Elder Care Record

Wisconsin › Washington County › West Bend

Samaritan Nursing and Rehab

531 E Washington St, West Bend, WI 53095

CCN 525165 · For-profit, limited liability company · 131 certified beds

CMS abuse iconContinuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Samaritan Nursing and Rehab is a For-profit, limited liability company nursing home in West Bend, Wisconsin, certified for 131 beds and caring for about 78 residents a day.

CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.

Inspectors recorded 65 health deficiencies across the three most recent survey cycles (40, 19, 6 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 49.6 per 100 beds, more than the state median of 31.8.

CMS lists 3 penalties in the period covered: fines totalling $210K and 1 payment denial.

Reported nurse staffing is 4.9 hours per resident per day (1.3 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 75.7%.

CMS flags that the facility carries the CMS abuse icon.

65health deficiencies, 3 survey cycles4 at actual harm or worse
$210Kfines listed by CMS3 penalties in period
4.9nurse hours per resident per daystate median 4.0
59%occupancy (residents ÷ beds)78 residents a day

Compared with county, state and nation

MeasureThis facilityWashington Co. medianWisconsin medianUS average
Overall star rating1433.0
Health citations, 3 cycles65462128.7
Citations per 100 beds49.643.431.826.8
Total nurse hours per resident day4.94.94.03.9
RN hours per resident day1.31.30.90.7
Nursing staff turnover75.7%57.1%46.2%45.8%
Fines listed$210,298$0$0—

County and state figures are medians across facilities (4 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)40
Cycle 219
Cycle 36

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 May 2026, 29 Jan 2025.

Severity mix: J ×4 D ×46 E ×8 F ×6 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
18 May 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey11 Jun 2026
18 May 2026F0880Provide and implement an infection prevention and control program.FStandard survey11 Jun 2026
18 May 2026F0761Ensure 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.EStandard survey11 Jun 2026
18 May 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey11 Jun 2026
18 May 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey11 Jun 2026
18 May 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey11 Jun 2026
18 May 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey11 Jun 2026
18 May 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey11 Jun 2026
18 May 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey11 Jun 2026
18 May 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey11 Jun 2026
18 May 2026F0881Implement a program that monitors antibiotic use.DStandard survey11 Jun 2026
18 May 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey11 Jun 2026
18 May 2026F0887Educate 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.DStandard survey11 Jun 2026
18 May 2026F0732Post nurse staffing information every day.CStandard survey11 Jun 2026
20 Apr 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation21 Apr 2026
20 Apr 2026F0850Hire a qualified full-time social worker in a facility with more than 120 beds.FComplaint investigation21 Apr 2026
20 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation21 Apr 2026
20 Apr 2026F0610Respond appropriately to all alleged violations.EComplaint investigation21 Apr 2026
20 Apr 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation21 Apr 2026
20 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation21 Apr 2026
20 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation21 Apr 2026
20 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation21 Apr 2026
20 Apr 2026F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation21 Apr 2026
20 Apr 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation21 Apr 2026
20 Apr 2026F0803Ensure 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.DComplaint investigation21 Apr 2026
20 Apr 2026F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DComplaint investigation21 Apr 2026
11 Mar 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation12 Mar 2026
11 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation17 Dec 2025
11 Nov 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation17 Dec 2025
11 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Nov 2025
11 Nov 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation17 Dec 2025
16 Oct 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation17 Oct 2025
16 Oct 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation17 Oct 2025
16 Oct 2025F0610Respond appropriately to all alleged violations.DComplaint investigation17 Oct 2025
16 Oct 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Oct 2025
16 Oct 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation17 Oct 2025
16 Oct 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation17 Oct 2025
26 Aug 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation19 Sep 2025
26 Aug 2025F0761Ensure 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.EComplaint investigation19 Sep 2025
26 Aug 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation19 Sep 2025
29 Jul 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint investigation29 Aug 2025
29 Jul 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation29 Aug 2025
23 Apr 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation20 May 2025
23 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 May 2025
23 Apr 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint investigation20 May 2025
29 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey18 Feb 2025
29 Jan 2025F0803Ensure 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.EComplaint investigation24 Feb 2025
29 Jan 2025F0551Give the resident's representative the ability to exercise the resident's rights.DStandard survey20 Feb 2025
29 Jan 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey20 Feb 2025
29 Jan 2025F0583Keep residents' personal and medical records private and confidential.DComplaint investigation20 Feb 2025
29 Jan 2025F0584Honor 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.DComplaint investigation20 Feb 2025
29 Jan 2025F0585Honor 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.DComplaint investigation19 Feb 2025
29 Jan 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey20 Feb 2025
29 Jan 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey20 Feb 2025
29 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 Feb 2025
29 Jan 2025F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint investigation20 Feb 2025
5 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 Dec 2024
5 Dec 2024F0803Ensure 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.DComplaint investigation20 Dec 2024
16 Oct 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation17 Oct 2024
2 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation31 Jan 2024
2 Nov 2023F0880Provide and implement an infection prevention and control program.FComplaint investigation1 Feb 2024
2 Nov 2023F0610Respond appropriately to all alleged violations.DComplaint investigation1 Dec 2023
2 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation8 Dec 2023
2 Nov 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation8 Dec 2023
2 Nov 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey1 Dec 2023

Penalties

DateTypeAmountDetail
11 Nov 2025Payment denial—8 days
16 Oct 2025Fine$134,800
16 Oct 2024Fine$75,498

Staffing

Total nursing4.95 h
Nurse aides3.05 h
LPN0.62 h
RN1.28 h
Weekend total4.22 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 75.7%, RNs 76.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay25.8%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.1%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay6.4%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay33.9%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.9%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.1%14.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. CMS groups this facility with 10 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Samaritan Nursing And Rehab Llc.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Washington County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Cedar Lake Health and Rehab CenterWest Bend755451418.7—24 Jun 2026
Complete Care At GermantownGermantown1214421814.9—5 Mar 2025
Pavilion At Glacier ValleySlinger1062234643.4—11 Jun 2026

All 4 facilities in Washington County

Questions and answers

How many deficiencies has Samaritan Nursing and Rehab been cited for?

65 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Samaritan Nursing and Rehab been fined?

Yes. CMS lists fines totalling $210K in the period covered, plus 1 payment denial.

How does staffing at Samaritan Nursing and Rehab compare?

Reported total nurse staffing is 4.9 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Samaritan Nursing and Rehab?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Samaritan Nursing and Rehab last inspected?

The most recent survey or investigation in the CMS record is dated 18 May 2026; the most recent standard health survey was 18 May 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.