The nursing home failed to protect residents from abuse and neglect by others. Cited April 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Samaritan Health Center
Registered name: Samaritan Nursing and Rehab
West Bend, WI · Medicare-certified · 131 beds
Needs attention
Abuse citationFor-profitChain member
Data as of September 1, 2026
1 of 5 overall
1-star overall. Samaritan Health Center in West Bend has a 1-star health inspection rating, a recent abuse citation, and $236,983 in fines in the last 24 months; staffing is 4 stars and reported nurse staffing is 4.95 hours per resident per day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.9496 hrs/resident/day
Quality measures
Last inspection: May 18, 2026Penalties, last 24 months: $236,983recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9496.
Staffing detail
- Registered nurses
- 1.28
- Licensed practical nurses
- 0.62
- Nurse aides
- 3.05
- Weekend nursing
- 4.22
Hours per resident per day.
Total staff turnover: 76%
Registered nurse turnover: 77%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
22.2%16.7%Improving
Residents with a fall causing major injury
0%7%Worsening
Residents with pressure ulcers (bedsores)
9.6%3.5%Improving
Residents with a urinary tract infection
0%17.5%Worsening
Residents who lost too much weight
9.4%19.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.8%25.7%Worsening
Residents whose ability to walk got worse
—33.9%—
Long-stay residents on antianxiety or sleep medication
12.5%9.8%Improving
Short-stay residents newly given an antipsychotic
1%2.2%Worsening
Residents with a long-term catheter
1.9%1.3%Improving
Residents with new or worsening incontinence
36.6%29.7%Improving
Residents with depressive symptoms
2.7%3.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—91.5%—
Long-stay residents given the pneumonia vaccine
100%94.7%Worsening
Short-stay residents given the seasonal flu vaccine
—80.6%—
Short-stay residents given the pneumonia vaccine
91.6%89%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $26,685 was recorded.
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $134,800 was recorded.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $75,498 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $236,983 in total fines · 1 payment denial.
- 7 days
Medicare/Medicaid payment denial
Nov 11, 2025
- $26,685
Federal fine
Nov 11, 2025
- $134,800
Federal fine
Oct 16, 2025
- $75,498
Federal fine
Oct 16, 2024
Operator & ownership
Recent ownership change · Jul 1, 2024
Now operated by Samaritan Nursing and Rehab LLC, previously Washington County Wisconsin.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SHLOMO HOFFMAN · 10 homes · 2.1 stars avg
- Occupancy
- 77.6 residents on an average day (59% of 131 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.