The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited January 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
Nursing home report
West Bend Health and Rehabilitation
West Bend, IA · Medicare-certified · 45 beds
In good standing
For-profitChain member
Data as of September 1, 2026
5 of 5 overall
West Bend Health and Rehabilitation has an overall 5-star rating, with 4 stars for health inspections, 3 stars for staffing, and 5 stars for quality measures. Reported nurse staffing is 2.94 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months; recent inspection citations included staffing, abuse-prevention, and documentation issues.
Facility ratings
Health inspections
Staffing
2.9359 hrs/resident/day
Quality measures
Last inspection: June 25, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9359.
Staffing detail
- Registered nurses
- 0.59
- Licensed practical nurses
- 0.26
- Nurse aides
- 2.09
- Weekend nursing
- 2.66
Hours per resident per day.
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
13%15.2%Worsening
Residents with a fall causing major injury
2.8%0%Improving
Residents with pressure ulcers (bedsores)
0%2.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.8%2.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.2%8.3%Improving
Residents whose ability to walk got worse
24.8%3.1%Improving
Long-stay residents on antianxiety or sleep medication
20.6%16.7%Improving
Short-stay residents newly given an antipsychotic
—3%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.1%23.6%Improving
Residents with depressive symptoms
51.4%33.3%Improving
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
—94.9%—
Long-stay residents given the pneumonia vaccine
97.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—75%—
Short-stay residents given the pneumonia vaccine
95.8%87%Worsening
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited June 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: D
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited June 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
- Occupancy
- 43.2 residents on an average day (96% of 45 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 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.