With a score of 13/100, Waters Edge Health And Rehabilitation Center ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Waters Edge Health And Rehabilitation Center is near the national average, with 3.65 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 74 deficiencies at Waters Edge Health And Rehabilitation Center, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.65 | 3.8 | Average |
| Registered Nurses (RN) | 0.54 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.91 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.19 | 2.4 | Average |
| Weekend Total Nursing | 3.33 | 3.8 | Below Average |
| Weekend RN Hours | 0.42 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Sep 29, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0610 Severity KRespond appropriately to all alleged violations.Sep 29, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0835 Severity KAdminister the facility in a manner that enables it to use its resources effectively and efficiently.Sep 29, 2025 · Administration Deficiencies
- Tag 0744 Severity GProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Sep 29, 2025 · Quality of Life and Care Deficiencies
- Tag 0745 Severity GProvide medically-related social services to help each resident achieve the highest possible quality of life.Sep 29, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.8% | 4.5% | Worse |
| Falls with major injury | 2.8% | 3.0% | Average |
| On antipsychotic medication | 25.4% | 14.5% | Worse |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 12.9% | 14.0% | Average |
| Excessive weight loss | 6.5% | 7.5% | Better |
| New/worsened incontinence | 19.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $54,055
How This Grade Was Calculated
This facility's grade of F is based on a score of 13 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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