West Bend Health and Rehabilitation

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

54.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 51 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 80.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 25 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 45 beds and averages 43.2 residents a day — about 96% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.94 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.09 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.66 hrs/resident/day on weekends vs 3.05 on weekdays — 13% thinner on weekends. RN hours go from 0.65 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · D2025-05-01 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interview and policy review the facility failed to complete a discharge summary including a recapitulation of the resident's stay for 1 of 1 resident review for discharges for closed record review (R#39). The facility reported a census of 38 residents. Findings include: The Clinical Census revealed Resident #39 was discharged on 2/28/25. A Physician Order signed and dated on 2/27/25 directed staff Resident #39 could transfer to an (ALF) assisted living facility on 2/28/25 and continue current medications. Review of Progress Notes on 2/28/25 lacked documentation Resident #39 was discharged to Assisted Living, what her condition was at the time of discharge and what belongings she was discharged with. In addition the Progress Notes and the clinical record lacked documentation regarding a discharge summary/recapitulation stay that included information regarding resident status, medication reconciliation and disposition of medications at discharge. On 4/30/25 at 5 PM, Staff A, Social Services/LPN reported she typically completes the discharge paperwork…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-01 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, the facility failed to submit a Level 2 Preadmission Screening and Resident Review (PASRR) evaluation for 1 of 1 residents reviewed with a new mental health diagnosis and start of new psychotropic medications (Resident #8). The facility reported a census of 38 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] documented Resident #8 had a Brief Interview for Mental Status (BIMS) of 05 indicating severe cognitive impairment. The MDS revealed Resident #8 had diagnoses of psychotic disorder, depression, non-alzheimer's dementia, delusional disorder and dysthymic disorder (persistent depressive disorder). The Care Plan date initiated 2/7/23 documented Resident #8 was at risk for cognition function related to delusional disorder. In addition, the Care Plan documented Resident #8 received antidepressant medication related to dysthymic disorder and antipsychotic medication for delusional disorder. The Clinical record revealed Resident #8 had the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-01 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interview, the facility failed to follow physician orders for 1 of 5 residents reviewed for medications (Resident #15). The facility reported a census of 38 residents. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #15 scored 3 on the Brief Interview for Mental Status (BIMS) indicating severe cognitive impairment. The resident had diagnoses including Alzheimer's disease. The Care Plan dated 12/24/24 identified the resident took an antibiotic. The interventions included administering medication as ordered. The Consultant Pharmacist letter to the Physician questioned if the Nitrofurantoin should be held while the resident took another antibiotic. The physician ordered to hold the medication while the resident was on another antibiotic dated 7/8/24, and noted by the facility 7/10/24. A Medication Review Report dated 4/16/25 showed the resident continued with the order to hold the Nitrofurantoin while on another antibiotic with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-01 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and clinical record review the facility failed to provide appropriate catheter care for 1 of 2 residents reviewed (Resident #140). The facility reported a census of 38 residents. Findings include: The Clinical Census revealed Resident #140 was admitted to the facility on [DATE]. Resident #140 did not have an admission MDS (Minimum Data Set) completed. The Care Plan dated 4/29/25 identified Resident #140 had an indwelling catheter due to a CVA (cerebrovascular accident/stroke). The Care Plan directed staff to position the catheter bag and tubing below the level of the bladder and away from the entrance room door. On 4/28/25 at 11:27 AM observed Resident #140 sitting in her recliner in her room, her catheter bag was hanging on the garbage can without a dignity bag and the catheter tubing touching the floor. On 4/29/25 at 1:44 PM observed Resident #140 sitting in her recliner in her room and her catheter bag was hanging on the foot rest of the recliner without a dignity bag.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-01 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and staff interview, the facility failed to to ensure a medication error rate of less than 5%, with 2 errors of 33 medications passed for an error rate of 6.06% for 2 of 6 residents (Resident #5, and #21). The facility reported a census of 38 residents. Findings include: 1) The Medication Administration Record for April 2025 showed Resident #5 had the order for Humalog Kwikpen 10 units subcutaneous (subq) 3 times a day, at 8 and 11 a.m. and 5 p.m. During a medication pass on 4/30/25 at 7:45 a.m. Staff B Licensed Practical Nurse (LPN) administered Humalog insulin 10 units subq via the Kwikpen, into Resident #5's right abdomen and removed (the needle) immediately. According to Humalog Kwikpen instructions revised July 2023 the instructions included inserting the needle into the skin, pushing the dose knob in all the way and continuing to hold the dose knob while slowly counting to 5 (before removing the needle). 