CEDAR LAKE HEALTH AND REHAB CENTER
5595 CTY RD Z, WEST BEND, WI 53095 · CCN 525465
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Church related
- Certified beds
- 75
- Avg residents/day
- 56.1
- Phone
- 2623062100
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-19 | 9 | 9.8 | 9.5 | -0.8 better |
| 2 | 2023-12-06 | 2 | 9.2 | 9.8 | -7.2 better |
| 3 | 2022-09-22 | 0 | 8.3 | 9.3 | -8.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.83 | 36.5% |
| RN staffing (reported) | 1.54 | 23.8% |
| Total nurse staffing (adjusted) | 4.85 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (11)
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-29 · Health · corrected 2025-12-17
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2025-09-29 · Health · corrected 2025-12-17
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-06-12 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-12 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-02-19 · Health · corrected 2025-03-19
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-19 · Health · corrected 2025-03-19
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-02-19 · Health · corrected 2025-03-19
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-19 · Health · corrected 2025-03-19
Potential for more than minimal harm
- DF0887Educate 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.2025-02-19 · Health · corrected 2025-03-19
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-06 · Health · corrected 2024-01-03
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-06 · Health · corrected 2023-12-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BLAUBACH, TRACY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-03-27 |
| DERUYTER, KELLI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| FULLHART, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-10-03 |
| GOYAL, ALOK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| MALCHOW, SARAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-13 |
| MILLER, TODD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-11-04 |
| KARLS, JAMES | Individual | CORPORATE DIRECTOR | — | 2024-11-11 |
| PRETRE, NICOLE | Individual | CORPORATE OFFICER | — | 2021-05-15 |
Other facilities in WEST BEND
| Name | Overall | Beds |
|---|---|---|
| SAMARITAN NURSING AND REHAB | ★☆☆☆☆ | 131 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.