1-star Samaritan Nursing and Rehab in West Bend has a very low overall and health inspection rating, with staffing rated 4 stars and nurse staffing at 4.54 hours per resident per day, above the 4.1-hour federal benchmark. It also had $75,498 in fines over the last 24 months and a recent federal penalty.
Last inspection: March 11, 2026Penalties, last 24 months: $75,498recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5406.
Staffing detail
Registered nurses
1.30
Licensed practical nurses
0.46
Nurse aides
2.79
Weekend nursing
3.95
Hours per resident per day.
Total staff turnover: 78%
Registered nurse turnover: 75%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
22.7%13.3%Improving
Residents with a fall causing major injury
0%1.9%Worsening
Residents with pressure ulcers (bedsores)
5.8%2.8%Improving
Residents with a urinary tract infection
2.5%3.7%Worsening
Residents who lost too much weight
10.7%13.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.9%32.4%Worsening
Residents whose ability to walk got worse
—26.3%—
Long-stay residents on antianxiety or sleep medication
13.8%15.8%Worsening
Short-stay residents newly given an antipsychotic
2.3%2.3%No change
Residents with a long-term catheter
2%3.6%Worsening
Residents with new or worsening incontinence
19%26.7%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—91.5%—
Long-stay residents given the pneumonia vaccine
97.6%87%Worsening
Short-stay residents given the seasonal flu vaccine
—80.6%—
Short-stay residents given the pneumonia vaccine
92%89.9%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 nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — 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 November 2023 — 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 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
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: 1 fine · $75,498 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Nov 11, 2025
8 days
Federal fine
Oct 16, 2024
$75,498
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of SHLOMO HOFFMAN · 10 homes · 2.4 stars avg
Occupancy
79.3 residents on an average day (61% 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.