Hope Health and Rehab

438 Ashford Ave · Lomira, WI · 53048 · 9202694386

38 certified beds For profit - Corporation

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar; immediate-jeopardy citation in the current inspection cycle. That rule is part of the published method.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 53
Serious harm & abuse 20% 70
Staffing 20% 91
Federal penalties 15% 100
Trend 10% 21
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.803.48 min · 4.1 strong
RN hours / resident-day1.110.55–0.75
Weekend hours / resident-day4.14≈ weekday level
Nursing turnover / year35%median 45%
Fines (3-yr window)none

Inspection citations (19 in the current record)

  • Potential for harm · D December 2, 2025 · found via complaint

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

    Corrected December 29, 2025 · Quality of Life and Care

  • Immediate jeopardy · J May 1, 2025

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

    Corrected February 13, 2025 · Quality of Life and Care

  • Potential for harm · D May 1, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 29, 2025 · Resident Rights

  • Potential for harm · E May 1, 2025

    Provide activities to meet all resident's needs.

    Corrected May 29, 2025 · Quality of Life and Care

  • Potential for harm · D May 1, 2025

    Provide appropriate foot care.

    Corrected May 29, 2025 · Quality of Life and Care

  • Potential for harm · D May 1, 2025

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

    Corrected May 29, 2025 · Quality of Life and Care

  • Potential for harm · D May 1, 2025

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected May 29, 2025 · Nutrition and Dietary

  • Potential for harm · F May 1, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 29, 2025 · Nutrition and Dietary

  • Potential for harm · D May 1, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 29, 2025 · Infection Control

  • Potential for harm · D May 1, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected May 29, 2025 · Infection Control

  • Potential for harm · D March 19, 2024

    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.

    Corrected April 19, 2024 · Resident Rights

  • Potential for harm · F March 19, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 19, 2024 · Nutrition and Dietary

  • Potential for harm · D January 12, 2023

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected February 12, 2023 · Resident Rights

  • Potential for harm · E January 12, 2023

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected February 12, 2023 · Resident Rights

  • Potential for harm · E January 12, 2023

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected February 12, 2023 · Resident Rights

  • Potential for harm · E January 12, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 12, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D January 12, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected February 12, 2023 · Quality of Life and Care

  • Potential for harm · D January 12, 2023

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

    Corrected February 12, 2023 · Pharmacy Service

  • Potential for harm · D January 12, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected February 12, 2023 · Pharmacy Service

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525642 · certified since June 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.