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.
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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
3 of 5 overall
West Bend Health and Rehabilitation has a 3-star overall rating, with a 1-star staffing rating that is well below the federal benchmark, while health inspections are 3 stars and quality measures are 5 stars. It had $0 in fines in the last 24 months, but recent citations included staffing coverage, care plan, and food/nutrition service issues.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: May 1, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
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
12.5%13.3%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
3.6%2.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
9.4%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
35.5%3.1%Improving
Residents whose ability to walk got worse
27.6%0%Improving
Long-stay residents on antianxiety or sleep medication
15.6%25%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
30.5%35.4%Worsening
Residents with depressive symptoms
13.9%45.9%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
—94.9%—
Long-stay residents given the pneumonia vaccine
97.2%94.9%Worsening
Short-stay residents given the seasonal flu vaccine
—75%—
Short-stay residents given the pneumonia vaccine
96.4%87%Worsening
What the inspectors found
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited December 2022 — limited pattern, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited December 2022 — limited pattern, potential for harm.
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F-Tag 801 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2022 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited May 2025 — isolated incident, potential for harm.
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F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
Recent history
- 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 · 338 homes · 3.2 stars avg
- Occupancy
- 42.1 residents on an average day (94% 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.