57/100
Average
Rock River Nursing & Rehab
430 Wilcox St, Fort Atkinson, WI 53538
- Certified beds
- 87
- Occupancy
- 31%
- 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.
$228,344 in federal fines
CMS has fined this facility across 3 penalty action(s).
Nursing staff turnover of 70%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Rock River Nursing & Rehab
Rock River runs more nurse hours per resident than the typical U.S. nursing home, and its most recent inspection came in December 2025, so the record isn't stale. The problem is what that record contains: 118 deficiencies, including 10 at the level where residents were actually harmed or put in immediate jeopardy, plus 9 tied to abuse. Two fines total $136,384, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the country's poorest performers. Staffing tells a similar story from the inside. Turnover sits at 70.2% against a national average near 46%, meaning most of the people caring for residents this year likely won't be there next year, and weekend coverage drops about 11% below the home's own weekday level. More hours on paper, but a workforce that keeps emptying out.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
22/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.11 total nurse hours per resident per day (national median 3.77)
- →0.83 RN hours per resident per day
- →Weekend staffing drops 11% against weekdays
Staff stability
0/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →70% of nursing staff left in the last year
- →-2 for 3 administrator departures
Resident outcomes
5/15The 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
0/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$228,344 in federal fines across 3 action(s)
- →-0 for 3 denial(s) of Medicare payment for new admissions
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 6, 2026 (5 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of BEDROCK HEALTHCARE, which operates 9 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Rock River Nursing & Rehab
What is the ElderGrade for Rock River Nursing & Rehab? +
Rock River Nursing & Rehab holds an ElderGrade of C (57 out of 100), which we describe as "average". 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 Rock River Nursing & Rehab? +
Residents receive an average of 4.36 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Rock River Nursing & Rehab been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Rock River Nursing & Rehab accept Medicaid? +
Yes, Rock River Nursing & 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.
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