B84

CEDAR LAKE HEALTH AND REHAB CENTER

Grade B 84/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
3/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

75

Ownership

Non profit - Church related

Total Fines

None

Last Survey

N/A

5595 CTY RD Z, WEST BEND, WI 53095
2623062100

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.54h
LPN
0.35h
CNA
2.96h
Total
4.85h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

BLAUBACH, TRACY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2018

DERUYTER, KELLI

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2024

FULLHART, JENNIFER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2022

GOYAL, ALOK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

MALCHOW, SARAH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2019

MILLER, TODD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2019

KARLS, JAMES

IndividualCORPORATE DIRECTORSince Nov 2024

PRETRE, NICOLE

IndividualCORPORATE OFFICERSince May 2021

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (11)

September 29, 2025Health2 deficiencies
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 17, 2025
0610EMinimal harm, Pattern

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 17, 2025
June 12, 2025Health2 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 30, 2025
0842DMinimal harm, Isolated

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

Corrected Jun 30, 2025
February 19, 2025Health5 deficiencies
0623DMinimal harm, Isolated

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

Corrected Mar 19, 2025
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Mar 19, 2025
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Mar 19, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Mar 19, 2025
0887DMinimal harm, Isolated

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

Corrected Mar 19, 2025
December 6, 2023Health2 deficiencies
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jan 3, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Dec 22, 2023

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Frequently Asked Questions

What is the CareGrader rating for CEDAR LAKE HEALTH AND REHAB CENTER?

CEDAR LAKE HEALTH AND REHAB CENTER in WEST BEND, Wisconsin has a CareGrader grade of B (Good), with a composite score of 83.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for CEDAR LAKE HEALTH AND REHAB CENTER?

CEDAR LAKE HEALTH AND REHAB CENTER has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does CEDAR LAKE HEALTH AND REHAB CENTER have?

CEDAR LAKE HEALTH AND REHAB CENTER has 11 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does CEDAR LAKE HEALTH AND REHAB CENTER have?

CEDAR LAKE HEALTH AND REHAB CENTER has 75 certified beds with approximately 56 current residents (75% occupancy). The facility is located at 5595 CTY RD Z, WEST BEND, Wisconsin 53095. It is a non profit - church related facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.