2) The Clinical Physician's Orders showed Resident #21 had the order for Novolog 10 units 2 times a day. During medication pass on 4/30/25…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-01 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and staff interview, the facility failed to provide infection control practices for personal devices for 1 resident (Resident #27) and during medication pass for 2 of 6 residents (Resident #27 and #8). The facility reported a census of 38 residents. Findings include: 1) On 4/28/25 at 10:57 a.m. Resident #27 had a humidifier (adds moisture to the air by releasing water vapor into the area) in her room. The resident said it was so dry and stuffy. The humidifier had a thick coating of dust on the outside and appeared dirty inside. The Care Plan included the intervention to please check the water in the humidifier due to it being dry in Resident #27's room, dated 4/1/25. On 4/29/25 at 9:01 a.m. entered Resident #27's room with the Administrator. She acknowledged the humidifier needed cleaned and stated she would have maintenance clean it. On 4/29/25 at 2:07 p.m. the resident's humidifier had been cleaned. 2) The Physicians Clinical Orders showed Resident #27 had orders for: a. Chlortrimazole topically to her lower lip, b. Fluticasone 2 sprays to each…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-16 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to treat each resident in a manner that promoted dignity and respect for 1 of 3 residents reviewed (Resident #4). The facility reported a census of 43 residents. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #4 scored 12 on the Brief Interview for Mental Status (BIMS) indicating moderate cognitive impairment. The resident had diagnoses including non-Alzheimer's dementia. The Care Plan dated 9/16/24 identified Resident #4 at risk for depression related to wanting to return back to the community, with the goal to remain free of signs and symptoms of distress, symptoms of depression, anxiety or sad mood. Interventions included monitoring/documenting/reporting signs/symptoms of depression to the nurse/doctor including hopelessness, anxiety, sadness, and negative statements. A facility report by the Administrator and Interim Director of Nursing (DON) documented receipt of a reported incident on 12/9/24 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-16 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure staff followed professional standards for administering medication for 1 of 3 residents reviewed (Resident #4). The facility reported a census of 43 residents. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #4 scored 12 on the Brief Interview for Mental Status (BIMS) indicating moderate cognitive impairment. The resident had diagnoses including non-Alzheimer's dementia. On 12/12/24 at 9:29 a.m. Staff B Certified Nursing Assistant (CNA)/Certified Medication Aide (CMA) stated she worked the day shift Saturday (12/7/24). When they went to get Resident #4 for lunch there were pills on Resident #4's table, so Staff B asked the nurse and they were from that morning. She said Staff F Registered Nurse (RN) left them in her room. He usually didn't do that but he was an agency worker. Staff B had the resident take the medications. The December 2024 Medication Administration Record (MAR) showed Staff F…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-16 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to provide the necessary services to maintain personal hygiene for 1 of 3 residents reviewed (Resident #1) and failed to ensure linens and clothing soiled by incontinence were changed promptly.The facility reported a census of 43 residents. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #1 scored 15 on the Brief Interview for Mental Status (BIMS) indicating no cognitive impairment. The resident depended on staff for toilet hygiene, bathing, personal hygiene, and transfers. The MDS documented the resident was always incontinent of bowel and bladder. The resident had diagnoses including traumatic spinal cord dysfunctiob, diabetes, and hemiplegia/hemiparesis (weakness/paralysis of 1 side of the body. The Care Plan initiated 6/28/23 identified Resident #1 had hemiplegia/hemiparesis related to trauma to C7 (vertebrae of the neck) as a result of a fall. The hemiplegia included the right dominant side. The Care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-07 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interview, and family interview the facility failed to notify the physician and failed to notify the family/power of attorney of change for 2 residents reviewed for notification, (Resident #18 and #143) regarding a decrease in medication and an unresponsive episode . The facility reported a census of 44 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] for Resident #14 documented diagnosis of renal insufficiency, hypertension, and congenital malformation of the spinal cord. The MDS showed the Brief Interview for Mental Status (BIMS) score of 14, indicating no cognitive impairment. A facility Progress Note on 12/4/23 at 5:45 PM named Condition Follow up revealed a nurse was called to Resident #143 ' s room by the Certified Nursing Assistant (CNA). Resident #143 was unresponsive to verbal stimuli, sternal rub performed and Resident #143 continued to be unresponsive. Staff continued to monitor and use verbal commands in attempt to get Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to THE ENSIGN GROUP — 342 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $497K paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA