Crossroads Care Center of Pewaukee

    N26W23977 Watertown Rd, Waukesha, WI, 53188
    2.6 · 60 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    1.0

    Caring staff, chronic understaffing, fatal

    I had a mixed experience. The therapists and several CNAs were excellent and helped with recovery, but chronic understaffing led to long call-light waits, poor hygiene (infrequent showers, bedsores), missed wound/medication care, filthy rooms, missing laundry and bad food. Safety/monitoring failed - cameras and alarms were down, a resident wandered out, was found in a ditch and died 17 days later. I cannot recommend this facility.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.60 · 60 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      2.3
    • Meals

      1.5
    • Amenities

      1.6
    • Value

      1.0

    Pros

    • Dedicated and caring nursing staff (some nurses and CNAs praised)
    • Excellent physical, occupational, and speech therapy/rehab services
    • Therapists are professional, personable, and effective
    • Helpful admissions and discharge coordination
    • Staff who provide regular updates and remember visitors
    • Some reports of attentive nurse practitioners and rehab teams
    • Many families reported improvement and regained independence
    • Accommodating staff in certain shifts or rooms
    • Good short-term rehab outcomes reported by multiple reviewers
    • Occasional clean/well-maintained areas reported

    Cons

    • Widespread reports of filthy, unsanitary facility conditions
    • Dirty linens and sheets not changed unless specifically requested
    • Soiled bandages and bodily fluids observed on floors and showers
    • Long call-light wait times (often 30–60+ minutes)
    • Understaffing resulting in delayed care and assistance
    • Residents left in soiled or wet clothing and unattended after incontinence
    • Bathing and showers frequently postponed or not performed for weeks
    • Medication errors and meds left at bedside or in cups
    • Poor wound care and reports of pressure sores/bed sores
    • Food issues: cold/unidentifiable food, meals taken away, menu not followed
    • Laundry problems: missing clothes, shrinkage, limited towels
    • Facility disrepair: grime, urine smell, dirty carpeting and walls
    • Safety failures: elopement/escape, nonfunctional alarms or cameras
    • Negligent care allegations including refusal of treatments and delayed emergencies
    • Rude or unresponsive administrative/staff behavior and poor communication
    • Billing/emergency ambulance disputes and Medicare/insurance complications
    • Hot/cold water issues and inconsistent utilities
    • Inconsistent quality between shifts; some staff congregate instead of assisting
    • Reports of theft and unethical actions (including social security concerns)
    • Limitations on photos and perceived lack of transparency
    • Poor diabetes management and reactive rather than proactive care
    • End-of-life care concerns and missed pain/medication management
    • Noise, lack of privacy, and crowded/shared rooms
    • Inconsistent housekeeping and pest issues (fruit flies)
    • Some reviewers strongly advise reporting to state authorities or avoiding facility

    Summary review

    Overall sentiment across these reviews is sharply polarized but dominated by serious and recurring concerns. A substantial portion of reviewers describe systemic problems: unsanitary conditions, chronic understaffing, long delays in responding to call lights, medication and care errors, and instances of neglect leading to bed sores, missed showers, and poor wound management. Many families recount multiple specific failures of basic nursing care (dirty linens, soiled bandages left on floors, bowel/urine clean-up delays, and residents left on toilets or in wet clothing for extended periods). Those negative reports are often vivid and consistent across separate reviewers, indicating problems that are not isolated to a single incident or shift.

    Staffing and responsiveness are a dominant theme. Numerous reviews report that call lights can take 30–60 minutes or longer to be answered, that staff congregate at nursing desks or use cell phones instead of attending residents, and that there are simply too few nurses and CNAs on duty to meet resident needs. This understaffing frequently ties into other issues: postponed showers or no showers for weeks, missed medication doses or meds being left in cups, delayed wound care and changing of dressings, and slow or absent diabetes management. Several reviews describe reactive rather than proactive clinical management (for example, action only when blood sugars reach extremely high levels). Families repeatedly cite feeling ignored, needing to verify facts with nurses, and facing unresponsive social work or administration.

    Facility condition and housekeeping receive heavy criticism. Many reviewers describe the building and resident rooms as dirty or in disrepair: grime on walls, urine odors, soiled carpeting, fruit flies around waste baskets, feces or bodily fluids in showers and bathrooms, and a general lack of cleanliness. Laundry problems are frequently mentioned — personal clothing missing or shrunk, shortages of towels and linens, and bedding not changed unless explicitly requested. Food and dining are also problematic in multiple accounts: meals served cold or unidentifiable, breakfast trays left in rooms until evening, menus not followed, and food judged unfit by reviewers. At the same time, some reviewers note that dietary staff can accommodate special diets (for example low-sodium) and that some found the food acceptable.

