MEADOWBROOK AT APPLETON

APPLETON, WI · 104 beds · For profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 24 deficiencies — 2.4x the state average
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 1 citation(s) where residents suffered actual harm

Green Flags

  • 4-star staffing rating

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
24
2.4x state avg
Deficiencies
$15,642
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

October 21, 2025

4 deficiencyies
F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0801 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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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.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0801 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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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.

July 22, 2025

16 deficiencyies
F0553 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0693 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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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.

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0804 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0925 Potential Harm Scope/Severity: D

Environmental Deficiencies

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

F0553 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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

F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

See full violation history →

Staffing

0.95
RN hrs/res/day
0.62
LPN hrs/res/day
2.45
CNA hrs/res/day
3.49
Weekend hrs/res/day
56%
Total nurse turnover
47%
RN turnover

A nurse checks on each resident roughly every 6.0 hours on average.

Fines & Penalties

  • Fine Apr 1, 2024
    $15,642
Total $15,642

Ownership

For profit - Corporation Chain: SYNERGY SENIOR CARE
  • MASLOVSKY, BORIS

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/01/2020

    50% Individual
  • PUKSHANSKY, ROSTISLAV

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/01/2020

    50% Individual
  • LINDEMANN, MITUL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/01/2020

    Individual
  • VANDER VELDEN, BARBARA

    CORPORATE DIRECTOR

    Since since 12/01/2020

    Individual
  • LINDEMANN, MITUL

    CORPORATE OFFICER

    Since since 12/01/2019

    Individual

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