Watertown Health Care Center
121 Hospital Dr., Watertown, WI 53098 · (920) 261-9220
For profit - Limited Liability company · 112 certified beds
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Watertown Health Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 23 citations (the Wisconsin average is 9.5). It was fined 5 times in the last three years, $278,229 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. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 12, 2026 found 23 citations. What an inspection citation means
- Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.March 12, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 12, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyMarch 12, 2026 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.March 12, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.March 12, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.March 12, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.March 12, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 12, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 12, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.March 12, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are fully informed and understand their health status, care and treatments.March 12, 2026 · 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.March 12, 2026 · F0553 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.March 12, 2026 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.March 12, 2026 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assess the resident when there is a significant change in conditionMarch 12, 2026 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.March 12, 2026 · F0640 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- PASARR screening for Mental disorders or Intellectual DisabilitiesMarch 12, 2026 · F0645 · 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.March 12, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.March 12, 2026 · F0692 · 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.March 12, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.March 12, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.March 12, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.March 12, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 70 citations.
- 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.July 8, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.July 8, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 8, 2026 · F0657 · 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.July 8, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.July 8, 2026 · F0691 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.July 8, 2026 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 8, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.July 8, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.June 9, 2026 · F0583 · 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 9, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.June 9, 2026 · F0605 · 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.June 9, 2026 · 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.June 9, 2026 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 9, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.June 9, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide medically-related social services to help each resident achieve the highest possible quality of life.June 9, 2026 · F0745 · 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.June 9, 2026 · F0804 · 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.May 18, 2026 · F0550 · 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.May 18, 2026 · 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.May 18, 2026 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 18, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.May 18, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Help the resident with transportation to and from laboratory services outside of the facility.May 18, 2026 · F0774 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or get specialized rehabilitative services as required for a resident.May 18, 2026 · F0825 · 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.March 12, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.March 12, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 12, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 12, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.March 12, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Help the resident with transportation to and from laboratory services outside of the facility.March 12, 2026 · F0774 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.March 12, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 14, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.December 1, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.December 1, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.December 1, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.December 1, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.February 19, 2025 · F0569 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow residents to self-administer drugs if determined clinically appropriate.November 14, 2024 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.November 14, 2024 · F0641 · 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.November 14, 2024 · F0689 · 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.November 14, 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.November 14, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.November 14, 2024 · 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.November 14, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.November 14, 2024 · F0847 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.November 14, 2024 · F0880 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
- Implement a program that monitors antibiotic use.November 14, 2024 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.October 17, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 20, 2024 · F0550 · 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.August 20, 2024 · 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.August 20, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.August 20, 2024 · F0690 · 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.August 20, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Allow residents to self-administer drugs if determined clinically appropriate.July 16, 2024 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to choose his or her attending physician.July 16, 2024 · F0555 · 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 16, 2024 · F0689 · 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.July 16, 2024 · F0837 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 1, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 19, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 19, 2024 · F0609 · 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 4, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 23, 2024 · F0609 · 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.April 23, 2024 · F0689 · 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.March 4, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure each resident must receive and the facility must provide necessary behavioral health care and services.March 4, 2024 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 4, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.January 19, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.January 19, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.January 19, 2024 · F0700 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.January 19, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $176,721October 17, 2024
- Fine of $15,939June 4, 2024
- Fine of $40,072June 4, 2024
- Fine of $8,989March 4, 2024
- Fine of $36,508January 19, 2024
- Medicare payment denial for 43 daysStarting November 15, 2024
- Medicare payment denial for 60 daysStarting August 9, 2024
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 | 3.02 | 4.21 | 3.86 |
| Registered nurses (RN) | 0.42 | 0.99 | 0.69 |
| Licensed practical nurses (LPN) | 0.86 | 0.64 | 0.86 |
| Nurse aides | 1.73 | 2.58 | 2.32 |
| Total nursing staff turnover | 73.6% | 46.9% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 112 |
| Average residents per day | 74 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Marquardt Memorial Manor Watertown · ★★★★★ 2 out of 5 stars
- Hillside Manor Beaver Dam · ★★★★★ 2 out of 5 stars
- Beaver Dam Health Care Center Beaver Dam · ★★★★★ 1 out of 5 stars
- Clearview Brain Injury Center Juneau · ★★★★★ 5 out of 5 stars
- Clearview Juneau · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Watertown Health Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.