West Bend Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at West Bend Nursing and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 9, 2024

  Based on observation, interview and record review, the facility failed to store and serve food in a sanitary manner in the pantries, dining rooms, kitchen and kitchenettes. This had the potential to affect 57 of 57 residents who consumed food from the kitchen, pantries, dining rooms and kitchenettes. Findings include: 1. During the initial kitchen tour with the Culinary and Nutrition Manager (CNM) on [DATE] at 9:45 A.M., [DATE] at 8:30 A.M., [DATE] at 11:20 A.M. and [DATE] at 8:40 A.M. […]

• No harm, potential for more than minimal, patternF812Mar 13, 2026

  Based on observation and interview the facility failed to prepare food under sanitary conditions in 1 of 1 kitchens. This had the potential to affect 66 out of 67 residents who ate food prepared in the kitchen.Finding includes: During a tour of the kitchen on 3/9/2026 at 9: 38 A.M. with the Culinary Manager (CM) the following was noted:-the wall around the handwashing sink was dirty with brown and yellow spots and drips-3 stainless steel skillets were black and brown colored greasy skillet on both the inside and outside surfaces-and the top of 2 water heaters were covered with dust and debris. […]

• No harm, potential for more than minimal, patternF804Oct 25, 2022

  Based on observation, interview, and record review, the facility failed to ensure meals were consistently served at appetizing and safe temperatures for 53 of 55 residents who participated in meal service at the facility, particularly when the facility was aware of food temperature concerns through documented Resident Council Meeting Minutes. Findings include: Resident Council Meeting Minutes were received from the Activities Director on 10/19/22 at 11:15 A.M., the following concerns were noted: Resident Council Meeting Minutes dated 6/23/22 at 1:50 P.M., regarding Nutrition Services, indicated residents a concern with meals being served cold and had to ask to have their meals warmed in the microwave. […]

• No harm, potential for more than minimal, patternF805Oct 25, 2022

  Based on observation, interview and record review, the facility failed to ensure the recipe was followed for puree diet for 4 of 4 residents who receive a puree diet. Finding includes: During an observation, on 10/24/2022 at 10:45 A.M., the Culinary Manager made 5 portions of country fried steak placing the meat in the food processor, ground the meat then added 1 and 3/4 cup of hot water and no food thickener. She then scraped it indicated it was thick enough and placed in pan, covered and place in steamer. During an interview, on 10/24/2022 at 10:55 A.M., the Culinary Manager indicated she did not follow the recipe she did not add the thickener cause she did not think it needed it and she added the wrong amount of water. […]

• No harm, potential for more than minimal, patternF812Oct 25, 2022

  Based on observation, interview and record review, the facility failed to ensure food was stored and prepared in a sanitary manner for 1 of 1 kitchens. In addition, the facility failed to ensure food was stored in a sanitary manner in 1 of 2 nutrition pantries. This deficient practice potentially affected 53 of 55 residents who consumed food. Findings include: 1. During observation on 10/24/2022 at 9:40 A.M., food crumbs were noted on the counter the dishes are drying after being washed. The Culinary Manager lifted up the silverware rack and visible crumbs of food noted. […]