CEDAR LAKE HEALTH AND REHAB CENTER
WEST BEND, WI · 75 beds · Non profit - Church related
Red Flags
No red flags identified.
Green Flags
- ✓ 5-star staffing rating
- ✓ No fines or penalties on record
- ✓ Above-average RN staffing (1.54 hrs vs 1.00 state avg)
Quick Facts
Violation Timeline
September 28, 2025
2 deficiencyiesFreedom from Abuse, Neglect, and Exploitation Deficiencies
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Respond appropriately to all alleged violations.
June 11, 2025
2 deficiencyiesFreedom from Abuse, Neglect, and Exploitation Deficiencies
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Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
February 18, 2025
5 deficiencyiesResident Rights Deficiencies
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care Deficiencies
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nutrition and Dietary Deficiencies
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
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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.
December 5, 2023
2 deficiencyiesQuality of Life and Care Deficiencies
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Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Staffing
A nurse checks on each resident roughly every 4.9 hours on average.
Fines & Penalties
No fines or penalties on record.
Ownership
-
BLAUBACH, TRACY
OPERATIONAL/MANAGERIAL CONTROL
Since since 03/27/2018
Individual -
DERUYTER, KELLI
OPERATIONAL/MANAGERIAL CONTROL
Since since 02/01/2024
Individual -
FULLHART, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
Since since 10/03/2022
Individual -
GOYAL, ALOK
OPERATIONAL/MANAGERIAL CONTROL
Since since 01/01/2025
Individual -
MALCHOW, SARAH
OPERATIONAL/MANAGERIAL CONTROL
Since since 05/13/2019
Individual -
MILLER, TODD
OPERATIONAL/MANAGERIAL CONTROL
Since since 11/04/2019
Individual -
KARLS, JAMES
CORPORATE DIRECTOR
Since since 11/11/2024
Individual -
PRETRE, NICOLE
CORPORATE OFFICER
Since since 05/15/2021
Individual
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