Federal inspection record · CMS data as of October 1, 2026
Samaritan Nursing and Rehab
531 E Washington St, West Bend, WI · (262) 335-4500
- Cited for abuse (CMS abuse icon)
- Certified beds
- 131
- Residents per day
- 75
- Ownership
- For-Profit
- Chain
- Shlomo Hoffman
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 27, 1967
1
How this home got 1 star
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Wisconsin homes
Samaritan Nursing and Rehab carries 371.5 inspection points. That is fewer than 3% of Wisconsin's 321 rated homes.
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
67 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (4)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care16E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service11E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary10F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation9E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Respond appropriately to all alleged violations.
Infection Control6F
- F
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Resident Rights5D
- D
Give the resident's representative the ability to exercise the resident's rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Keep residents' personal and medical records private and confidential.
- 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.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Nursing and Physician Services3D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- C
Post nurse staffing information every day.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Administration2F
- F
Hire a qualified full-time social worker in a facility with more than 120 beds.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspection history
2026-05-18
39 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (11 deficiencies)
2025-01-29
22 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
2023-11-02
6 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 54 min of nursing staff time a day, 1 h 11 min of it from a registered nurse.
This home
5 h 54 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 75% of nursing staff and 74% 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
Fines and payment denials
$236,983 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-11 | Fine | $26,685 |
| 2025-11-11 | Payment Denial · 7 day denial | $0 |
| 2025-10-16 | Fine | $134,800 |
| 2024-10-16 | Fine | $75,498 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.4 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.9 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.8 pts worse | 91.2% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11.5 pts worse | 84.1% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 3.7% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5 pts better | 1.0% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight10.9 pts worse | 15.8% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.5 pts better | 14.3% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts better | 14.2% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened16.8 pts worse | 33.8% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts worse | 24.6% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 1.6% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection6.7 pts worse | 9.4% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts worse | 26.0% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 4.3% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts better | 88.8% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts worse | 18.0% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.1% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 84.4% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts better | 20.5% | 22.5% | 23.4% |
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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
| Name | Role | Share | Homes |
|---|---|---|---|
| Jeidel, Jacob | 5% Or Greater Direct Ownership Interest · Individual | 60% | 4 facilities |
| Shkop, Benjamin | 5% Or Greater Direct Ownership Interest · Individual | 20% | 6 facilities |
| Hoffman, Shlomo | W-2 Managing Employee · Individual | 0% | 5 facilities |
| Shkop, Benjamin | W-2 Managing Employee · Individual | 0% | 6 facilities |
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Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
Egress4F
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have properly located and lighted "Exit" signs.
- D
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.
- D
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.
Miscellaneous4F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have restrictions on the use of portable space heaters.
- C
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Services2F
- D
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness2F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
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Other homes nearby
-
Cedar Lake Health and Rehab Center
West Bend, WI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 13 min
- Fines
- $0
-
Cedarburg Health Services
Cedarburg, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0
-
Lasata Care Center
Cedarburg, WI
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 44 min
- Fines
- $0