Meadowbrook at Oconto Falls
100 E Highland Dr · Oconto Falls, WI · 54154 · 9208483272
99 certified beds For profit - Corporation Chain: Synergy Senior Care
Why this verdict
- Federal penalties on record: $43,234 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.87 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 3.48 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 1 · $43,234 |
Inspection citations (39 in the current record)
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Potential for harm · D March 13, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D May 29, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 29, 2025 · Quality of Life and Care
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Potential for harm · D May 29, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 29, 2025 · Quality of Life and Care
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Potential for harm · D May 29, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 29, 2025 · Quality of Life and Care
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Potential for harm · D May 29, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 29, 2025 · Quality of Life and Care
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Potential for harm · E May 29, 2025
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 June 29, 2025 · Pharmacy Service
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Potential for harm · E May 29, 2025
Provide and implement an infection prevention and control program.
Corrected June 29, 2025 · Infection Control
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Immediate jeopardy · J December 16, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 16, 2024 · found via complaint
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 January 13, 2025 · Resident Rights
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Potential for harm · D December 16, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 16, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 16, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 13, 2025 · Quality of Life and Care
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Potential for harm · D October 14, 2024 · found via complaint
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 November 8, 2024 · Resident Rights
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Potential for harm · E October 14, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 8, 2024 · Resident Assessment and Care Planning
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Actual harm · G May 21, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 17, 2024 · Quality of Life and Care
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Potential for harm · F May 21, 2024 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected June 17, 2024 · Nursing and Physician Services
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Potential for harm · E April 30, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 3, 2024 · Resident Rights
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Potential for harm · D April 30, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 3, 2024 · Quality of Life and Care
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Potential for harm · D April 30, 2024
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 June 3, 2024 · Quality of Life and Care
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Potential for harm · D April 30, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 3, 2024 · Quality of Life and Care
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Potential for harm · D April 30, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 3, 2024 · Quality of Life and Care
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Potential for harm · D April 30, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 3, 2024 · Pharmacy Service
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Potential for harm · D April 30, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected June 3, 2024 · Pharmacy Service
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Potential for harm · D April 30, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected June 3, 2024 · Pharmacy Service
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Potential for harm · F April 30, 2024
Provide and implement an infection prevention and control program.
Corrected June 3, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 16, 2024 | Fine | $43,234 |
| April 30, 2024 | Payment Denial | 18 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525449 · certified since December 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.