nursing home in West Bend, WI

Cedar Lake Health and Rehab Center

5595 Cty Rd Z, West Bend, WI 53095 · (262) 306-2100

★★★★★5
Much above average
CMS overall star rating
  • Health inspections★★★★★4
  • Staffing★★★★★5
  • Quality measures★★★★★4
  • CMS high performer

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Cedar Lake Health and Rehab Center at a glance

Cedar Lake Health and Rehab Center is a 75-bed non-profit nursing home in West Bend, Wisconsin (Washington County).

CMS gives it 5 out of 5 stars on its overall star rating, better than the Wisconsin average of 3.

Residents receive about 5.1 hours of nursing care per day (1.6 of them from registered nurses), better than the state average of 4.2 hours.

Its most recent standard health inspection (April 21, 2026) found 5 health citations. The Wisconsin average is 9.5.

It has not received a federal fine in the past three years.

Nursing staff turnover is 37% per year (state average 46.9%).

Facility details

Type
Nursing home
Ownership
Non Profit - Corporation
Beds
75
Certified for
Medicare and Medicaid
Medicare-certified since
July 1, 1990
Continuing care retirement community
Yes
Resident/family council
Resident
County
Washington County
CMS Certification Number
525465

Ratings

MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)5 / 53 / 53 / 5Better
Health inspection rating ⓘ (higher is better)4 / 52.8 / 52.8 / 5Better
Staffing rating ⓘ (higher is better)5 / 53.6 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)4 / 53 / 53.6 / 5Average
Long-stay quality rating (higher is better)2 / 53.1 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)5 / 53.1 / 53.3 / 5Better

Staffing

This facility5.14 hrsWisconsin average4.21 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)5.14 hrs4.21 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)1.62 hrs0.99 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)3.11 hrs2.58 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)4.50 hrs3.77 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)37%46.9%45.8%Better
Registered nurse turnover (yearly) (lower is better)17.4%39.7%42.9%Better
Administrators who left in the past year (lower is better)011Better

Inspections

This facility5Wisconsin average9U.S. average9
Health citations in the most recent inspection: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)599Better
Citations from complaint investigations (latest cycle) (lower is better)443Worse
Weighted health inspection score ⓘ (lower is better)31100.380.6Better

Penalties

This facility0Wisconsin average1U.S. average1
Fines in the past 3 years: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$48,150$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Certified beds7577107
Average residents per day545586
Occupancy71.6%74%80.9%

Long-stay residents

This facility4.1%Wisconsin average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)4.1%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)7.1%5%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)14.3%15.8%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.9%2.7%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)1.5%2.1%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)18.1%16.1%13.9%Worse
Long-stay residents whose walking worsened (lower is better)13.4%18.4%14.1%Better
Long-stay residents who lose too much weight (lower is better)4.2%5.1%5.2%Better
Long-stay residents with depressive symptoms (lower is better)1.7%5.7%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)11%16.9%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)35%24.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)100%95%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)98.4%95.7%93.6%Better

Short-stay residents

This facility0.1%Wisconsin average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Wisconsin and U.S. averages
MeasureThis facilityWisconsin avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.1%1.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)92.8%82.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)89%86.5%82%Better

Inspection citations

State inspectors cited this home for 14 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
June 24, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 20, 2026
June 24, 2026
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected July 20, 2026
April 21, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected June 9, 2026
April 21, 2026
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected May 12, 2026
April 21, 2026
Fire safety
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Construction Deficiencies · Tag K0132
E
Potential harm, pattern
Corrected June 9, 2026
April 21, 2026
Fire safety
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912
E
Potential harm, pattern
Corrected May 6, 2026
April 21, 2026
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
D
Potential harm, isolated
Corrected April 29, 2026
April 21, 2026
Fire safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927
D
Potential harm, isolated
Corrected June 9, 2026
April 21, 2026
Fire safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies · Tag K0362
D
Potential harm, isolated
Corrected May 12, 2026
April 21, 2026
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
D
Potential harm, isolated
Corrected May 4, 2026
April 21, 2026
Standard
Develop 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 Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected May 18, 2026
September 29, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
E
Potential harm, pattern
Corrected December 17, 2025
September 29, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected December 17, 2025
June 12, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected June 30, 2025
June 12, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected June 30, 2025
February 19, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected March 12, 2025
February 19, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected March 3, 2025
February 19, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
E
Potential harm, pattern
Corrected March 6, 2025
February 19, 2025
Fire safety
Have restrictions on the use of highly flammable decorations.
Miscellaneous Deficiencies · Tag K0753
E
Potential harm, pattern
Corrected March 6, 2025
February 19, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected March 10, 2025
February 19, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected March 10, 2025
February 19, 2025
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected March 12, 2025
February 19, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected March 7, 2025
February 19, 2025
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
D
Potential harm, isolated
Corrected March 7, 2025
February 19, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected March 19, 2025
February 19, 2025
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected March 19, 2025
February 19, 2025
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected March 19, 2025
February 19, 2025
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected March 19, 2025
February 19, 2025
Standard
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.
Infection Control Deficiencies · Tag F0887
D
Potential harm, isolated
Corrected March 19, 2025
December 6, 2023
Fire safety
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies · Tag K0711
F
Potential harm, widespread
Corrected December 15, 2023
December 6, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected February 2, 2024
December 6, 2023
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected December 22, 2023
December 6, 2023
Fire safety
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Construction Deficiencies · Tag K0132
E
Potential harm, pattern
Corrected March 28, 2024
December 6, 2023
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected December 21, 2023
December 6, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected December 22, 2023
December 6, 2023
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
D
Potential harm, isolated
Corrected December 22, 2023
December 6, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected January 16, 2024
December 6, 2023
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected December 23, 2023
December 6, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
C
No harm, widespread
Corrected December 7, 2023
December 6, 2023
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
C
No harm, widespread
Corrected December 13, 2023
December 6, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
C
No harm, widespread
Corrected January 6, 2024
December 6, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected December 22, 2023
December 6, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected January 3, 2024

