B

CEDAR LAKE HEALTH AND REHAB CENTER

5595 CTY RD Z, WEST BEND, WI 53095
Score: 76 / 100

With a score of 76/100 and a B grade, Cedar Lake Health And Rehab Center is a well-regarded option in West Bend, Wisconsin. The facility performs above average in most CMS categories, placing it in the 71th percentile statewide.

Staffing levels at Cedar Lake Health And Rehab Center exceed national averages, with 4.83 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.54 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 11 deficiencies at Cedar Lake Health And Rehab Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.83 3.8 Above Average
Registered Nurses (RN) 1.54 0.7 Above Average
Licensed Practical Nurses (LPN) 0.35 0.7 Below Average
Certified Nursing Assistants (CNA) 2.95 2.4 Above Average
Weekend Total Nursing 4.21 3.8 Above Average
Weekend RN Hours 1.09 0.7 Above Average

🔍 Inspection & Deficiency History

11
Total Deficiencies
Sep 28, 2025
Most Recent Inspection
🟠 11 Moderate
View recent deficiencies (5 shown)
  • Tag 0610 Severity E
    Respond appropriately to all alleged violations.
    Sep 28, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Sep 28, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Jun 11, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0842 Severity D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Jun 11, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Feb 18, 2025 · Nutrition and Dietary 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 8.8% 4.5% Worse
Falls with major injury 4.8% 3.0% Worse
On antipsychotic medication 10.2% 14.5% Better
Urinary tract infections 2.5% 2.5% Average
ADL decline (daily activities) 19.6% 14.0% Worse
Excessive weight loss 2.0% 7.5% Better
New/worsened incontinence 38.1% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 76 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Church related
Certified Beds
75
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 18, 2025
Deficiencies (Cycle 1)
9