Waters Edge Health and Rehab: Rooms Left Uncleaned - WI
The inspection report documents what inspectors found when they looked closely: full garbage cans, odors in resident bedrooms, stains on resident sheets. It also documents something else — that the facility's own internal walkthrough process left no paper trail at all.
The problem wasn't new. Inspectors reviewed grievances filed between May and August 2025 and found 11 separate complaints from residents about rooms not being cleaned. Each grievance resolution said the same thing: housekeeping was sent in to clean. The underlying question — why rooms weren't being cleaned in the first place — went unanswered each time.
On September 26, a surveyor sat down with a housekeeper identified in the report as Housekeeper-AA. The housekeeper said there should be one housekeeper assigned to each unit and that rooms should be cleaned every day. That doesn't always happen, Housekeeper-AA said, partly because housekeepers are sometimes pulled to clean rooms on units other than their own assignment.
What counts as daily cleaning, according to Housekeeper-AA: emptying the garbage, sweeping, wiping down surfaces, and preparing rooms for new admissions. Deep cleaning — including the bed frame and window interiors — happens once a month.
Then Housekeeper-AA described the body fluid policy. If there is a body fluid spill larger than a quarter cup, housekeeping will not clean it up. That falls to facility staff. And facility staff, Housekeeper-AA acknowledged, can't always get to it right away if they're busy.
The district manager, identified as District Manager-BB, told the surveyor that daily cleaning should include disinfecting surfaces, sweeping, mopping, and cleaning bathrooms. When asked whether there had been concerns about rooms not getting cleaned, District Manager-BB acknowledged being aware of some issues and said there had been walkthroughs to follow up.
The surveyor asked to see documentation from those walkthroughs. There was none. District Manager-BB said the walkthroughs were observational and that no sheets were filled out, no records kept of which rooms were checked or what was found.
A nursing assistant identified as CNA-Z told inspectors that rooms not getting cleaned had been reported but that the CNA wasn't sure what had happened as a result.
On the afternoon of September 2, the surveyor brought the findings directly to the nursing home administrator and the director of nursing — the full list of what residents had complained about, and what the surveyor had personally observed: garbage cans left full, odors in bedrooms, stains on resident sheets.
The facility's own grievance records confirmed what residents had been saying for months. Eleven complaints in four months about the same issue, each one resolved by sending housekeeping to clean a room that should have been cleaned already, none of them prompting a documented change in how cleaning was tracked or staffed.
For the residents living on 2-south during the last weekend of May, there was no cleaning at all for 72 hours.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Waters Edge Health and Rehabilitation Center from 2025-09-30 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 26, 2026 · Our methodology
Waters Edge Health and Rehabilitation Center in KENOSHA, WI was cited for violations during a health inspection on September 30, 2025.
The inspection report documents what inspectors found when they looked closely: full garbage cans, odors in resident bedrooms, stains on resident sheets.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.