Rock River Nursing & Rehab
430 Wilcox St, Fort Atkinson, WI 53538 · (920) 563-5533
For profit - Corporation · 87 certified beds
Rock River Nursing & Rehab has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 7 citations (the Wisconsin average is 9.5). It was fined 3 times in the last three years, $228,344 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 6, 2026 found 7 citations. What an inspection citation means
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 6, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 6, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 6, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.May 6, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or obtain dental services for each resident.May 6, 2026 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.May 6, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 6, 2026 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 98 citations.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 6, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.December 4, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 23, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Post nurse staffing information every day.July 23, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
- Provide medically-related social services to help each resident achieve the highest possible quality of life.July 23, 2025 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.July 23, 2025 · F0942 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.July 23, 2025 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.July 23, 2025 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide behavior health training consistent with the requirements and as determined by a facility assessment.July 23, 2025 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.April 17, 2025 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.April 17, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.April 17, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.April 17, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.April 17, 2025 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop and implement policies and procedures for flu and pneumonia vaccinations.April 17, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.January 15, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 15, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.January 15, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 15, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 15, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 15, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Observe each nurse aide's job performance and give regular training.January 15, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.January 15, 2025 · F0755 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.January 15, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 15, 2025 · F0837 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.January 15, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.January 15, 2025 · F0941 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.January 15, 2025 · F0942 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.January 15, 2025 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.January 15, 2025 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.January 15, 2025 · F0945 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide training in compliance and ethics.January 15, 2025 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide behavior health training consistent with the requirements and as determined by a facility assessment.January 15, 2025 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that residents are fully informed and understand their health status, care and treatments.September 11, 2024 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow resident to participate in the development and implementation of his or her person-centered plan of care.September 11, 2024 · F0553 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.September 11, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.September 11, 2024 · F0559 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.September 11, 2024 · F0563 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.September 11, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 11, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.September 11, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Plan the resident's discharge to meet the resident's goals and needs.September 11, 2024 · F0660 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.September 11, 2024 · F0676 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.September 11, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.September 11, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 11, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care or services that was trauma informed and/or culturally competent.September 11, 2024 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.September 11, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.September 11, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide medically-related social services to help each resident achieve the highest possible quality of life.September 11, 2024 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 11, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.September 11, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.September 11, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Dispose of garbage and refuse properly.September 11, 2024 · F0814 · Level of harm: Potential for minimal harm · Residents affected: Many
- Provide and implement an infection prevention and control program.September 11, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.September 11, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.July 24, 2024 · F0837 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.June 12, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 12, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Plan the resident's discharge to meet the resident's goals and needs.June 12, 2024 · F0660 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 12, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 12, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate foot care.June 12, 2024 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 12, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.April 25, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.April 25, 2024 · F0678 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 25, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 25, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.April 25, 2024 · F0807 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 25, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.April 25, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 7, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.March 7, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 21, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give residents a notice of rights, rules, services and charges.December 12, 2023 · F0572 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 12, 2023 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.December 12, 2023 · F0678 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 12, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.December 12, 2023 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 12, 2023 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 16, 2023 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow residents to self-administer drugs if determined clinically appropriate.October 16, 2023 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.October 16, 2023 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.October 16, 2023 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.October 16, 2023 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.October 16, 2023 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 16, 2023 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 16, 2023 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.October 16, 2023 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.October 16, 2023 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.October 16, 2023 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.October 16, 2023 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.October 16, 2023 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide special eating equipment and utensils for residents who need them and appropriate assistance.October 16, 2023 · F0810 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 16, 2023 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Dispose of garbage and refuse properly.October 16, 2023 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide or get specialized rehabilitative services as required for a resident.October 16, 2023 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.October 16, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $91,960July 23, 2025
- Fine of $119,141April 25, 2024
- Fine of $17,243October 16, 2023
- Medicare payment denial for 6 daysStarting August 22, 2025
- Medicare payment denial for 150 daysStarting May 24, 2024
- Medicare payment denial for 126 daysStarting November 14, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Wisconsin average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.36 | 4.21 | 3.86 |
| Registered nurses (RN) | 0.83 | 0.99 | 0.69 |
| Licensed practical nurses (LPN) | 1.08 | 0.64 | 0.86 |
| Nurse aides | 2.45 | 2.58 | 2.32 |
| Total nursing staff turnover | 70.2% | 46.9% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 87 |
| Average residents per day | 27 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Alden Estates of Countryside, Inc Jefferson · ★★★★★ 1 out of 5 stars
- Lake Mills Health Services Lake Mills · ★★★★★ 4 out of 5 stars
- Autumn Lake Healthcare at Beloit Beloit · ★★★★★ 2 out of 5 stars
- Beloit Health and Rehabilitation Center Beloit · ★★★★★ 2 out of 5 stars
- Alden Meadow Park HCC Clinton · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Rock River Nursing & Rehab on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.