    Safety and serious incidents are reported by multiple reviewers and include at least one described elopement from a locked facility, alarms and cameras that did not function or alert staff, and a subsequent resident death linked in the account to the escape. Other safety concerns include inadequate monitoring of wandering residents, falls, missed emergency treatments, and alleged refusals of necessary interventions (including breathing treatments and missed pain medications). These accounts, combined with descriptions of medication errors and failure to follow basic care standards, led several reviewers to say they planned to report the facility to state agencies or strongly urge others not to send loved ones there.

    Despite the many negative reports, there is a consistent and strong positive theme around therapy and some individual staff members. Physical, occupational, and speech therapists are repeatedly praised as professional, personable, and effective; multiple reviewers attribute meaningful functional recovery and regained independence to the therapy program. Many families highlight specific staff (nurses, CNAs, therapists, and admissions/discharge staff) as compassionate, attentive, and communicative. For some residents — particularly those there for short-term rehab — experiences are overwhelmingly positive, with excellent outcomes, regular updates, and a sense that staff treated them with respect and dignity.

    Administration and management quality appears inconsistent. A number of reviews point to changes after ownership transitions, reductions in services, or declines in responsiveness. Other complaints include rude or unhelpful social workers, poor communication with families, failure to follow through on care plans, and perceived lack of transparency (for example restrictions on photography). Conversely, some reviewers explicitly praise administrative responsiveness, accommodations for families, and the quality of placement and care coordination after hospital discharges.

    Patterns to note: the most common positive thread is outstanding rehab/therapy and the presence of some genuinely caring staff members. The most common negatives are chronic understaffing, basic hygiene and housekeeping failures, long response times to call lights, medication and wound-care lapses, and occasional severe safety incidents. The experience appears to vary widely by unit, shift, and individual staff; some families had excellent experiences while others reported serious neglect. Given the volume and specificity of negative reports — including safety incidents, medication errors, elopements, and hygiene failures — prospective residents and families should weigh the strong therapy reputation against repeated allegations of inadequate nursing coverage and environmental sanitation. Families already involved with the facility should maintain close oversight, document concerns, escalate issues promptly to management and state regulators when appropriate, and verify care plans and medication administration regularly.

    Location

    Map showing location of Crossroads Care Center of Pewaukee

    About Crossroads Care Center of Pewaukee

    Crossroads Care Center of Pewaukee sits at N26W23977 Watertown Road in Pewaukee, Wisconsin, and has served the community since at least 2010, offering a variety of senior care services in a newly remodeled, private-funded facility that's part of a chain with other locations in Wisconsin and Illinois, including Fond du Lac, Green Bay, Milwaukee, and Kenosha. The care center offers 24-hour skilled nursing care, subacute nursing for those who've been in the hospital or had surgery, and short-term rehabilitation, plus long-term nursing, wound therapy, and an onsite dialysis center, making it possible for residents with simple or complex needs to get help in one place. They've got secure memory care programs for people living with Alzheimer's or dementia and provide occupational, physical, and speech therapies six days a week, along with IV therapies, respite care, and multi-disciplinary onsite therapy.

    There's a focus on teamwork among skilled professionals and a management team that's worked their way up within the facility and who know the importance of helping each department succeed, and the staff is dedicated to getting to know residents and making things as comfortable and homelike as possible, so people feel safe and supported during their stay. Daily life includes group activities, outdoor picnics with music and food, and a variety of social programs for both residents and staff, which give a chance for everyone to interact, try something new, or just have a pleasant day. The facility also partners with hospitals and has connections in the healthcare sector, which helps with more complicated care needs, and they've been steadily working to improve quality across both the building and the care they provide.

    Residents can get help with bathing, medication, grooming, dressing, toileting, getting their laundry done, and eating regular meals, and there's a focus on providing personalized assistance for each person's preferences. Accommodations are available, along with fine dining and frequent activities to keep life interesting, and the grounds are surrounded by picturesque landscapes that give a pleasant view and a sense of a welcoming community. Crossroads Care Center of Pewaukee also offers a learning environment where students can have daily new experiences. The care center maintains a presence on Facebook, and everything from round-the-clock medical care to wound care and rehab therapy is available. While they serve a broad range of residents and bring plenty of amenities, their main focus stays on creating a safe, nurturing environment and a comfortable place to live.

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