Samaritan Nursing and Rehab

531 E Washington St, West Bend, WI 53095 · (262) 335-4500
For profit - Limited Liability company · 131 certified beds

Samaritan Nursing and Rehab has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 14 citations (the Wisconsin average is 9.5). It was fined 3 times in the last three years, $236,983 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on May 18, 2026 found 14 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 18, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.May 18, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.May 18, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.May 18, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 18, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 18, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.May 18, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 18, 2026 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 18, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.May 18, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Implement a program that monitors antibiotic use.May 18, 2026 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.May 18, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 18, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.May 18, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many

Complaint inspections, last three years

Inspections after complaints found 45 citations.

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 20, 2026 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.April 20, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 20, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.April 20, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 20, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 20, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 20, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.April 20, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.April 20, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 20, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Hire a qualified full-time social worker in a facility with more than 120 beds.April 20, 2026 · F0850 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.April 20, 2026 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.March 11, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 11, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.November 11, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 11, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.November 11, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 16, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.October 16, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 16, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 16, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.October 16, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.October 16, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.August 26, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 26, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 26, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 29, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.July 29, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.April 23, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 23, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.April 23, 2025 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.January 29, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 29, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 29, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.January 29, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, quality laboratory services/tests to meet the needs of residents.January 29, 2025 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 29, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 5, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 5, 2024 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 16, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Respond appropriately to all alleged violations.November 2, 2023 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 2, 2023 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.November 2, 2023 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 2, 2023 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.November 2, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many

Fines and payment denials

• Fine of $26,685November 11, 2025
• Fine of $134,800October 16, 2025
• Fine of $75,498October 16, 2024
• Medicare payment denial for 7 daysStarting December 10, 2025

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home