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Public Record

Cedar Lake Health and Rehab Center

Nursing HomeWest Bend, WICMS 525465
38 citations on record

From CMS

Facility profile

CMS overall rating
4 / 5

*CMS Five-Star

Certified beds
75

*CMS

Avg. residents per day
53.4

*CMS

Inspection record

On record from CMS

Citations on record
38

*CMS

Inspections on file
7

*CMS

Last inspection
2025-09-29

*CMS

Citations

38 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0609Generalpotential for harm

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

  • 0842Generalpotential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0222Generalpotential for harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  • 0324Generalpotential for harm

    Provide properly protected cooking facilities.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0372Generalpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0521Generalpotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0753Generalpotential for harm

    Have restrictions on the use of highly flammable decorations.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0623Generalpotential for harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0161Generalpotential for harm

    Use approved construction type or materials.

  • 0211Generalpotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0757Generalpotential for harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • 0812Generalpotential for harm

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

  • 0887Generalpotential for harm

    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.

  • 0355Generalpotential for harm

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

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0711Generalpotential for harm

    Provide a written emergency evacuation plan.

  • 0712Generalno actual harm

    Have simulated fire drills held at unexpected times.

  • 0132Generalpotential for harm

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

  • 0812Generalpotential for harm

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

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0353Generalno actual harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0374Generalpotential for harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

  • 0324Generalpotential for harm

    Provide properly protected cooking facilities.

  • 0781Generalpotential for harm

    Have restrictions on the use of portable space heaters.

  • 0918Generalno actual harm

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

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0131Generalpotential for harm

    Meet requirements for sections of health care facilities separated by fire resistive construction.

  • 0225Generalpotential for harm

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

  • 0321Generalpotential for harm

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

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0919Generalpotential for harm

    Meet requirements for the use of electrical equipment.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

FAQ

Questions and answers

What is Cedar Lake Health and Rehab Center?
Cedar Lake Health and Rehab Center is a Medicare- and Medicaid-certified nursing home in West Bend, WI, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 525465.
What is the CMS rating for Cedar Lake Health and Rehab Center?
Cedar Lake Health and Rehab Center has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Cedar Lake Health and Rehab Center have?
Cedar Lake Health and Rehab Center is certified for 75 beds. It serves an average of 53.4 residents per day.
How many citations does Cedar Lake Health and Rehab Center have?
Cedar Lake Health and Rehab Center has 38 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Cedar Lake Health and Rehab Center last inspected?
Cedar Lake Health and Rehab Center was last inspected on September 29, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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