Odd Fellow Home
Green Bay, Wisconsin · CCN 525559
31 surveys since 2010, 3 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 128
- Surveys
- 31
- Harm or worse
- 3
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 88
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Brown
- Medicare-certified since
- 1995
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 20 not-for-profit facilities of 66–99 beds in Wisconsin.
Last survey on record
Jul 22, 2026
110 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.74 | 4.33 |
| Registered-nurse hours per resident day | 0.68 | — |
| Annual nurse turnover | 56.3% | 49.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $88,489 across 16 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2762.8% | E614.0% | F920.9% |
| No harm, potential for minimal | A— | B— | C12.3% |
Most frequently cited here
In CMS’s current monthly file.
- F6895×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6104×
Respond appropriately to all alleged violations.
- F8804×
Provide and implement an infection prevention and control program.
- F7553×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F6072×
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
In the surveyor’s words
From the most serious findings on record at Odd Fellow Home, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF882May 7, 2025
Based on staff interview and record review, the facility did not ensure the Infection Preventionist (IP) completed specialized training in infection prevention and control. This had the potential to affect all 59 residents residing in the facility. IP-C and Director of Nursing (DON)-B shared infection prevention duties for the facility since of March 2025. IP-C did not complete specialized training and DON-B had not begun specialized training. Nursing Home Administrator (NHA)-A indicated a permanent IP was hired and had started infection prevention and control training on 5/5/25. […]
- No harm, potential for more than minimal, widespreadF812Mar 12, 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 50 residents residing in the facility. Staff did not ensure time/temperature control foods were labeled with open or use-by dates. Staff did not wear hair restraints consistently throughout the kitchen. Kitchen equipment and food services areas were not in a clean and sanitary condition. Staff did not properly heat food in the microwave that was served to residents. Staff did not follow safe food cooling protocols. Staff were unaware of temperature requirements when testing parts per million (PPM) of the sanitizing solution. […]
- No harm, potential for more than minimal, widespreadF814Mar 12, 2024
Based on observation and staff interview, the facility did not ensure garbage and refuse were properly disposed of in outside garbage receptacles. This practice had the potential to affect all 50 residents residing in the facility. On 3/10/24, the lids on 3 outside refuse dumpsters were open and there was garbage on the ground. Findings include: During an initial kitchen tour on 3/10/24 at 10:13 AM, Surveyor and Dietary Manager (DM)-O observed 3 outside refuse dumpsters with open lids. Surveyor and DM-O observed a bag of garbage on the ground behind the middle dumpster and scattered pieces of paper on the ground around the 3 dumpsters. On 3/10/24 at 10:14 AM, Surveyor interviewed DM-O who indicated the lids were most likely open for ease of use, but should be shut to keep rodents out. […]
- No harm, potential for more than minimal, widespreadF851Mar 12, 2024
Based on staff interview and record review, the facility did not ensure it completed mandatory submission of staffing information based on payroll data in a uniformed format to the Centers for Medicare & Medicaid Services (CMS). This practice had to the potential to affect all 50 residents residing in the facility. Staffing information for Quarter 1 (October 1-December 31), Quarter 2 (January 1-March 31), Quarter 3 (April 1-June 30), and Quarter 4 (July 1-September 30) of the Payroll Based Journal (PBJ) was not submitted to CMS. […]
- No harm, potential for more than minimal, widespreadF880Mar 12, 2024
Based on observation, staff interview, and record review, the facility did not establish and maintain an infection prevention and control program based on current standards of practice, designed to provide a safe environment and to help prevent the development and transmission of communicable disease and infection. This practice had the potential to affect all 50 residents residing in the facility. The facility did not have a system for preventing the growth and spread of Legionella in the facility's water system. […]
Read 23 findings in full →The most serious and the most recent: 23 of 128 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 22, 2026Complaint1 finding
- Feb 2, 2026Complaint1 finding
- Nov 18, 2025Complaint3 findings
- Oct 8, 2025Complaint1 finding
- May 7, 2025Standard7 findings
- Jan 9, 2025Complaint5 findings
- Oct 7, 2024Complaint1 finding
- Mar 12, 2024Standard and complaint16 findings
Show the 23 earlier surveys
- Sep 11, 2023Complaint2 findings
- Jun 28, 2023Complaint2 findings
- Apr 25, 2023Complaint2 findings
- Mar 8, 2023Standard6 findings
- Feb 2, 2022Standard4 findings
- Apr 28, 2021Complaint3 findings
- Mar 31, 2021Standard6 findings
- Sep 15, 2020Complaint3 findings
- Sep 26, 2019Complaint1 finding
- Sep 17, 2019Complaint1 finding
- Jul 17, 2019Standard5 findings
- Jun 4, 2019Complaint2 findings
- May 21, 2019Complaint1 finding · 1 harm
- Apr 15, 2019Complaint4 findings
- Sep 19, 2018Standard4 findings
- Jul 20, 2017Standard3 findings
- May 12, 2016Standard2 findings
- Mar 6, 2015Standard6 findings · 1 harm
- Feb 5, 2014—8 findings
- Nov 19, 2012—14 findings · 1 harm
- Aug 13, 2012—2 findings
- Sep 22, 2011—5 findings
- Jul 19, 2010—7 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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