Edenbrook of Platteville

In the surveyor’s words

From the most serious findings on record at Edenbrook of Platteville, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 11, 2026

  Based on observation and interview, the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has the potential to affect all 53 residents who reside in the facility. Surveyor observed dust coating the light fixtures and sprinkler heads within the facility's stove hood unit. Surveyor observed [NAME] D sanitizing the food prep area with a bucket of sanitizer that did not test the correct parts per million and was no longer warm. [NAME] D was unsure how long the sanitizer is good for before it needs to be changed out. Surveyor observed Corporate Maintenance Man E who has a full head of hair and a full beard to be in the food preparation/clean dishware area without donning hair restraints. […]

• No harm, potential for more than minimal, patternF758Jan 5, 2023

  Based on interview, record review, and policy review, the facility failed to ensure that 3 of 3 resident (R47, R23, and R35) residents reviewed for unnecessary medications had an order for an as-needed (PRN) psychotropic medication which did not extend beyond 14 days, without a physician assessment and documented rationale. Findings include: Review of a facility policy titled, Psychotropic Medication, revised on 05/25/21 and provided by the facility, stated, .PRN (as needed) orders for psychotropic drugs are limited to 14 days. […]

• No harm, potential for more than minimal, isolatedF677Apr 15, 2025

  Based on observation, interview and record review, the facility did not provide toileting assistance for dependent residents for 1 of 1 supplemental resident (R39) reviewed for Activities of Daily Living (ADLs) assistance. Staff did not assist R39 with toileting assistance after an incontinent episode. Evidenced by: Facility policy, entitled Activities of Daily Living (ADL), dated 3/15/21, with revision date of 2/25/25 states in part: Policy: Based on the comprehensive assessment of a resident and consistent with the resident's needs and choices, the facility must provide the necessary care and services . Procedure: .2. The facility will provide care and services for the following activities of daily living: . […]

• No harm, potential for more than minimal, isolatedF686Apr 15, 2025

  Based on observation, interview, and record review, the facility did not ensure each resident received care, consistent with professional standards of practice (SOP), to prevent pressure injuries (PI) for 1 of 3 residents (R253) reviewed for pressure injuries. R253 is at risk for PI (pressure injury) development. R253 was admitted with two stage 3 PIs. Staff did not confirm accurate measurements were taken of R253's PI upon admission and weekly to ensure that R253's PIs did not deteriorate. […]

• No harm, potential for more than minimal, isolatedF698Apr 15, 2025

  Based on observation, interview, and record review the facility did not ensure that residents who require dialysis receive such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 1 sampled resident's (R19) reviewed for dialysis and 2 of 2 supplemental residents reviewed for dialysis (R28, R49). R19, R28, and R49's care plans did not include emergency actions for any staff; no Nurses, CNA's (Certified Nursing Assistants) or any Ancillary staff (i.e. […]