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Rock River Nursing & Rehab

Open-data reference.

Rock River Nursing & Rehab is a for profit - corporation facility in FORT ATKINSON, WI with 87 certified beds and a -star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $136K.

430 WILCOX ST, FORT ATKINSON, WI 53538

Phone: 9205635533

Overall Rating

N/A

Health Inspection

N/A

Staffing

N/A

Quality Measures

N/A

Long-Stay Quality

N/A

Facility Information

Provider Number
525262
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
87
Residents
23
In Hospital
No
County
Jefferson
Last Inspection
Dec 4, 2025
Special Focus
SFF

Staffing Data

RN Hours
N/A (nat'l avg: 0.68)
LPN Hours
N/A
CNA Hours
N/A
Total Nursing Hours
N/A (nat'l avg: 3.89)
PT Hours
N/A
Nursing Turnover
77.0%
RN Turnover
92.9%

What the CMS Record Reveals About Rock River Nursing & Rehab

Rock River Nursing & Rehab operates 87 certified beds in FORT ATKINSON, WI with approximately 23 residents currently in care, and carries a CMS overall rating of no current rating. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (N/A★), staffing levels (N/A★), and quality measures (N/A★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $136K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. This facility is currently designated "SFF" under the CMS Special Focus Facility program, reserved for providers with a persistent pattern of serious quality problems.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Rock River Nursing & Rehab falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 77.0%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Dec 4, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 13, 2026

E — Pattern - Minimal harm Jul 23, 2025 Tag: 0949

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Category: Administration Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0942

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Category: Resident Rights Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 28, 2025

C — Widespread - No harm Jul 23, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 28, 2025

K — Pattern - Jeopardy Jul 23, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: May 23, 2025

F — Widespread - Minimal harm Apr 17, 2025 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: May 23, 2025

F — Widespread - Minimal harm Apr 17, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 23, 2025

F — Widespread - Minimal harm Apr 17, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: May 23, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 23, 2025

E — Pattern - Minimal harm Apr 17, 2025 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: May 23, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: May 23, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: May 23, 2025

G — Isolated - Actual harm Apr 17, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 23, 2025

G — Isolated - Actual harm Apr 17, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: May 23, 2025

J — Isolated - Jeopardy Apr 17, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 23, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 23, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: May 23, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 23, 2025

F — Widespread - Minimal harm Jan 15, 2025 Tag: 0949

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Category: Administration Deficiencies

Corrected: Feb 13, 2025

F — Widespread - Minimal harm Jan 15, 2025 Tag: 0946

Provide training in compliance and ethics.

Category: Administration Deficiencies

Corrected: Feb 13, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0945

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Category: Infection Control Deficiencies

Corrected: Feb 13, 2025

F — Widespread - Minimal harm Jan 15, 2025 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Feb 13, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 13, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0942

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Category: Resident Rights Deficiencies

Corrected: Feb 13, 2025

F — Widespread - Minimal harm Jan 15, 2025 Tag: 0941

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Category: Administration Deficiencies

Corrected: Feb 13, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 13, 2025

F — Widespread - Minimal harm Jan 15, 2025 Tag: 0837

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.

Category: Administration Deficiencies

Corrected: Feb 13, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Feb 13, 2025

J — Isolated - Jeopardy Jan 15, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Feb 13, 2025

F — Widespread - Minimal harm Jan 15, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 13, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 13, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 13, 2025

J — Isolated - Jeopardy Jan 15, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 23, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 13, 2025

E — Pattern - Minimal harm Jan 15, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Feb 13, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Feb 13, 2025

F — Widespread - Minimal harm Sep 11, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Oct 18, 2024

D — Isolated - Minimal harm Sep 11, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 18, 2024

C — Widespread - No harm Sep 11, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 18, 2024

D — Isolated - Minimal harm Sep 11, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Oct 18, 2024

D — Isolated - Minimal harm Sep 11, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 18, 2024

E — Pattern - Minimal harm Sep 11, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 18, 2024

D — Isolated - Minimal harm Sep 11, 2024 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 18, 2024

E — Pattern - Minimal harm Sep 11, 2024 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 18, 2024

E — Pattern - Minimal harm Sep 11, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 18, 2024

D — Isolated - Minimal harm Sep 11, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 18, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 89.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 71.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 4.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 27.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 89.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 9.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 27.0% Yes

Penalty History 2 penalties totaling $136K

Date Type Amount
Jul 23, 2025 Payment Denial -
Apr 25, 2024 Fine $119K
Apr 25, 2024 Payment Denial -
Oct 16, 2023 Fine $17K
Oct 16, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Rock River Nursing & Rehab?
Rock River Nursing & Rehab has an overall CMS rating of null out of 5 stars. This rating combines health inspection results (null★), staffing levels (null★), and quality measures (null★).
What are the staffing levels at Rock River Nursing & Rehab?
Rock River Nursing & Rehab reports N/A total nursing hours per resident day (national average: 3.89). RN hours are N/A per resident day (national average: 0.68). Nursing staff turnover is 77.0%.
How many beds does Rock River Nursing & Rehab have?
Rock River Nursing & Rehab has 87 certified beds with approximately 23 residents. The facility is located at 430 WILCOX ST, FORT ATKINSON, WI 53538.
Does Rock River Nursing & Rehab have any deficiencies on record?
Yes, Rock River Nursing & Rehab has 50 deficiencies on record from recent inspections. Of these, 6 are classified as causing actual harm or jeopardy.
Has Rock River Nursing & Rehab received any fines or penalties?
Yes, Rock River Nursing & Rehab has received 2 penalties totaling $136K.
Who owns Rock River Nursing & Rehab?
Rock River Nursing & Rehab is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Rock River Nursing & Rehab last inspected?
The most recent health inspection for Rock River Nursing & Rehab was on Dec 4, 2025. The facility received a health inspection rating of null out of 5 stars.
What quality measures are tracked for Rock River Nursing & Rehab?
Rock River Nursing & Rehab is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial