Federal inspection record · CMS data as of October 1, 2026

Hope Health and Rehab

438 Ashford Ave., Lomira, WI · (920) 269-4386

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
38
Residents per day
31
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 1998

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wisconsin homes

Hope Health and Rehab carries 35 inspection points. That is fewer than 68% of Wisconsin's 321 rated homes.

5★4★3★2★1★+10 homes above 397.2505102550100200inspection points → fewer is better on the leftThis home · 35 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–11 pts
  • 4★ 11–37 pts
  • 3★ 37–76 pts
  • 2★ 76–130.75 pts
  • 1★ over 130.75 pts

Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

14 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 1 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 1, 2025 · Standard inspection · Quality of Life and Care · F684 · Corrected February 13, 2025

Everything else, by area of care

Nutrition and Dietary4F
  1. F

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

    June 18, 2026 · Complaint · F812 · Corrected July 10, 2026

  2. F

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

    May 1, 2025 · Standard · F812 · Corrected May 29, 2025

  3. D

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    May 1, 2025 · Standard · F809 · Corrected May 29, 2025

  4. F

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

    March 19, 2024 · Standard · F812 · Corrected April 19, 2024

Quality of Life and Care4E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    December 2, 2025 · Complaint · F684 · Corrected December 29, 2025

  2. E

    Provide activities to meet all resident's needs.

    May 1, 2025 · Standard · F679 · Corrected May 29, 2025

  3. D

    Provide appropriate foot care.

    May 1, 2025 · Standard · F687 · Corrected May 29, 2025

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 1, 2025 · Standard · F689 · Corrected May 29, 2025

Resident Rights2D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 1, 2025 · Standard · F580 · Corrected May 29, 2025

  2. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    March 19, 2024 · Standard · F584 · Corrected April 19, 2024

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    May 1, 2025 · Standard · F880 · Corrected May 29, 2025

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    May 1, 2025 · Standard · F883 · Corrected May 29, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    June 18, 2026 · Complaint · F609 · Corrected July 17, 2026

Inspection history

  1. 2026-06-18

    3 health deficiencies · 8 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  2. 2025-05-01

    9 health deficiencies · 7 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2024-03-19

    2 health deficiencies · 5 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 5 h 2 min of nursing staff time a day, 1 h 34 min of it from a registered nurse.

This home

5 h 2 min

Wisconsin average

4 h 15 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 30% of nursing staff and 13% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better100.0%96.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better100.0%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better0.9%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms0.9 pts better5.1%6.0%13.5%
Percentage of long-stay residents who lose too much weight0.4 pts worse5.3%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.6 pts better11.2%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication14.5 pts better1.4%15.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.9 pts worse17.9%17.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.8 pts better11.0%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse2.9%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better1.9%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts worse27.5%23.6%18.3%
Percentage of long-stay residents with pressure ulcers2.6 pts worse7.5%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.4 pts better99.3%86.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit19.7 pts worse35.3%15.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better0.0%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.7 pts better94.9%82.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.7 pts worse28.2%22.5%23.4%

·

Who owns and runs it

4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Kuranz, Steven5% Or Greater Direct Ownership Interest · Individual100%2 facilities
Jokisch, KathleenW-2 Managing Employee · Individual0%2 facilities
Jokisch, KathleenCorporate Officer · Individual0%2 facilities
Kuranz, StevenCorporate Director · Individual0%2 facilities

·

Fire safety

20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. E

    Construct fire resistant interior walls.

    June 18, 2026 · K331 · Corrected July 16, 2026

  2. E

    Install an approved automatic sprinkler system.

    June 18, 2026 · K351 · Corrected June 23, 2026

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    June 18, 2026 · K353 · Corrected July 17, 2026

  4. D

    Install corridor and hallway doors that block smoke.

    June 18, 2026 · K363 · Corrected July 2, 2026

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    May 1, 2025 · K353 · Corrected May 29, 2025

  6. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    May 1, 2025 · K355 · Corrected May 15, 2025

  7. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 1, 2025 · K321 · Corrected May 8, 2025

  8. F

    Install an approved automatic sprinkler system.

    March 19, 2024 · K351 · Corrected April 19, 2024

  9. E

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    March 19, 2024 · K362 · Corrected January 6, 2025

Gas, Vacuum, and Electrical Systems4F
  1. F

    Meet requirements for the use of electrical equipment.

    June 18, 2026 · K919 · Corrected June 29, 2026

  2. D

    Ensure proper usage of power strips and extension cords.

    June 18, 2026 · K920 · Corrected July 9, 2026

  3. F

    Meet requirements for the installation and maintenance of electrical systems.

    May 1, 2025 · K911 · Corrected May 19, 2025

  4. F

    Ensure proper usage of power strips and extension cords.

    March 19, 2024 · K920 · Corrected April 19, 2024

Services2D
  1. D

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    June 18, 2026 · K521 · Corrected July 16, 2026

  2. D

    Have properly installed electrical wiring and gas equipment.

    May 1, 2025 · K511 · Corrected May 5, 2025

Emergency Preparedness2F
  1. F

    Create arrangements with other facilities to receive patients.

    May 1, 2025 · E25 · Corrected May 29, 2025

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    March 19, 2024 · E4 · Corrected April 19, 2024

Miscellaneous2E
  1. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    May 1, 2025 · K761 · Corrected April 25, 2025

  2. C

    Have simulated fire drills held at unexpected times.

    March 19, 2024 · K712 · Corrected April 19, 2024

Construction1E
  1. E

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

    June 18, 2026 · K132 · Corrected June 23, 2026

·

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