Rock River Nursing & Rehab
Nursing home · 430 WILCOX ST, Fort Atkinson, WI 53538 · Jefferson County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 87
- State license
- 2683
- Medicare CCN
- 525262
- Licensed entity
- BEDROCK HCS AT ATKINSON LLC
- Chain
- BEDROCK HEALTHCARE
- Ownership
- For profit - Corporation
- Phone
- (920) 563-5533
- Nurse staffing
- 4.36 hours per resident per day; 70.2% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 2★ · Quality 2★
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- Jul 23, 2025 — Payment Denial · payment denial 36 days
- Apr 25, 2024 — Fine ($119,141)
- Apr 25, 2024 — Payment Denial · payment denial 150 days
- Oct 16, 2023 — Payment Denial · payment denial 126 days
- Oct 16, 2023 — Fine ($17,243)
Inspection findings
-
May 6, 2026 Health · 7 findings
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Jun 4, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0688 Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected Jun 4, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 4, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Jun 4, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0791 Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Corrected Jun 4, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Jun 4, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0849 Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected Jun 4, 2026 · CMS health inspection
-
Not serious
Scope/severity D
-
Feb 6, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Mar 10, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 4, 2025 Fire Safety · 14 findings
-
Not serious
Scope/severity F
E0004 Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Corrected Jan 5, 2026 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Jan 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Jan 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Jan 13, 2026 · CMS health inspection
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Jan 5, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Dec 19, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Jan 9, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Jan 5, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jan 4, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Feb 6, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Jan 4, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Jan 4, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0761 Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected Jan 4, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jan 4, 2026 · CMS fire safety
-
Not serious
Scope/severity F
-
Jul 23, 2025 Health · 7 findings
-
Serious
Scope/severity K
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity C
Complaint
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0745 Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0942 Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0944 Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0949 Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Aug 28, 2025 · CMS health inspection
-
Serious
Scope/severity K
Complaint
-
Apr 17, 2025 Fire Safety · 33 findings
-
Not serious
Scope/severity F
E0004 Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Corrected May 16, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0007 Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Corrected May 23, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0013 Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Corrected May 23, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0025 Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Corrected May 23, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0031 Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Corrected May 23, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0036 Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Corrected May 23, 2025 · CMS fire safety
-
Not serious
Scope/severity D
F0553 Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 23, 2025 · CMS health inspection
-
Serious
Scope/severity J
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 23, 2025 · CMS health inspection
-
Serious
Scope/severity G
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 23, 2025 · CMS health inspection
-
Serious
Scope/severity G
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0725 Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0882 Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0926 Environmental Deficiencies
Have policies on smoking.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Jul 10, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Jun 6, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0347 Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Corrected Jun 13, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jun 13, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0354 Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected Jun 1, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected May 23, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Jun 9, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Jun 1, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected May 23, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected May 23, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0781 Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Corrected Jun 26, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jun 11, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0925 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Corrected May 23, 2025 · CMS fire safety
-
Not serious
Scope/severity F
-
Jan 15, 2025 Health · 19 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0584 Resident Rights Deficiencies
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 Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Feb 13, 2025 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 23, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0726 Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0730 Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Corrected Feb 13, 2025 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0837 Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0941 Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0942 Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0944 Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0945 Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0946 Administration Deficiencies
Provide training in compliance and ethics.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0949 Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
K0500 Services Deficiencies
Meet other general requirements that are deficient.
Corrected Feb 21, 2025 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
-
Sep 11, 2024 Health · 23 findings
-
Not serious
Scope/severity D
Complaint
F0552 Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0553 Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0559 Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0563 Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0584 Resident Rights Deficiencies
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 Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0660 Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0676 Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0699 Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0725 Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0726 Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0745 Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0758 Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity C
Complaint
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0925 Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected Oct 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 24, 2024 Health · 1 finding
-
Not serious
Scope/severity F
Complaint
F0837 Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected Aug 15, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
-
Jun 12, 2024 Health · 7 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jul 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0585 Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected Jul 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0660 Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Corrected Jul 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 16, 2024 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Oct 21, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0687 Quality of Life and Care Deficiencies
Provide appropriate foot care.
Corrected Jul 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jul 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 25, 2024 Fire Safety · 22 findings
-
Not serious
Scope/severity F
E0006 Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected May 23, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0678 Quality of Life and Care Deficiencies
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 Apr 9, 2024 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Oct 21, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 23, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0807 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected May 23, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 23, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jul 16, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0291 Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0911 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0919 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Mar 7, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Mar 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0697 Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Mar 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 21, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 12, 2023 Health · 6 findings
-
Not serious
Scope/severity E
Complaint
F0572 Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Corrected Jan 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jan 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0678 Quality of Life and Care Deficiencies
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 Jan 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Jan 12, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jan 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Oct 16, 2023 Health · 18 findings
-
Not serious
Scope/severity D
Complaint
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0584 Resident Rights Deficiencies
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 Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0585 Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Nov 10, 2023 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0725 Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0805 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0810 Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0825 Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Nov 10, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
Owners and managers (as published by CMS)
- BREWER, ANTHONY — adp of the snf, NOT APPLICABLE, since 07/08/2025
- BREWER, ANTHONY — operational/managerial control, NOT APPLICABLE, since 07/08/2025
- CHOPP, MARTIN — 5% or greater indirect ownership interest, 20%, since 10/01/2019
- CHOPP, MARTIN — operational/managerial control, NOT APPLICABLE, since 10/01/2019
- CHOPP, MARTIN — adp of the snf, NOT APPLICABLE, since 10/01/2019
- CHOPP, PNINA — operational/managerial control, NOT APPLICABLE, since 10/01/2019
- CHOPP, PNINA — 5% or greater indirect ownership interest, 60%, since 10/01/2019
- CHOPP, PNINA — adp of the snf, NOT APPLICABLE, since 10/01/2019
- CHOPP, SOLOMON — adp of the snf, NOT APPLICABLE, since 10/01/2019
- CHOPP, SOLOMON — operational/managerial control, NOT APPLICABLE, since 10/01/2019
- CHOPP, SOLOMON — 5% or greater indirect ownership interest, 20%, since 10/01/2019
- RAMANUJAM, SANDEEP — operational/managerial control, NOT APPLICABLE, since 02/01/2024
- OPAL HEALTHCARE WI LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2019
- OPAL HEALTHCARE WI LLC — adp of the snf, NOT APPLICABLE, since 03/31/2025
Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.