Meadowbrook at Appleton

CCN 525264 · APPLETON NURSING AND REHAB LLC · For profit - Corporation · SYNERGY SENIOR CARE chain · 104 certified beds · Outagamie · WI


Meadowbrook at Appleton is a 104-bed nursing home in Appleton, Wisconsin. CMS has certified it for Medicare and Medicaid since 1975-03-14. It averages 41.9 residents a day.

What harm was found in the violations cited at Meadowbrook at Appleton?

CMS lists 59 health-inspection deficiencies for Meadowbrook at Appleton since 2023-03-29, 50 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-10-22.

Survey dateTagDeficiencySeverity
2025-10-22F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F
2025-10-22F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-07-23F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-07-23F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-07-23F0553, F0578, F0584, F0656, F0689, F0690, F0693, F0697, F0880, F0925Allow resident to participate in the development and implementation of his or her person-centered plan of care. / 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. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide safe, appropriate pain management for a resident who requires such services. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D
2025-06-25F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-06-25F0755, F0921Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-06-25F0551, F0610, F0677, F0684, F0695, F0805Give the resident's representative the ability to exercise the resident's rights. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D
2025-03-24F0585Honor 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.D
2025-01-21F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F
2025-01-21F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E
2024-10-24F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-06-12F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-05-08F0801, F0812, F0882Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2024-05-08F0578, F0580, F0623, F0625, F0637, F0655, F0656, F0686, F0689, F0695, F0698, F0755, F0756, F0880, F0883, F0887Honor 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Assess the resident when there is a significant change in condition / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D
2024-04-02F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.J
2024-03-11F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2023-10-06F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-03-29F0812, F0880, F0882Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2023-03-29F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2023-03-29F0645, F0692, F0698, F0755PASARR screening for Mental disorders or Intellectual Disabilities / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-03-29F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C

Why was Meadowbrook at Appleton fined?

DateTypeAmount
2024-04-02Fine$15,642

How is Meadowbrook at Appleton staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day4.085504.21234
Total nursing staff turnover (%)55.746.9
Average number of residents per day41.954.8

Who owns Meadowbrook at Appleton, and what chain is it in?

Meadowbrook at Appleton is registered with CMS as For profit - Corporation, operates under the legal business name APPLETON NURSING AND REHAB LLC and belongs to the SYNERGY SENIOR CARE chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTMASLOVSKY, BORIS, PUKSHANSKY, ROSTISLAVsince 12/01/2020
CORPORATE DIRECTORVANDER VELDEN, BARBARAsince 12/01/2020
CORPORATE OFFICERLINDEMANN, MITULsince 12/01/2019
OPERATIONAL/MANAGERIAL CONTROLLINDEMANN, MITULsince 12/01/2020
ADP OF THE SNFBIEDERWOLF, ALISON, JENSON, MATTHEW, LINDEMANN, MITUL, MASLOVSKY, BORIS, PUKSHANSKY, ROSTISLAV, VANDER VELDEN, BARBARAsince 01/29/2024

Were you or a family member harmed at Meadowbrook at Appleton?