West Bend Health and Rehabilitation
203 Fourth Street Nw · West Bend, IA · 50597 · 5158874071
45 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 72 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
-
Potential for harm · D May 1, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 16, 2025 · Resident Rights
-
Potential for harm · D May 1, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 1, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 1, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 16, 2025 · Quality of Life and Care
-
Potential for harm · D May 1, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 16, 2025 · Pharmacy Service
-
Potential for harm · D May 1, 2025
Provide and implement an infection prevention and control program.
Corrected May 16, 2025 · Infection Control
-
Potential for harm · D December 16, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 22, 2025 · Resident Rights
-
Potential for harm · D December 16, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 22, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 16, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 22, 2025 · Quality of Life and Care
-
Potential for harm · D March 7, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 7, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 7, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected April 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 7, 2024
Provide and implement an infection prevention and control program.
Corrected April 3, 2024 · Infection Control
-
Potential for harm · D March 7, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 3, 2024 · Resident Rights
-
Potential for harm · D March 7, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E January 12, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 30, 2024 · Nursing and Physician Services
-
Potential for harm · D July 19, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 31, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E December 29, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 27, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D December 29, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 27, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D December 29, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 27, 2023 · Quality of Life and Care
-
Potential for harm · D December 29, 2022
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected January 27, 2023 · Pharmacy Service
-
Potential for harm · E December 29, 2022
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected January 27, 2023 · Nutrition and Dietary
-
Potential for harm · E December 29, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 27, 2023 · Nutrition and Dietary
-
Potential for harm · D December 29, 2022
Provide and implement an infection prevention and control program.
Corrected January 27, 2023 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165444 · certified since November 14, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.