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
DERUYTER, KELLI
Individual
adp of the snfNOT APPLICABLE02/01/2024
GOYAL, ALOK
Individual
adp of the snfNOT APPLICABLE01/01/2025
KARLS, JAMES
Individual
corporate directorNOT APPLICABLE11/11/2024
PRETRE, NICOLE
Individual
corporate officerNOT APPLICABLE05/15/2021
CARLSON, JOSEPH
Individual
managing control - governing bodyNOT APPLICABLE07/01/2021
KATZER, SHERI
Individual
managing control - governing bodyNOT APPLICABLE01/01/2025
KIRKEGAARD, JONATHAN
Individual
managing control - governing bodyNOT APPLICABLE01/01/2025
O' CONNOR, PATRICK
Individual
managing control - governing bodyNOT APPLICABLE01/01/2025
OMEARA, CHARLES
Individual
managing control - governing bodyNOT APPLICABLE01/01/2025
ROSS, THOMAS
Individual
managing control - governing bodyNOT APPLICABLE07/01/2018
WISNEFSKE, MICHAEL
Individual
managing control - governing bodyNOT APPLICABLE07/01/2021
ZWYGART, CHRISTOPHER
Individual
managing control - governing bodyNOT APPLICABLE07/01/2021
BLAUBACH, TRACY
Individual
operational/managerial controlNOT APPLICABLE03/27/2018
DERUYTER, KELLI
Individual
operational/managerial controlNOT APPLICABLE02/01/2024
FULLHART, JENNIFER
Individual
operational/managerial controlNOT APPLICABLE10/03/2022
GOYAL, ALOK
Individual
operational/managerial controlNOT APPLICABLE01/01/2025
MALCHOW, SARAH
Individual
operational/managerial controlNOT APPLICABLE05/13/2019
MILLER, TODD
Individual
operational/managerial controlNOT APPLICABLE11/04/2019

Other nursing homes near Cedar Lake Health and Rehab Center

  1. Pavilion at Glacier Valley

    1900 American Eagle Drive, Slinger, WI 53086 · 6 mi

    For-profit · 106 beds · Part of Fundamental Healthcare

    ★★★★★2Below average
  2. Samaritan Nursing and Rehab

    531 E Washington St, West Bend, WI 53095 · 6.6 mi

    For-profit · 131 beds · Part of Shlomo Hoffman

    • Abuse citation
    ★★★★★1Much below average
  3. Cedarburg Health Services

    N27 W5707 Lincoln Blvd, Cedarburg, WI 53012 · 8.2 mi

    For-profit · 50 beds · Part of North Shore Healthcare

    ★★★★★3Average
  4. Lasata Care Center

    W76 N677 Wauwatosa Rd, Cedarburg, WI 53012 · 8.2 mi

    Government · 106 beds

    ★★★★★5Much above average
  5. Complete Care at Germantown

    W173 N10915 Bernies Way, Germantown, WI 53022 · 11.5 mi

    For-profit · 121 beds · Part of Complete Care

    ★★★★★4Above average
  6. Heritage Health Services

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    For-profit · 50 beds · Part of North Shore Healthcare

    ★★★★★2Below average

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Frequently asked questions

What is Cedar Lake Health and Rehab Center's rating?

Cedar Lake Health and Rehab Center has 5 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.

How many inspection citations did Cedar Lake Health and Rehab Center receive?

Its most recent standard health inspection found 5 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.

Does Cedar Lake Health and Rehab Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Cedar Lake Health and Rehab Center?

It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.

Where is Cedar Lake Health and Rehab Center and how do I contact it?

Cedar Lake Health and Rehab Center is at 5595 Cty Rd Z, West Bend, WI 53095. Phone: (262) 306-2100.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.