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Nursing HomeMedicaid Investigative

Samaritan Nursing and Rehab

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

531 E Washington St, West Bend, WI 53095131 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 78 Google reviews

5
4
3
2
1
Samaritan Nursing and Rehab Nursing Home in West Bend, WI — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (29 vs median 7)
  • High staff turnover (77%)
  • High RN turnover (76%)

Bottom 25% in WI · Meets national RN staffing standard · Above recommended total nurse staffing · Very high staff turnover · Worst in SHLOMO HOFFMAN chain · $75,498 in fines

Source: Medicare data

What this means for your family

While the therapy department is highly effective and many staff members are praised for their kindness, there are serious, recurring reports of hygiene neglect and staffing shortages. When touring, we strongly recommend you observe the cleanliness of resident rooms personally and ask management specifically how they ensure call buttons are reachable and toileting needs are met in a timely manner.

Google Reviews

Google Reviews

78 reviews on Google
Samaritan Nursing and Rehab receives polarized feedback, with many praising the therapy department and staff kindness, while others report serious concerns regarding hygiene, malnutrition, and staffing shortages. Families should be aware that while many visitors find the facility clean and the staff attentive, there are recurring reports of neglect, theft, and poor communication during transitions of care. The facility appears to be in a period of adjustment following a recent ownership change.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean6.0Activities9.0Meds5.0Memory8.0Comms4.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Warm, friendly, and professional nursing staff
  • Clean and well-maintained common areas
  • Home-like atmosphere and engaging activities

Concerns

  • Inadequate staffing levels leading to slow response times (mentioned by 3 reviewers)
  • Poor hygiene and toileting assistance for residents (mentioned by 3 reviewers)
  • Inconsistent communication and outdated care plans (mentioned by 2 reviewers)
  • Reports of poor food quality and resident malnutrition (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'12(1)'19(1)'21(1)'24(26)'26(17)

Distribution · 86 analyzed

5
57
4
11
3
3
2
3
1
12

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has a high volume of responses to online feedback; how do you use that family input to improve the daily care experience?
  • 2Given the recent focus on health inspection outcomes, what specific steps is the leadership team taking to address the areas identified for improvement?
  • 3Some families have expressed concerns regarding the consistency of care plans; how do you ensure that family members are kept in the loop when a resident's needs change?
  • 4Since physical and occupational therapy are highlighted as strengths here, how are those services integrated into a resident's daily routine to ensure they stay active?
  • 5Regarding dining, how do you monitor resident nutrition and ensure that meal options are both appealing and meeting individual dietary requirements?
  • 6To help us understand the support level, could you walk us through how the team manages timely assistance for residents who require help with hygiene and toileting?

Personalized based on this facility's data


Key Review Excerpts

The therapy department in 21 days had me walking and standing. Which I think is fantastic. Kirk is one of the therapists who is amazing.

Rehab patient · 2025★★★★★

The food is good, the only major problem is the HELP! they need more people. You have wait more then a bit to get aide.

Visitor · 2025★★★☆☆

My mother has been there for less than 24 hours and her purse with all her credit cards, cash, and identification was stolen right out of her room!

Resident's family · 2025☆☆☆☆
Source: 78 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.30hrs
OK
Registered nurses for medical care
Total Nursing
4.54hrs
OK
All nurses + aides combined
Staff Turnover
78%
Lower is better (< 30% = good)
RN Turnover
75%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.1%
Worse than Avg
Here
26.1%
US
14.4%
WI
16.7%
Washington
12.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility26.3%
Worse than Avg
Here
26.3%
US
15.3%
WI
19.9%
Washington
13.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
WI
5.2%
Washington
9.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.0%
Worse than Avg
Here
25.0%
US
19.4%
WI
25.0%
Washington
19.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility91.5%
Worse than Avg
Here
91.5%
US
95.5%
WI
95.0%
Washington
96.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility18.4%
Worse than Avg
Here
18.4%
US
15.4%
WI
15.9%
Washington
13.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.9%
Better than Avg
Here
90.9%
US
81.8%
WI
86.6%
Washington
83.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility80.6%
Mixed vs Avgs
Here
80.6%
US
79.7%
WI
82.2%
Washington
80.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
1.6%
WI
1.3%
Washington
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

27deficiencies
2penalties
Well above state avg (9.8)
36 complaint-triggered
$75,498 in fines

Samaritan Nursing and Rehab has faced significant complaints from families, with 32 of 73 deficiencies triggered by family reports. The most recurring problems involve quality of care (treatment according to orders, pressure ulcer care, accident prevention), medication management, and nutrition/dietary services. Recent complaints as late as November 2024 included serious issues like abuse protection failures and continued care deficiencies, suggesting persistent problems despite facility corrections.

Mar 11, 2026Complaint
1
0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Nov 11, 2025Complaint
4
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Oct 16, 2025Complaint
6
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Aug 26, 2025Complaint
3
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · PatternCorrected

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

Jul 29, 2025Complaint
2
0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 23, 2025Complaint
6
0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Federal Penalties

Payment Denial

Nov 11, 2025

8-day denial

Fine

Oct 16, 2024

$75,498

Ownership & Operations

Who Operates This Facility

Owner / Operator

Samaritan Nursing and Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

Shlomo Hoffman

Chain Size

10 facilities nationwide

Chain avg rating: 2.4/5 · Rank 6 of 9 (Worst)

Ownership & Management

Owners

Jeidel, Jacob

Owner

60%

Shkop, Benjamin

Owner

20%

Key personnel

Hoffman, ShlomoW-2 Managing EmployeeShkop, BenjaminW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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