Rock River Nursing & Rehab
State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2025-07-23 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-04-17 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-04-17 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-04-17 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-01-15 — IMMEDIATE JEOPARDY (tag F0755, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2025-01-15 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-06-12 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-04-25 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Staffing, from payroll records
Nursing hours / resident / day
3.73
state median 3.58
Weekend staffing gap
−2%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.56
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
3
with residents present
Nursing staff turnover
70%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
5 enforcement action(s), totaling $136,384 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-23 | Payment Denial | payment denial |
| 2024-04-25 | Fine | $119,141 |
| 2024-04-25 | Payment Denial | payment denial |
| 2023-10-16 | Fine | $17,243 |
| 2023-10-16 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Corporation. Part of the BEDROCK HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- INDIGO MANOR (DAYTONA BEACH, FL) —
- Green Meadows Health & Rehabilitation (Mount Washington, KY) —
- Rivers Edge Nursing and Rehab (Muscoda, WI) —
- Watertown Health Care Center (Watertown, WI) —
- Beaver Dam Health Care Center (Beaver Dam, WI) —
- Bayshore Nursing & Rehab (GLENDALE, WI) —
- ABBOTSFORD HEALTH CARE CENTER (ABBOTSFORD, WI) —
- Greendale Park Nursing and Rehab (Greendale, WI) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-02-06 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-12-04 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-12-04 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-04 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-23 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-07-23 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2025-07-23 | F0745 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-23 | F0942 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-23 | F0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-07-23 | F0944 | Administration Deficiencies | D | not recorded |
| 2025-07-23 | F0949 | Administration Deficiencies | E | not recorded |
| 2025-04-17 | F0553 | Resident Rights Deficiencies | D | not recorded |
| 2025-04-17 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-04-17 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-04-17 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-17 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-04-17 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-04-17 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-04-17 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-04-17 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-17 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-17 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-04-17 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2025-04-17 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2025-04-17 | F0926 | Environmental Deficiencies | E | not recorded |
| 2025-01-15 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-15 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-01-15 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-01-15 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-01-15 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-15 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-01-15 | F0730 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-01-15 | F0755 | Pharmacy Service Deficiencies | J | not recorded |
| 2025-01-15 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-01-15 | F0837 | Administration Deficiencies | F | not recorded |
| 2025-01-15 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-15 | F0941 | Administration Deficiencies | F | not recorded |
| 2025-01-15 | F0942 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-15 | F0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-01-15 | F0944 | Administration Deficiencies | F | not recorded |
| 2025-01-15 | F0945 | Infection Control Deficiencies | D | not recorded |
| 2025-01-15 | F0946 | Administration Deficiencies | F | not recorded |
| 2025-01-15 | F0949 | Administration Deficiencies | F | not recorded |
| 2024-09-11 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-11 | F0553 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-11 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-11 | F0559 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-11 | F0563 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-11 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-11 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-09-11 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-11 | F0660 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-11 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-11 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-11 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-11 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-11 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-11 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-09-11 | F0726 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-09-11 | F0745 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-11 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-09-11 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-11 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-11 | F0814 | Nutrition and Dietary Deficiencies | C | not recorded |
| 2024-09-11 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-09-11 | F0925 | Environmental Deficiencies | F | not recorded |
| 2024-07-24 | F0837 | Administration Deficiencies | F | not recorded |
| 2024-06-12 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-12 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-12 | F0660 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-12 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-12 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-06-12 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-12 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-04-25 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-25 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-25 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-25 | F0625 | Resident Rights Deficiencies | E | not recorded |
| 2024-04-25 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-25 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-04-25 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-04-25 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-04-25 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-25 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-04-25 | F0742 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-25 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-04-25 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-04-25 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-04-25 | F0807 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-04-25 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-04-25 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-03-07 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-07 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-21 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-12 | F0572 | Resident Rights Deficiencies | E | not recorded |
| 2023-12-12 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-12-12 | F0678 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-12 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-12 | F0804 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-12-12 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-10-16 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-16 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-16 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-16 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2023-10-16 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2023-10-16 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-16 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-16 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-10-16 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-10-16 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-10-16 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-16 | F0804 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-10-16 | F0805 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-10-16 | F0810 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-10-16 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-10-16 | F0814 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-10-16 | F0825 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-10-16 | F0880 | Infection Control Deficiencies | D | not recorded |