Hope Health and Rehab
438 Ashford Ave., Lomira, WI 53048 · Dodge County · 38 certified beds · avg 31 residents/day · certified since Jun 1, 1998
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 1, 2025 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Feb 13, 2025 (Past Non-Compliance)
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 18, 2026 | 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. · from a complaint |
| Jun 18, 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 |
| Dec 2, 2025 | 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 |
| May 1, 2025 | ▲ J · Immediate jeopardy, 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. |
| May 1, 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. |
| May 1, 2025 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 19, 2024 | 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. |
| Mar 19, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | F |
| 2025 | 10 | 1 | J ▲ |
| 2026 | 2 | 0 | F |
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) | 5.39 | 4.29 | 3.95 | top 14% in Wisconsin; top 8% in the U.S. |
| Registered Nurse hours | 1.74 | 1.01 | 0.69 | top 6% in Wisconsin; top 3% in the U.S. |
| Weekend total nurse staffing | 4.64 | 3.84 | 3.50 | top 19% in Wisconsin; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.17 | 0.68 | 0.48 | top 6% in Wisconsin; top 4% in the U.S. |
| Total nursing staff turnover (%) | 22.7 | 46.9 | 45.8 | top 4% in Wisconsin; top 5% in the U.S. |
| RN turnover (%) | 33.3 | 39.7 | 42.9 | top 40% in Wisconsin; top 33% 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 4.95, RN 1.60, weekend 4.26. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kuranz, Steven | Individual | 5% or Greater Direct Ownership Interest | 100% | 12/09/2020 |
| Jokisch, Kathleen | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/15/2007 |
| Jokisch, Kathleen | Individual | Corporate Officer | NOT APPLICABLE | 02/15/2007 |
| Kuranz, Steven | Individual | Corporate Director | NOT APPLICABLE | 02/15/2007 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "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 |
|---|---|---|---|---|---|
| Avina of Mayville | 9.0 mi | Mayville, WI | ★★★☆☆ | 3/5 | |
| Edenbrook of Fond Du Lac | 12.7 mi | Fond Du Lac, WI | ★★★★☆ | 4/5 | |
| Harbor Haven Health & Rehabilitation | 12.9 mi | Fond Du Lac, WI | ★★★★★ | 5/5 | |
| St Francis Home | 13.1 mi | Fond Du Lac, WI | ★★★☆☆ | 3/5 | |
| Avina on Division | 13.2 mi | Fond Du Lac, WI | ★☆☆☆☆ | 1/5 | |
| Fond Du Lac Lutheran Home | 13.6 mi | Fond Du Lac, WI | ★★★☆☆ | 3/5 | |
| Avina of Fond Du Lac | 13.7 mi | Fond Du Lac, WI | ★★☆☆☆ | 2/5 | |
| Complete Care at Christian Home LLC | 16.2 mi | Waupun, WI | ★★☆☆☆ | 2/5 | |
| Clearview | 18.2 mi | Juneau, WI | ★★★★★ | 4/5 | |
| Clearview Brain Injury Center | 18.2 mi | Juneau, WI | ★★★★★ | 5/5 | |
| Cedar Lake Health and Rehab Center | 19.3 mi | West Bend, WI | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 525642.