Nursing HomeInspections

Rock River Nursing & Rehab

Nursing home in Fort Atkinson, WI

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
430 Wilcox St, Fort Atkinson, WI 53538
Phone
(920) 563-5533
Listed under
For-profit
Medicare CCN
525262
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
87
Average residents per day
27
Ownership
For-profit, corporation
Legal business name
Bedrock Hcs at Atkinson LLC
Chain
Bedrock Healthcare (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1979
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525262. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 6, 2026. CMS lists 115 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 16, 2023 to May 6, 2026): 98 from complaint inspections, 10 at the “actual harm” level or higher, including 5 at “immediate jeopardy”.

InspectionCitationSeverity
May 6, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 6, 2026Provide 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 6, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 6, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 6, 2026Provide or obtain dental services for each resident.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 6, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
May 6, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		D
Potential for more than minimal harm, isolated
Feb 6, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 4, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 4, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 4, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 23, 2025Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection		C
Potential for minimal harm, widespread

Showing the 12 most recent of 115. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $136,384 and 3 denials of Medicare payment for new admissions in the last three years.

Jul 23, 2025Payment denial for 36 days from Jul 23, 2025
Apr 25, 2024Fine: $119,141
Apr 25, 2024Payment denial for 150 days from May 24, 2024
Oct 16, 2023Fine: $17,243
Oct 16, 2023Payment denial for 126 days from Nov 14, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.36 hours
Registered nurse (RN) time per resident per day
0.83 hours
Nurse aide time per resident per day
2.45 hours
Total nurse staffing on weekends
3.87 hours
Nursing staff turnover (yearly)
70%
RN turnover (yearly)
78%
Administrators who left in the past year
3

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.