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Complaint Investigation

Waters Edge Health And Rehabilitation Center

Inspection Date: September 30, 2025
Total Violations 27
Facility ID 525281
Location KENOSHA, WI
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Inspection Findings

F-Tag F0583

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-09-30.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0584 during a complaint investigation conducted on 2025-09-30.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Immediate Jeopardy

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2025-09-30.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope/Severity Level K: pattern, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0602

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0602 during a standard health inspection conducted on 2025-09-30.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from the wrongful use of the resident's belongings or money.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0609 during a complaint investigation conducted on 2025-09-30.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Immediate Jeopardy

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0610 during a complaint investigation conducted on 2025-09-30.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Respond appropriately to all alleged violations.

Scope/Severity Level K: pattern, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0628

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-30.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0644

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0644 during a complaint investigation conducted on 2025-09-30.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0657

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-30.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0677

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0677 during a complaint investigation conducted on 2025-09-30.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0678

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0678 during a complaint investigation conducted on 2025-09-30.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2025-09-30.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0686 during a complaint investigation conducted on 2025-09-30.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-09-30.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-30.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0698

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2025-09-30.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0744

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0744 during a complaint investigation conducted on 2025-09-30.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0745

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0745 during a standard health inspection conducted on 2025-09-30.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide medically-related social services to help each resident achieve the highest possible quality of life.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0756

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0756 during a complaint investigation conducted on 2025-09-30.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0759

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-09-30.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-30.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0825

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0825 during a complaint investigation conducted on 2025-09-30.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide or get specialized rehabilitative services as required for a resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0835

Administration Deficiencies
Harm Level: Immediate Jeopardy

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0835 during a complaint investigation conducted on 2025-09-30.

Category: Administration Deficiencies

The facility was found deficient in the following area: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Scope/Severity Level K: pattern, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-30.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0883

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2025-09-30.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0887

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2025-09-30.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

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F-Tag F0925

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0925 during a complaint investigation conducted on 2025-09-30.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-04.

📋 Inspection Summary

WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in KENOSHA, WI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WATERS EDGE HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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