Jefferson County, Wisconsin · Nursing home
Rock River Nursing & Rehab
1 of 5 overall from CMS
430 Wilcox St, Fort Atkinson, WI 53538
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 4.36 hours Above the state average of 4.21
- Nursing staff who left in a year 70.2% Above the state average of 46.9%
- Health citations, last 3 inspection cycles 115 10 at the harm level or above
- Fines in 3 years $228,344 3 fines
- Certified beds in use 31.0% of 87 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Rock River Nursing & Rehab is a 87-bed nursing home in Fort Atkinson, Wisconsin (Jefferson County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 4.36 nurse staffing hours per resident per day, above the Wisconsin average of 4.21. CMS lists 3 fines totaling $228,344 in the past three years.
- Certified beds
- 87
- Residents per day (average)
- 27.0
- Certified since
- 1979 (47 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Bedrock Healthcare (9 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Rock River Nursing & Rehab
Chosen from this home's public data.
- CMS lists 3 fines totaling $228,344 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 70.2%, above the Wisconsin average of 46.9%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.87 hours per resident on weekends against 4.36 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Wisconsin average 3.0
- Health inspections 1 of 5 Wisconsin average 2.8
- Staffing 2 of 5 Wisconsin average 3.6
- Quality measures 2 of 5 Wisconsin average 3.0
The vertical line marks the Wisconsin average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.36 h Wisconsin average 4.21
- Nurse aides 2.45 h Wisconsin average 2.58
- Licensed practical nurses 1.08 h Wisconsin average 0.64
- Registered nurses 0.83 h Wisconsin average 0.99
- All staff, weekends 3.87 h Wisconsin average 3.77
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Wisconsin average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover70.2%
- Wisconsin average46.9%
- Registered nurse turnover77.8%
- Wisconsin average39.7%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Wisconsin and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 22.1% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.8% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 7.5% | 2.7% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 5.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% | 95.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 5.2% | 18.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.8% | 16.9% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.1% | 95.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.0% | 5.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.4% | 24.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 31.4% | 15.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.66 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 2.29 | 1.78 |
Short-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.9% | 86.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 82.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 23.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 15.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 115 health deficiencies in the three most recent inspection cycles. Of these, 5 were at the immediate jeopardy level and 5 involved actual harm; the rest were graded as no actual harm. 98 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 23, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 6, 2026 | 8 | 11 |
| Dec 4, 2025 | 52 | 20 |
| Apr 17, 2025 | 55 | 15 |
Wisconsin homes averaged 9.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (115)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 4, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
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.
Administration · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 10, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 13, 2026)
-
DPotential for more than minimal harm, isolated
Develop 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 · Deficient, Provider has date of correction (Jan 13, 2026)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Jan 13, 2026)
-
KImmediate jeopardy, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 28, 2025)
-
EPotential for more than minimal harm, pattern
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 28, 2025)
-
DPotential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 28, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 28, 2025)
-
DPotential for more than minimal harm, isolated
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 28, 2025)
-
DPotential for more than minimal harm, isolated
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Complaint investigation · Administration · Deficient, Provider has date of correction (Aug 28, 2025)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Aug 28, 2025)
-
JImmediate jeopardy, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (May 23, 2025)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (May 23, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 23, 2025)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 23, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 23, 2025)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 23, 2025)
-
EPotential for more than minimal harm, pattern
Have policies on smoking.
Environmental · Deficient, Provider has date of correction (May 23, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 23, 2025)
-
DPotential for more than minimal harm, isolated
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights · Deficient, Provider has date of correction (May 23, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 23, 2025)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 23, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (May 23, 2025)
Showing the 30 most recent of 115.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 23, 2025 | Fine | $91,960 |
| Jul 23, 2025 | Payment Denial | 6 days |
| Apr 25, 2024 | Fine | $119,141 |
| Apr 25, 2024 | Payment Denial | 150 days |
| Oct 16, 2023 | Fine | $17,243 |
| Oct 16, 2023 | Payment Denial | 126 days |
Wisconsin homes averaged 0.9 fines and $48,150 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Wisconsin
- Size108 of 323 by certified beds
- Wisconsin average residents per day54.7
- ChainBedrock Healthcare
- Chain average overall rating1.3 of 5
- Resident or family councilResident
- Homes in Jefferson County3
Common questions
What is the CMS star rating for Rock River Nursing & Rehab?
Rock River Nursing & Rehab has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 2.
How many beds does Rock River Nursing & Rehab have?
Rock River Nursing & Rehab has 87 certified beds. It averages 27.0 residents per day, about 31.0% of its certified beds.
How much nursing care do residents get at Rock River Nursing & Rehab?
The home reports 4.36 hours of nurse staffing per resident per day, including 0.83 hours from registered nurses. The Wisconsin average is 4.21 hours and 0.99 hours from registered nurses.
Has Rock River Nursing & Rehab been fined?
Yes. CMS lists 3 fines totaling $228,344 in the past three years. It also lists 3 payment denials.
Does Rock River Nursing & Rehab accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Alden Estates of Countryside, Inc 120beds 93.9%in use 3.64nurse hours a day
- 4 of 5 Lake Mills Health Services 50beds 56.6%in use 3.54nurse hours a day
- 1 of 5 Edgerton Care Center, Inc 61beds 82.1%in use 4.65nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Jefferson County
Who to call in Wisconsin
These offices serve residents of every nursing home in Wisconsin.
- Long-term care ombudsman Wisconsin Long Term Care Ombudsman Program 1-800-815-0015 (Email: BOALTC@wisconsin.gov.) An advocate for residents and their families.
- File a complaint about a nursing home Division of Quality Assurance (DQA) complaint line 800-642-6552 (Toll-free. DQA also takes complaints through an online Complaint Intake Survey (form F-00607) and its nursing home regional offices.) The state agency that inspects nursing homes.
Wisconsin staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 525262. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.