Samaritan Fields CBRF
Nursing Home Facility
531 E Washington St, West Bend, WI 53095
Samaritan Fields CBRF is a senior care community located in West Bend, WI. It provides assisted living, memory care, nursing home care, and senior living for older adults in the West Bend area. To learn more or schedule a tour, call (262) 335-4500.
Operated by Shlomo Hoffman, which runs 8 communities in our directory.
With 31 beds, Samaritan Fields CBRF is one of the larger communities in the area, senior care communities in West Bend average about 17 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 59% of its licensed beds, so availability is more likely here than at busier communities nearby.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in West Bend average about 3.0 stars. The individual scores differ noticeably: 4 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in May 2026 and recorded 40 deficiencies.
Residents receive about 5.0 hours of nursing care per day on average, including 1.3 hours from a registered nurse. Nursing staff turnover over the past year was about 76%, which is high and can affect continuity of care.
The community is located in Washington County, WI.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 65 problems at Samaritan Fields CBRF. 4 findings involved harm to a resident, including 4 that put residents in immediate danger. 45 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $210,298. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
-
Put residents in immediate danger, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Put residents in immediate danger, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Could cause more than minimal harm, widespread
Infection Control
Provide and implement an infection prevention and control program.
-
Could cause more than minimal harm, a pattern
Pharmacy Service
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.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Show 32 more
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
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.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Could cause more than minimal harm, one or a few residents
Infection Control
Implement a program that monitors antibiotic use.
-
Could cause more than minimal harm, one or a few residents
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
-
Could cause more than minimal harm, one or a few residents
Infection Control
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.
-
Could cause more than minimal harm, widespread
Administration
Hire a qualified full-time social worker in a facility with more than 120 beds.
-
Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
-
Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
-
Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
-
Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Could cause more than minimal harm, a pattern
Pharmacy Service
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.
-
Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Minimal harm or the potential for it, widespread
Nursing and Physician Services
Post nurse staffing information every day.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Samaritan Fields CBRF offers assisted living, memory care, nursing home care, and senior living.
Facility details
- Organization type Government - County
- Beds / units 31
- Religious affiliation Lutheran
- Occupancy 59%
- Nursing hours per resident/day 5.0
- Annual staff turnover 76%
- Last health inspection May 2026
Resident & family reviews
No one has shared a review of Samaritan Fields CBRF yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.