Nursing HomeInspections

Samaritan Nursing and Rehab

Nursing home in West Bend, WI

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (262) 335-4500Send a messageMap ↗

Public-record details

Address
531 E Washington St, West Bend, WI 53095
Phone
(262) 335-4500
Listed under
For-profit, Part of a retirement community
Medicare CCN
525165
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
131
Average residents per day
78
Ownership
For-profit, limited Liability company
Legal business name
Samaritan Nursing and Rehab LLC
Chain
Shlomo Hoffman (10 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 27, 1967
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525165. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 18, 2026. CMS lists 65 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 2, 2023 to May 18, 2026): 45 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
May 18, 2026Post nurse staffing information every day.
Nursing and Physician Services
C
Potential for minimal harm, widespread
May 18, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
May 18, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 18, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 18, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 18, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services
D
Potential for more than minimal harm, isolated
May 18, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
May 18, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
May 18, 2026Implement a program that monitors antibiotic use.
Infection Control
D
Potential for more than minimal harm, isolated
May 18, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control
D
Potential for more than minimal harm, isolated
May 18, 2026Educate 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…
Infection Control
D
Potential for more than minimal harm, isolated
May 18, 2026Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 65. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $210,298 and 1 denial of Medicare payment for new admissions in the last three years.

Nov 11, 2025Payment denial for 8 days from Dec 10, 2025
Oct 16, 2025Fine: $134,800
Oct 16, 2024Fine: $75,498

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.95 hours
Registered nurse (RN) time per resident per day
1.28 hours
Nurse aide time per resident per day
3.05 hours
Total nurse staffing on weekends
4.22 hours
Nursing staff turnover (yearly)
76%
RN turnover (yearly)
77%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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