Cedar Lake Health and Rehab Center

Name: Cedar Lake Health and Rehab Center
Address: 5595 CTY RD Z, West Bend, WI, 53095, US
Telephone: 2623062100

5595 Cty Rd Z, West Bend, WI 53095 · Washington County · 75 certified beds · avg 54 residents/day · certified since Jul 1, 1990

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.13

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 24, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 24, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Apr 21, 2026	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Sep 29, 2025	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Sep 29, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 12, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jun 12, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Feb 19, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 19, 2025	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Feb 19, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Feb 19, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Feb 19, 2025	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Dec 6, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 6, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 1).

Year	Citations	Worst severity that year
2023	2	F
2025	9	F
2026	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Wisconsin avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.13	4.29	3.95	top 19% in Wisconsin; top 11% in the U.S.
Registered Nurse hours	1.62	1.01	0.69	top 9% in Wisconsin; top 4% in the U.S.
Weekend total nurse staffing	4.48	3.84	3.50	top 22% in Wisconsin; top 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.12	0.68	0.48	top 7% in Wisconsin; top 4% in the U.S.
Total nursing staff turnover (%)	37.0	46.9	45.8	top 23% in Wisconsin; top 29% in the U.S.
RN turnover (%)	17.4	39.7	42.9	top 15% in Wisconsin; top 11% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.14, RN 1.62, weekend 4.50. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Blaubach, Tracy	Individual	Operational/Managerial Control	NOT APPLICABLE	03/27/2018
Carlson, Joseph	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2021
Deruyter, Kelli	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2024
Deruyter, Kelli	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2024
Fullhart, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	10/03/2022
Goyal, Alok	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Goyal, Alok	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Karls, James	Individual	Corporate Director	NOT APPLICABLE	11/11/2024
Katzer, Sheri	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Kirkegaard, Jonathan	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Malchow, Sarah	Individual	Operational/Managerial Control	NOT APPLICABLE	05/13/2019
Miller, Todd	Individual	Operational/Managerial Control	NOT APPLICABLE	11/04/2019
O' Connor, Patrick	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Omeara, Charles	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Pretre, Nicole	Individual	Corporate Officer	NOT APPLICABLE	05/15/2021
Ross, Thomas	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2018
Wisnefske, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2021
Zwygart, Christopher	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Pavilion at Glacier Valley	6.0 mi	Slinger, WI	★★☆☆☆	2/5
Samaritan Nursing and Rehab	6.6 mi	West Bend, WI	★☆☆☆☆	1/5	abuse
Lasata Care Center	8.2 mi	Cedarburg, WI	★★★★★	4/5
Cedarburg Health Services	8.2 mi	Cedarburg, WI	★★★☆☆	4/5
Complete Care at Germantown	11.5 mi	Germantown, WI	★★★★☆	4/5
Heritage Health Services	14.9 mi	Port Washington, WI	★★☆☆☆	2/5
Newcastle Place	15.9 mi	Mequon, WI	★★★☆☆	2/5
Avina of Milwaukee	16.3 mi	Milwaukee, WI	★☆☆☆☆	1/5	abuse
Menomonee Falls Health Services	17.1 mi	Menomonee Falls, WI	★★☆☆☆	2/5
Lindengrove Menomonee Falls	17.1 mi	Menomonee Falls, WI	★☆☆☆☆	1/5
Amethyst Health of Brown Deer	17.3 mi	Milwaukee, WI	★☆☆☆☆	1/5	SFF
Bradley Estates Nursing and Rehab LLC	17.9 mi	Milwaukee, WI	★☆☆☆☆	1/5	abuseSFF

Compare this facility with the 3 closest →

All facilities in West Bend →

Facility data as of CMS processing date 2026-08-01. CCN 525465.

The Care File

Visit checklist — Cedar Lake Health and Rehab Center

5595 Cty Rd Z, West Bend, WI 53095 · 2623062100

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 525465 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)