ElderGrade
F

17/100

Poor

Rivers Edge Nursing And Rehab

1000 N. Wisconsin Ave., Muscoda, WI 53573

CMS 1/5 stars #7 of 7 in Grant County (608) 739-3186
Certified beds
58
Occupancy
63%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 6 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $406,985 in federal fines

    CMS has fined this facility across 4 penalty action(s).

  • Nursing staff turnover of 68%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 3 actual-harm citation(s) in the last 3 years
  • -10 for 99 total citations against a national median of 17

Staffing

12/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.1 total nurse hours per resident per day (national median 3.77)
  • 0.98 RN hours per resident per day
  • Weekend staffing drops 15% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 68% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $406,985 in federal fines across 4 action(s)
  • -0 for 3 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.40 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.98 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.90 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 68.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 107 citations

Last standard health inspection: December 1, 2025 (8 months ago).

D Jan 21, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D Jan 21, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Jan 21, 2026 F0745 From a complaint

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

No actual harm, potential for more than minimal harm

D Jan 21, 2026 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

D Dec 5, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

F Dec 1, 2025 F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

F Dec 1, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

F Dec 1, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of BEDROCK HEALTHCARE, which operates 9 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
NICHOLS, KENNETH Individual CONTRACTED MANAGING EMPLOYEE
NICHOLS, KENNETH Individual CORPORATE OFFICER
PRAGER, SHULAMIT Individual CORPORATE OFFICER
OPAL HEALTHCARE NJ LLC Organization OPERATIONAL/MANAGERIAL CONTROL
NICHOLS, KENNETH Individual OPERATIONAL/MANAGERIAL CONTROL
BEDROCK HC WI LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CHOPP, LYNN Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CHOPP, MARTIN Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CHOPP, PNINA Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CHOPP, RACHEL Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CHOPP, SARAH Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
CHOPP, SOLOMON Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Rivers Edge Nursing And Rehab

What is the ElderGrade for Rivers Edge Nursing And Rehab? +

Rivers Edge Nursing And Rehab holds an ElderGrade of F (17 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Rivers Edge Nursing And Rehab? +

Residents receive an average of 3.40 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Rivers Edge Nursing And Rehab been cited for harming residents? +

Yes. 6 of the 107 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Rivers Edge Nursing And Rehab accept Medicaid? +

Yes, Rivers Edge Nursing And Rehab is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.