nursing home in West Bend, WI
Cedar Lake Health and Rehab Center
5595 Cty Rd Z, West Bend, WI 53095 · (262) 306-2100
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
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.1 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.14 hrs | 4.21 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.62 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.11 hrs | 2.58 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.50 hrs | 3.77 hrs | 3.42 hrs | Better |
| 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) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 31 | 100.3 | 80.6 | Better |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $48,150 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 75 | 77 | 107 | |
| Average residents per day | 54 | 55 | 86 | |
| Occupancy | 71.6% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin 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
| Measure | This facility | Wisconsin 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.
| Date | Citation | Severity | Status |
|---|---|---|---|
| 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.
| Name | Role | Share | Since |
|---|---|---|---|
| DERUYTER, KELLI Individual | adp of the snf | NOT APPLICABLE | 02/01/2024 |
| GOYAL, ALOK Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| KARLS, JAMES Individual | corporate director | NOT APPLICABLE | 11/11/2024 |
| PRETRE, NICOLE Individual | corporate officer | NOT APPLICABLE | 05/15/2021 |
| CARLSON, JOSEPH Individual | managing control - governing body | NOT APPLICABLE | 07/01/2021 |
| KATZER, SHERI Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| KIRKEGAARD, JONATHAN Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| O' CONNOR, PATRICK Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| OMEARA, CHARLES Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| ROSS, THOMAS Individual | managing control - governing body | NOT APPLICABLE | 07/01/2018 |
| WISNEFSKE, MICHAEL Individual | managing control - governing body | NOT APPLICABLE | 07/01/2021 |
| ZWYGART, CHRISTOPHER Individual | managing control - governing body | NOT APPLICABLE | 07/01/2021 |
| BLAUBACH, TRACY Individual | operational/managerial control | NOT APPLICABLE | 03/27/2018 |
| DERUYTER, KELLI Individual | operational/managerial control | NOT APPLICABLE | 02/01/2024 |
| FULLHART, JENNIFER Individual | operational/managerial control | NOT APPLICABLE | 10/03/2022 |
| GOYAL, ALOK Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| MALCHOW, SARAH Individual | operational/managerial control | NOT APPLICABLE | 05/13/2019 |
| MILLER, TODD Individual | operational/managerial control | NOT APPLICABLE | 11/04/2019 |
Other nursing homes near Cedar Lake Health and Rehab Center
Pavilion at Glacier Valley
1900 American Eagle Drive, Slinger, WI 53086 · 6 mi
For-profit · 106 beds · Part of Fundamental Healthcare
★★★★★2Below averageSamaritan 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 averageCedarburg Health Services
N27 W5707 Lincoln Blvd, Cedarburg, WI 53012 · 8.2 mi
For-profit · 50 beds · Part of North Shore Healthcare
★★★★★3Average- ★★★★★5Much above average
Complete Care at Germantown
W173 N10915 Bernies Way, Germantown, WI 53022 · 11.5 mi
For-profit · 121 beds · Part of Complete Care
★★★★★4Above averageHeritage Health Services
1119 N Wisconsin St, Port Washington, WI 53074 · 14.9 mi
For-profit · 50 beds · Part of North Shore Healthcare
★★★★★2Below average
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.