Waters Edge Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 3415 N Sheridan Rd, Kenosha, WI 53140
- CCN
- 525281
- Ownership type
- For-profit, corporation
- Certified beds
- 128
- Chain
- Champion Care
- Residents per day
- 96
- CMS flags
- Special Focus Facility candidate
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Waters Edge Health and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 30 Sep 2025. The latest survey cycle has 31 health citations. The median for nursing homes in Wisconsin is 7. CMS lists 1 fine of $54,055 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Kenosha County median | Wisconsin median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 7 homes in the county, 323 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Wisconsin median |
|---|---|---|---|
| Cycle 1 (latest) | 30 Sep 2025 | 31 | 7 |
| Cycle 2 | 5 Aug 2024 | 15 | 7 |
| Cycle 3 | No date | 30 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 31 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 11 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 30 Sep 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0584 | 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. | E | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | K | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | G | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0761 | 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. | E | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Complaint investigation | 4 Nov 2025 |
| 30 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0887 | 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 | Standard survey | 4 Nov 2025 |
| 30 Sep 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 4 Nov 2025 |
| 20 Aug 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 20 Sep 2025 |
| 20 Aug 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 20 Sep 2025 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 Jul 2025 |
| 15 May 2025 | F0584 | 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. | E | Complaint investigation | 10 Jun 2025 |
| 30 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Nov 2024 |
| 11 Sep 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Sep 2024 |
| 5 Aug 2024 | F0584 | 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. | D | Complaint investigation | 5 Sep 2024 |
| 5 Aug 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 5 Sep 2024 |
| 5 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 5 Sep 2024 |
| 5 Aug 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 5 Sep 2024 |
| 5 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 5 Sep 2024 |
| 5 Aug 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 5 Sep 2024 |
| 5 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 Sep 2024 |
| 5 Aug 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 5 Sep 2024 |
| 5 Aug 2024 | F0693 | 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. | D | Standard survey | 5 Sep 2024 |
| 5 Aug 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 5 Sep 2024 |
| 5 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 5 Sep 2024 |
Survey cycle 3: 30 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 May 2024 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0572 | Give residents a notice of rights, rules, services and charges. | E | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 18 Jun 2024 |
| 20 May 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 18 Jun 2024 |
| 6 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 6 Jan 2024 |
| 6 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Jan 2024 |
| 6 Dec 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 6 Jan 2024 |
| 6 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 6 Jan 2024 |
| 6 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 6 Jan 2024 |
| 4 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 3 Nov 2023 |
| 4 Oct 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 3 Nov 2023 |
| 4 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Nov 2023 |
| 24 May 2023 | F0585 | 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. | D | Standard survey | 23 Jun 2023 |
| 24 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 23 Jun 2023 |
| 24 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 23 Jun 2023 |
| 24 May 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 23 Jun 2023 |
| 24 May 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 23 Jun 2023 |
| 24 May 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 23 Jun 2023 |
| 24 May 2023 | F0761 | 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. | E | Standard survey | 23 Jun 2023 |
| 24 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Jun 2023 |
| 24 May 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Jun 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 May 2024 | Fine | $54,055 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Wisconsin median | Wisconsin average (CMS) |
|---|---|---|---|
| All nurse staff | 3.53 | 4.00 | 4.21 |
| Registered nurses (RN) | 0.60 | 0.90 | 0.99 |
| Licensed practical nurses (LPN) | 0.88 | 0.64 | |
| Nurse aides | 2.04 | 2.58 | |
| All nurse staff, weekends | 3.12 | 3.60 | 3.77 |
- Nurse staff turnover in a year
- 63.2%
- Nurse staff turnover, Wisconsin median
- 46.2%
- RN turnover in a year
- 61.9%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.5% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.9% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.6% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.5% | 14.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- The Bay at Waters Edge Health and Rehabilitation LLC
- Chain
- Champion Care (22 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Champion Care LLC | 5% or greater direct ownership interest | 100% | 3 Feb 2018 |
| Champion Care LLC | Operational/managerial control | 3 Feb 2018 |
The site shows organisations only. It does not show the names of persons.
Other homes in Kenosha County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avina of Kenosha | Kenosha | 2 of 5 | 10 | $33,989 | 24 Jul 2025 | |
| Brookside Care Center | Kenosha | 5 of 5 | 3 | $44,970 | 14 Nov 2024 | |
| Clairidge House | Kenosha | 1 of 5 | 18 | $0 | 5 Mar 2026 | |
| Sheridan Health and Rehabilitation Center | Kenosha | 2 of 5 | 24 | $0 | 8 Jan 2026 | |
| Avina on 32nd | Kenosha | 1 of 5 | 14 | $26,322 | 20 Nov 2024 | |
| Complete Care at Grande Prairie | Pleasant Prairie | 2 of 5 | 5 | $65,556 | 14 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Waters Edge Health and Rehabilitation Center (CCN 525281). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/waters-edge-health-and-rehabilitation-center-kenosha-wi-525281/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Waters Edge Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 11 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 5 Aug 2024.
- Who operates Waters Edge Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Champion Care. The CMS ownership file names Champion Care LLC for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Waters Edge Health and Rehabilitation Center?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 2 homes in Wisconsin as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.