B

HOPE HEALTH AND REHAB

438 ASHFORD AVE, LOMIRA, WI 53048
Score: 76 / 100

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

Staffing levels at Hope Health And Rehab exceed national averages, with 4.81 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.03 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 22 deficiencies at Hope Health And Rehab, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..

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 4.81 3.8 Above Average
Registered Nurses (RN) 1.03 0.7 Above Average
Licensed Practical Nurses (LPN) 0.61 0.7 Below Average
Certified Nursing Assistants (CNA) 3.18 2.4 Above Average
Weekend Total Nursing 4.24 3.8 Above Average
Weekend RN Hours 0.79 0.7 Above Average

🔍 Inspection & Deficiency History

22
Total Deficiencies
Dec 1, 2025
Most Recent Inspection
🟠 21 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Dec 1, 2025 · Quality of Life and Care Deficiencies
  • Tag 0684 Severity J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Apr 30, 2025 · Quality of Life and Care 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.
    Apr 30, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0679 Severity E
    Provide activities to meet all resident's needs.
    Apr 30, 2025 · Quality of Life and Care Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Apr 30, 2025 · Resident Rights 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 7.7% 4.5% Worse
Falls with major injury 4.6% 3.0% Worse
On antipsychotic medication 1.6% 14.5% Better
Urinary tract infections 2.8% 2.5% Worse
ADL decline (daily activities) 10.0% 14.0% Better
Excessive weight loss 2.6% 7.5% Better
New/worsened incontinence 38.7% 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
For profit - Corporation
Certified Beds
38
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 30, 2025
Deficiencies (Cycle 1)
10