Eden Rehab Suites and Green House Homes

In the surveyor’s words

From the most serious findings on record at Eden Rehab Suites and Green House Homes, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jun 27, 2024

  Based on staff interview and record review, the facility did not ensure wound care was completed as ordered and in accordance with the resident's care plan for 2 residents (R) (R1 and R4) of 4 sampled residents. R1 was admitted to the facility on [DATE] for rehab following surgery for Charcot's foot (a foot/ankle structural and nerve damage due to diabetes) and had an order for a daily dressing change. R1's daily dressing change was not completed from 5/22/24 until 5/27/24. During a dressing change on 5/27/24 at approximately 1:00 AM, Registered Nurse (RN)-C observed maggots in R1's pin site surgical wound. RN-C also noted areas of redness, warmth, tenderness, and swelling. […]

• No harm, potential for more than minimal, widespreadF812May 14, 2025

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect all 35 residents residing in the facility. The kitchen microwave was not kept in a clean and sanitary condition to prevent cross-contamination. The refrigerator in the main kitchen contained food that was past the discard date and/or open to air. The facility's dishwasher did not reach minimum temperature requirements to prevent the spread of foodborne illness. Findings include: On 5/12/25 at 9:25 AM, Surveyor began an initial tour of the kitchen with Dietary Manager (DM)-N who stated the facility followed the State Food Code. […]

• No harm, potential for more than minimal, widespreadF812Mar 20, 2024

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect all 24 residents residing in the facility. Staff did not ensure proper methods were used to rapidly cool time/temperature control for safety food. In addition, staff did not document cooling temperatures for time/temperature control for safety food not held hot or not for consumption within 4 hours. Staff did not clean the kitchenettes daily which resulted in unclean and unsanitary conditions. Findings include: Food Cooling: During an initial kitchen tour on 3/8/24 that began at 8:18 AM, Dietary Manager (DM)-C indicated the facility followed the Wisconsin Food Code. […]

• No harm, potential for more than minimal, widespreadF812Mar 30, 2022

  Based on observation, staff interviews, and record review, the facility did not ensure food was stored, prepared, and served under sanitary conditions. The practices had the potential to affect all 28 residents at the facility. Facility did not have a system in place to monitor and document cooling food. Facility kept scoop in ice machine bin with handle in contact with ice. Facility can opener was not clean. All facility kitchenettes contained open, undated food and beverages. Certified Nursing Assistant (CNA)-I did not perform hand hygiene when required and utilized hand sanitizer during kitchen processes in West Greenhouse where 7 residents resided. […]

• No harm, potential for more than minimal, patternF812Jul 16, 2026

  Based on observation, interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect more than 4 of the 33 residents residing in the facility.Refrigerators and freezers in unit kitchenettes contained unlabeled, undated, and/or expired food. Staff did not complete appropriate hand hygiene during food service.Findings include:Food Storage:The facility's Food from Outside Sources policy, dated January 2026, indicates: .Nutritional needs of residents will be met by consuming nourishing meals and snacks. Meals meeting the nutritional needs of residents will be provided .However, food from outside sources may be brought by visitors for consumption by residents .1. […]