CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 5251652026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Samaritan Nursing And Rehab

CMS lists this provider in West Bend, WI, with 131 certified beds, an overall rating of 1/5, and 89 citation rows in the current August 2026 release.

531 E Washington St · West Bend, WI 53095 · Washington County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds131CMS provider file
Recent citation rows89current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Samaritan Nursing And Rehab survey cycles in this release

CMS supplies 3 survey-cycle rows for Samaritan Nursing And Rehab in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-05-18402026-05-187
Cycle 22025-01-29192025-01-298
Cycle 32023-11-0262023-11-029
02 / CITATION DETAIL

Samaritan Nursing And Rehab citations in the current release

CMS reports 89 citation rows, including 4 with G–L codes and 4 with J–L codes.

4 rows carry G–L scope/severity codes; 4 carry J–L. 19 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-18 · HEALTHF0607Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0726Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0732Severity C · widespread; potential for minimal harm

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0761Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0804Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0880Severity F · widespread; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0881Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0883Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · HEALTHF0887Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Correction field: Deficient, Provider has date of correction · 2026-06-11
2026-05-18 · FIREK0225Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Correction field: Deficient, Provider has date of correction · 2026-06-18
2026-05-18 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2026-07-11
2026-05-18 · FIREK0351Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2026-05-26
2026-05-18 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-07-11
2026-05-18 · FIREK0355Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2026-05-19
2026-05-18 · FIREK0761Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Correction field: Deficient, Provider has date of correction · 2026-05-19
2026-05-18 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2026-05-19
2026-04-20 · HEALTHF0600Severity J · isolated immediate jeopardy

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2026-04-21 · complaint
2026-04-20 · HEALTHF0607Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2026-04-21 · complaint
2026-04-20 · HEALTHF0609Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2026-04-21 · complaint
03 / ENFORCEMENT FILE

CMS penalties reported for Samaritan Nursing And Rehab

The August 2026 file contains 3 penalty rows and $210,298 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-11-11Payment Denial$08
2025-10-16Fine$134,8000
2024-10-16Fine$75,4980
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Samaritan Nursing And Rehab

CMS matched 4 ownership disclosure rows to Samaritan Nursing And Rehab; names and roles are reported fields, not independently verified identities.

  • JEIDEL, JACOBIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    60% · since 07/01/2024
  • SHKOP, BENJAMINIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    20% · since 07/01/2024
  • HOFFMAN, SHLOMOIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 07/01/2024
  • SHKOP, BENJAMINIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 07/01/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Samaritan Nursing And Rehab

CMS reports 4.95 total nurse hours and 1.28 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.95per resident day
RN hours1.28per resident day
Weekend nurse hours4.22per resident day
Staff turnover75.7%CMS reported field
06 / LOCAL RECORDS

Facilities published near Samaritan Nursing And Rehab

The local peer set contains 1 other published facility record near West Bend, WI, with separate bed, rating, and citation-row fields.

Open the West Bend ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.