Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Cedar Lake Health and Rehab Center

West Bend, WI · 75 certified beds · Last Life Safety survey April 21, 2026

CMS Certification Number 525465 · first certified July 1990

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

29
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
13
Inspection & testing records
Of the citations on file

Position within WI

29 citations — more than 84% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 10.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 8 months from now. This facility’s last Life Safety survey was April 2026. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

How that compares

Citations on file over three years

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility29WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility29
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
122023-1292025-0282026-04
Citations at each Life Safety survey
Survey dateCitations
December 6, 202312
February 19, 20259
April 21, 20268

Most-cited tags

Most-cited tags at this facility
K-03533K-09202K-03242K-01322K-07121K-09231K-03721K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-04-21
K-0920Ensure proper usage of power strips and extension cords.22026-04-21
K-0324Provide properly protected cooking facilities.22025-02-19
K-0132Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.22026-04-21
K-0712Have simulated fire drills held at unexpected times.12023-12-06
K-0923Have proper medical gas storage and administration areas.12025-02-19
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12025-02-19
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-12-06

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Miscellaneous Deficiencies 4
  • Construction Deficiencies 3
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Gas, Vacuum, and Electrical Systems Deficiencies6
Miscellaneous Deficiencies4
Construction Deficiencies3
Egress Deficiencies3
Services Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 21, 2026 — 8 citations

Citations issued on April 21, 2026
TagWhat the surveyor checksStatus
K-0132Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.Deficient, Provider has date of correction (June 9, 2026)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (April 29, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 4, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 9, 2026)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (May 12, 2026)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (May 6, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 12, 2026)
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.Deficient, Provider has date of correction (June 9, 2026)

February 19, 2025 — 9 citations

Citations issued on February 19, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 7, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 10, 2025)
K-0222Add 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.Deficient, Provider has date of correction (March 12, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 3, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 12, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 7, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (March 6, 2025)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (March 6, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 10, 2025)

December 6, 2023 — 12 citations

Citations issued on December 6, 2023
TagWhat the surveyor checksStatus
K-0132Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.Waiver has been granted (March 28, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 16, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 2, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 7, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (December 23, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (December 22, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 21, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (December 15, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 13, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (December 22, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 6, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 22, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.