Waters Edge Health and Rehabilitation Center
3415 N Sheridan Rd · Kenosha, WI · 53140 · 2626576175
128 certified beds For profit - Corporation Chain: Champion Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations 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.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.82 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.46 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 1 · $54,055 |
Inspection citations (74 in the current record)
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Immediate jeopardy · K September 30, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K September 30, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K September 30, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 4, 2025 · Administration
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Actual harm · G September 30, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected November 4, 2025 · Quality of Life and Care
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Actual harm · G September 30, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected November 4, 2025 · Quality of Life and Care
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Potential for harm · E September 30, 2025 · found via complaint
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 November 4, 2025 · Resident Rights
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Potential for harm · E September 30, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 30, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 4, 2025 · Quality of Life and Care
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Potential for harm · D September 30, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 4, 2025 · Quality of Life and Care
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Potential for harm · F September 30, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 4, 2025 · Environmental
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Potential for harm · E September 30, 2025
Keep residents' personal and medical records private and confidential.
Corrected November 4, 2025 · Resident Rights
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Potential for harm · D September 30, 2025
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 30, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 4, 2025 · Resident Rights
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Potential for harm · D September 30, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 4, 2025 · Quality of Life and Care
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Potential for harm · D September 30, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 4, 2025 · Quality of Life and Care
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Potential for harm · D September 30, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected November 4, 2025 · Pharmacy Service
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Potential for harm · E September 30, 2025
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.
Corrected November 4, 2025 · Pharmacy Service
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Potential for harm · E September 30, 2025
Provide and implement an infection prevention and control program.
Corrected November 4, 2025 · Infection Control
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Potential for harm · D September 30, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected November 4, 2025 · Infection Control
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Potential for harm · D September 30, 2025
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.
Corrected November 4, 2025 · Infection Control
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Potential for harm · D September 30, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 4, 2025 · Quality of Life and Care
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Potential for harm · D September 30, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected November 4, 2025 · Quality of Life and Care
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Potential for harm · E September 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 4, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 20, 2024 | Fine | $54,055 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525281 · certified since December 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.