Appleton, WI

Meadowbrook At Appleton

1-star overall rating with 1-star inspections with $15,642 in total fines with 24 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

1335 S Oneida St, Appleton, WI

(920) 731-6646

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

104

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Synergy Senior Care

Operator or chain grouping

Approved since

1975-03-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 2 overall / 2 health / 4 staffing / 3 quality stars

Changed ownership

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

0.96

Registered nurse staffing · state 0.97 · national 0.68

LPN hours / resident day

0.62

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.48

Nurse aide staffing · state 2.59 · national 2.35

Total nurse hours

4.07

All reported nurse hours · state 4.20 · national 3.89

Licensed hours

1.59

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.54

Weekend nurse staffing · state 3.72 · national 3.43

Weekend RN hours

0.67

Weekend registered nurse coverage · state 0.66 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.95

CMS adjusted RN staffing hours

Adjusted total hours

4.02

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

47%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

56%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,550

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

39.49

Composite VBP score used to determine payment impact.

Payment multiplier

0.9925

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

6.77

Baseline 85.42% · Performance 41.38% · Measure score 6.77 · Achievement 5.46 · Improvement 6.77

Adjusted total nurse staffing

1.13

Baseline 3.22 hours · Performance 3.40 hours · Measure score 1.13 · Achievement 1.13 · Improvement 0.20

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.73%	10.72% 1 pts worse	No Different than the National Rate · Eligible stays 44 · Observed rate 18.18% · Lower 95% interval 8.31%
Discharge to community	49.62%	50.57% 1 pts worse	No Different than the National Rate · Eligible stays 43 · Observed rate 39.53% · Lower 95% interval 37.75%
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	47.62%	95.27% 47.6 pts worse	Numerator 10 · Denominator 21
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4.76%	2.29% 2.5 pts worse	Numerator 1 · Denominator 21 · Adjusted rate 4.61%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	4.82%	8.2% 3.4 pts worse	Numerator 4 · Denominator 83
Staff flu vaccination coverage	41.94%	42% 0.1 pts worse	Numerator 52 · Denominator 124
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.6%	95.7% 1.1 pts worse	93.4% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 86.1% · Q2 94.4% · Q3 100.0% · Q4 97.4% · 4Q avg 94.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	66.7%	95.0% 28.3 pts worse	95.5% 28.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 66.7%
Percentage of long-stay residents experiencing one or more falls with major injury	7.4%	3.2% 4.2 pts worse	3.3% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 8.3% · Q3 7.7% · Q4 2.6% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.8%	5.0% 2.2 pts better	11.4% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 2.9% · Q3 2.6% · Q4 0.0% · 4Q avg 2.8%
Percentage of long-stay residents who lose too much weight	5.7%	4.9% 0.8 pts worse	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 6.5% · Q3 0.0% · Q4 3.3% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.0%	16.6% 5.4 pts worse	19.6% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 22.6% · Q3 20.0% · Q4 19.4% · 4Q avg 22.0%
Percentage of long-stay residents who received an antipsychotic medication	21.5%	16.7% 4.8 pts worse	16.7% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 18.2% · Q3 16.7% · Q4 17.4% · 4Q avg 21.5% · 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	22.9%	21.1% 1.8 pts worse	16.3% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 22.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.2%	17.3% 2.9 pts worse	14.9% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 12.0% · Q3 8.0% · Q4 32.1% · 4Q avg 20.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.5%	2.3% 0.2 pts worse	1.0% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.0% · Q3 3.2% · Q4 2.1% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.7%	3.0% 0.3 pts better	1.7% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 2.8% · Q3 2.6% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	30.4%	25.5% 4.9 pts worse	19.8% 10.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.1% · Q2 34.8% · Q3 23.6% · Q4 23.3% · 4Q avg 30.4%
Percentage of long-stay residents with pressure ulcers	8.7%	5.5% 3.2 pts worse	5.1% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 5.1% · Q3 9.4% · Q4 10.1% · 4Q avg 8.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	69.0%	86.8% 17.8 pts worse	81.7% 12.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 57.8% · Q2 55.8% · Q3 76.5% · Q4 93.8% · 4Q avg 69.0%
Percentage of short-stay residents who newly received an antipsychotic medication	3.6%	1.3% 2.3 pts worse	1.6% 2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 2.4% · Q3 2.3% · Q4 2.6% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	50.5%	82.2% 31.7 pts worse	79.7% 29.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 50.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-23 · Fire 2025-07-23

24 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-05-08 · Fire 2024-05-08

25 health deficiencies

Top issue: Nutrition and Dietary (6 deficiencies)

10 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-03-29 · Fire 2023-03-29

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-23

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-08-18

F · Potential for more than minimal harm 2025-07-23

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-08-18

F · Potential for more than minimal harm 2025-07-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-08-18

E · Potential for more than minimal harm 2025-07-23

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2025-08-14

E · Potential for more than minimal harm 2025-07-23

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 2025-08-18

E · Potential for more than minimal harm 2025-07-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-18

E · Potential for more than minimal harm 2025-07-23

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-08-18

E · Potential for more than minimal harm 2025-07-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-08-18

D · Potential for more than minimal harm 2025-07-23

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-08-08

F · Potential for more than minimal harm 2024-05-08

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-05-28

F · Potential for more than minimal harm 2024-05-08

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-28

F · Potential for more than minimal harm 2024-05-08

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-05-30

F · Potential for more than minimal harm 2024-05-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-30

E · Potential for more than minimal harm 2024-05-08

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-05-23

E · Potential for more than minimal harm 2024-05-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-03

E · Potential for more than minimal harm 2024-05-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-05-09

E · Potential for more than minimal harm 2024-05-08

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-05-30

E · Potential for more than minimal harm 2024-05-08

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-05-29

E · Potential for more than minimal harm 2024-05-08

K925 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that sources of ignition are removed from patients receiving respiratory therapy.

Corrected 2024-05-30

E · Potential for more than minimal harm 2023-03-29

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-04-27

E · Potential for more than minimal harm 2023-03-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-10-22

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-10-22

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 2025-12-05

F · Potential for more than minimal harm 2025-07-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-08-19

E · Potential for more than minimal harm 2025-07-23

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-07-23

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-07-23

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-07-23

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-07-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-07-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-07-23

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 2025-08-19

D · Potential for more than minimal harm 2025-07-23

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-07-23

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-07-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-07-23

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-08-19

G · Actual harm 2025-06-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-18

E · Potential for more than minimal harm 2025-06-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-07-18

E · Potential for more than minimal harm 2025-06-25

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-06-25

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-06-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-06-25

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-06-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-06-25

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-06-25

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-03-24

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-01-21

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-02-13

E · Potential for more than minimal harm 2025-01-21

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-02-13

D · Potential for more than minimal harm 2024-10-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-18

F · Potential for more than minimal harm 2024-06-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-05

F · Potential for more than minimal harm 2024-05-08

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-06-03

F · Potential for more than minimal harm 2024-05-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-03

F · Potential for more than minimal harm 2024-05-08

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-06-06