Samaritan Nursing and Rehab: Missing Watch, No Investigation - WI
The family member, identified in inspection records only as the resident's power of attorney for health care, reported the missing watch to the facility's grievance officer on September 24, 2025, roughly two weeks after the man died. The grievance officer said housekeeping and nursing staff looked for it. They couldn't find it.
The facility offered money. The family said no.
The watch had sentimental value, and no amount of reimbursement was going to change that.
What happened next is the part that drew a federal citation. The facility's grievance officer confirmed to an inspector on October 8 that there was no documentation showing anyone had interviewed other residents or staff about the missing watch, or about whether any other personal property had gone missing. The nursing home administrator said the same thing when the inspector spoke with her an hour later.
A thorough investigation, the administrator acknowledged, was not completed.
That acknowledgment sits at the center of the deficiency cited by inspectors during a complaint survey completed October 16, 2025. The violation was tagged at a level of minimal harm or potential for actual harm, and classified as affecting few residents. In the hierarchy of nursing home citations, it is not the most severe. But the facts behind it are straightforward: a man died, something belonging to him disappeared, and the facility never seriously tried to find out what happened to it.
The grievance officer's account to the inspector makes clear that the response was informal at best. Staff were asked to look. Nobody was formally interviewed. No record was made of any inquiry beyond the search itself. When the family's concern was escalated, the facility's answer was a check, not an investigation.
Samaritan Nursing and Rehab is located at 531 East Washington Street in West Bend. The complaint survey that uncovered this deficiency covered 13 pages of findings.
What the inspection report does not say is whose watch it was, how long the resident had owned it, or what made it irreplaceable to the people he left behind. Those details belong to a family that went to a nursing home expecting their relative to be cared for, and left without one of the few things they had to remember him by.
The grievance officer knew the watch had sentimental value. She said so to the inspector. The facility offered reimbursement anyway, which is the kind of response that treats a loss as a transaction. The family declined, which is the kind of response that says this was never about the money.
Somewhere between the death, the missing watch, and the inspector's visit two weeks later, no one at the facility sat down with staff and asked what they knew.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Samaritan Nursing and Rehab from 2025-10-16 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 24, 2026 · Our methodology
Samaritan Nursing and Rehab in West Bend, WI was cited for violations during a health inspection on October 16, 2025.
The grievance officer said housekeeping and nursing staff looked for it.
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.