Waters Edge Health and Rehabilitation Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 90 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (31 vs median 7)
- High staff turnover (62%)
- High RN turnover (62%)
Bottom 25% in WI · Below recommended RN staffing · Worst in CHAMPION CARE chain · $54,055 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
While some visitors report positive experiences with the rehab and activities teams, the facility has a recurring pattern of serious allegations regarding resident hygiene, wound care, and safety. If you are considering this facility, we strongly recommend conducting an unannounced visit and specifically inspecting the resident's living area for cleanliness and asking about their protocols for repositioning and hygiene for high-needs residents.
Google Reviews
Google Reviews
90 reviews on Google“Waters Edge Health and Rehabilitation Center receives highly polarized feedback, with some families praising the friendly staff and successful rehab outcomes, while others report severe neglect and safety concerns. Critical issues consistently raised include poor hygiene, inadequate wound care, and understaffing, leading to significant distress for residents and their families. Prospective families should be aware of the stark contrast between positive visitor experiences and reports of substandard long-term care.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and welcoming front-desk staff
- Effective short-term rehabilitation programs
- Engaging activities and events
- Responsive communication from specific nursing leadership
Concerns
- Poor hygiene and lack of basic resident care (bathing, diaper changes, oral care) (mentioned by 8 reviewers)
- Understaffing leading to slow response times and neglect (mentioned by 6 reviewers)
- Unsanitary conditions and unpleasant odors in the facility (mentioned by 5 reviewers)
- Inadequate wound care and medical management (mentioned by 3 reviewers)
- Reports of resident abuse or aggressive staff behavior (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 101 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given the recent focus on facility maintenance, what specific protocols are in place to ensure consistent cleanliness and odor control in resident living areas?
- 2I noticed that your team is active in responding to feedback online; how do you use that communication to improve the daily care and hygiene routines for residents?
- 3With your current staffing levels, how do you ensure that residents receive timely assistance with personal care tasks like bathing and oral hygiene throughout the day and night?
- 4Could you walk me through the clinical oversight process for wound care and medication management to ensure residents receive consistent medical attention?
- 5What steps is the facility taking to improve the overall staffing and training environment to ensure that all residents feel safe and well-supported?
- 6I see that you offer engaging activities and events; how do you ensure these programs are accessible and inclusive for residents who may need extra assistance to participate?
Personalized based on this facility's data
Key Review Excerpts
“My loved one was there only one week and developed a Stage 4 ulcer that lead to sepsis. We had to make Constant phone calls to the Director of Nursing Alexa/Alexis and to the nurses station to make sure that my loved one was getting meds, being turned, and receiving proper care.”
“The CNA responsible, Jahnix, was taken to court by the state with eyewitnesses that saw her shove him so hard that he smashed his head and was bleeding uncontrollably, then sent to the hospital.”
“My sister was put in this place a couple months ago. She is TOTAL CARE!!! And i mean she cant do anything for herself. NOTHING. She has a severe case of cerebral palsy. Her mind is fine but her body isnt. I go to see her every week, she is not being cared for properly she has recieved a bed sore cuz they don’t position her every 2 hours like ive asked them.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
7
measures
5
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Waters Edge Health and Rehabilitation Center shows serious concerns with 98 deficiencies across 11 surveys, half triggered by family and resident complaints. The facility has recurring problems with abuse/neglect protection, medication management, and infection control that persist across multiple years. Recent 2025 inspections continue to find significant issues including failure to protect residents from abuse, medication errors exceeding 5%, and inadequate infection prevention, suggesting ongoing systemic problems that families should carefully consider.
Sep 30, 2025Complaint15
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.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Sep 30, 2025Routine16
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
Aug 20, 2025Complaint2
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jul 8, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 15, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Oct 30, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
May 20, 2024
$54,055
Ownership & Operations
Who Operates This Facility
Waters Edge Health and Rehabilitation Center
for profit
Chain Affiliation
Champion Care
21 facilities nationwide
Chain avg rating: 2.1/5 · Rank 18 of 20 (Worst)
Ownership & Management
Owners
Champion Care LLC
Owner · Organization
Ruvel, Menachem
Owner (parent company)
Weinberg, Yisroel
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
90 reviews from families & visitors
Official Website
Visit watersedge-health.com
Medicare data downloads
Original nursing home datasets
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