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Medicare-certifiedSkilled Nursing

Rock River Nursing & Rehab

Fort Atkinson, WisconsinMedicare inspection record
(920) 563-5533

About Rock River Nursing & Rehab

Rock River Nursing & Rehab brings skilled nursing and rehabilitation care to Fort Atkinson, Wisconsin with a focus on recovery and comfort. Our team provides personalized treatment plans designed to help residents regain independence and return home whenever possible, supported by compassionate daily care.

Community at a glance

Capacity

87 residents

Location

Fort Atkinson, WI

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

430 WILCOX ST, Fort Atkinson, Wisconsin 53538

(920) 563-5533

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on May 6, 2026, state inspectors cited 8 health deficiencies (the Wisconsin average is 9.5).

Nurses and nurse aides spend 4 hours 21 minutes with each resident a day, about the same as the Wisconsin average.

Medicare fined Rock River Nursing & Rehab 2 times in the last three years, $211,101 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day4 hours 21 minutes
Registered nurse time per resident, per day50 minutesBelow the Wisconsin average
Nursing staff who left in the past year70%Above the Wisconsin average

3 administrators have left the home in the past year.

Inspections

97 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

May 6, 2026 · Standard inspection · 7 citations

  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 4, 2026
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 4, 2026
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 4, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 4, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 4, 2026
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 4, 2026
  • Provide or obtain dental services for each resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 4, 2026

February 6, 2026 · Complaint investigation · 1 citation

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

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 10, 2026
December 4, 2025 · Standard inspection · 3 citations+
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 13, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 13, 2026
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 13, 2026
July 23, 2025 · Complaint investigation · 7 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Aug 28, 2025
  • Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Aug 28, 2025
  • Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 28, 2025
  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 28, 2025
  • Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Aug 28, 2025
  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 28, 2025
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintCorrected Aug 28, 2025
April 17, 2025 · Standard inspection · 13 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected May 23, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected May 23, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected May 23, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected May 23, 2025
  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected May 23, 2025
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected May 23, 2025
  • Have policies on smoking.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected May 23, 2025
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 23, 2025
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected May 23, 2025
  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 23, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 23, 2025
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 23, 2025
  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 23, 2025
April 17, 2025 · Complaint investigation · 1 citation+
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 23, 2025
January 15, 2025 · Complaint investigation · 18 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Feb 13, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected May 23, 2025
  • Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Feb 13, 2025
  • Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Feb 13, 2025
  • Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Feb 13, 2025
  • Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Feb 13, 2025
  • Provide training in compliance and ethics.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Feb 13, 2025
  • Observe each nurse aide's job performance and give regular training.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Feb 13, 2025
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 13, 2025
  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 13, 2025
  • Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 13, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 13, 2025
  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Feb 13, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 13, 2025
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 13, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 13, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 13, 2025
  • Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 13, 2025
September 11, 2024 · Complaint investigation · 10 citations+
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected Oct 18, 2024
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Oct 18, 2024
  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Oct 18, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Oct 18, 2024
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Oct 18, 2024
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 18, 2024
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 18, 2024
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 18, 2024
  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 18, 2024
  • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 18, 2024

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

2 fines totaling $211,101 and 2 Medicare payment denials in the last three years.

  • July 23, 2025Fine: $91,960
  • July 23, 2025Payment denial, 6 days
  • April 25, 2024Fine: $119,141
  • April 25, 2024Payment denial, 150 days

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Bedrock Hcs at Atkinson LLC
Medicare-certified beds
87
Average residents per day
27
Accepts
Medicare and Medicaid
First certified
June 1, 1979
Part of a chain
Bedrock Healthcare, 9 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
525262

Location

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430 WILCOX STFort Atkinson, WI 53538

12 other communities within 10 miles

Senior living near Fort Atkinson

Questions about Rock River Nursing & Rehab

How did Rock River Nursing & Rehab do on its last inspection?+

State inspectors visited on May 6, 2026 and cited 8 health deficiencies, 1 of them from complaint investigations. The Wisconsin average is 9.5.

How much nursing care does each resident get at Rock River Nursing & Rehab?+

Nurses and aides spend 4 hours 21 minutes with each resident per day, including 50 minutes from registered nurses. 70% of nursing staff left over the past year.

Has Rock River Nursing & Rehab been fined by Medicare?+

Yes. Medicare fined Rock River Nursing & Rehab 2 times in the last three years, totaling $211,101.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Fort Atkinson Skilled Nursing in Wisconsin Skilled Nursing guide Information last updated October 2026