West Bend Health and Rehabilitation
203 Fourth Street NW, West Bend, IA 50597 · CCN 165444
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 45
- Avg residents/day
- 41.1
- Phone
- 5158874071
Inspection history vs Iowa & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Iowa avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-01 | 6 | 6.2 | 9.5 | -0.2 better |
| 2 | 2024-03-07 | 9 | 7.0 | 9.8 | +2.0 worse |
| 3 | 2022-12-29 | 9 | 7.9 | 9.3 | +1.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.09 | 53.3% |
| RN staffing (reported) | 0.76 | 50.0% |
| Total nurse staffing (adjusted) | 3.17 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (24)
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-01 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-05-01 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-01 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-05-01 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-05-01 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-01 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-16 · Health · corrected 2025-01-22
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-16 · Health · corrected 2025-01-22
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-16 · Health · corrected 2025-01-22
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-07 · Health · corrected 2024-04-03
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-07 · Health · corrected 2024-04-03
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-07 · Health · corrected 2024-04-03
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-07 · Health · corrected 2024-04-03
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-03-07 · Health · corrected 2024-04-03
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-07 · Health · corrected 2024-04-03
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-01-12 · Health · corrected 2024-01-30
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-07-19 · Health · corrected 2023-07-31
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-12-29 · Health · corrected 2023-01-27
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-12-29 · Health · corrected 2023-01-27
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-29 · Health · corrected 2023-01-27
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-12-29 · Health · corrected 2023-01-27
Potential for more than minimal harm
- EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2022-12-29 · Health · corrected 2023-01-27
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-29 · Health · corrected 2023-01-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-12-29 · Health · corrected 2023-01-27
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GATEWAY HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2011-07-18 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2011-07-18 |
| KLEINSTREUBER, PETER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-11-19 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2011-07-18 |
| KLEINSTREUBER, PETER | Individual | W-2 MANAGING EMPLOYEE | — | 2019-11-19 |
Other facilities in West Bend
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.