI
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Stevens Point Health Services
Stevens Point, WI
1-star overall rating with 2-star inspections with 17 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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