Lilisity

Nursing home

Rock River Nursing & Rehab

430 Wilcox St, Fort Atkinson, WI 53538 · Map
For profit - Corporation · Part of Bedrock Healthcare (9 facilities) · 87 certified beds

Special Focus Facility
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Rock River Nursing & Rehab is a Medicare-certified nursing home in Fort Atkinson, Wisconsin. Its most recent inspection on Dec 4, 2025 cited 11 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.

Not ratedOverall CMS rating
Not ratedHealth inspections
Not ratedStaffing
87 bedsCertified beds
  • Special Focus FacilityCMS has identified this facility for enhanced oversight.
  • 2 fines totaling $136,384In CMS records: 5 total penalties, 3 Medicare payment denials.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall ratingNo data
Health inspectionsNo data
StaffingNo data
Quality measuresNo data
Long-stay qualityNo data
Short-stay qualityNo data

How Rock River Nursing & Rehab compares

This facility vs. the Wisconsin and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityWisconsin avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)—4.203.89—
RN staffing (hrs/resident/day)—0.970.68—
Aide staffing (hrs/resident/day)—2.592.34—
Nursing staff turnover77.0%47.7%46.4%above avg
Deficiencies cited, last inspection11.09.89.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

—Total nurse hrs/resident/day
—RN hrs/resident/day
—LPN hrs/resident/day
—Aide hrs/resident/day
—Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff77.0%
Registered nurses92.9%
Administrator changes3 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Dec 4, 2025Most recent inspection
11Deficiencies found
165Health inspection score
2Fines

Penalties in CMS records: 2 fines totaling $136,384, 5 total penalties, 3 Medicare payment denials.

What inspectors found at Rock River Nursing & Rehab

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 6, 2026 · Full report (PDF)
  • Potential for harm

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 4, 2025 · Full report (PDF)
  • Potential for harm

    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 Deficiencies · Dec 4, 2025 · Full report (PDF)
  • Potential for harm

    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 Deficiencies · Dec 4, 2025 · Full report (PDF)
  • Immediate jeopardy

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

    Quality of Life and Care Deficiencies · Jul 23, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Administration Deficiencies · Jul 23, 2025 · Full report (PDF)
  • Potential for harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Administration Deficiencies · Jul 23, 2025 · Full report (PDF)
  • Potential for harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 23, 2025 · Full report (PDF)
  • Potential for harm

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Resident Rights Deficiencies · Jul 23, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Jul 23, 2025 · Full report (PDF)
  • Minimal

    Post nurse staffing information every day.

    Nursing and Physician Services Deficiencies · Jul 23, 2025 · Full report (PDF)
  • Immediate jeopardy

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies · Apr 17, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
430 Wilcox St
Fort Atkinson, WI 53538
CMS certification #
525262
Ownership
For profit - Corporation
Certified beds
87
Avg residents/day
22.9
Provider type
Medicare and Medicaid
First certified
1979-06-01
Chain
Bedrock Healthcare (9 facilities)
Setting
Rural

Part of Bedrock Healthcare

Bedrock Healthcare operates 9 nursing facilities across the United States. View all Bedrock Healthcare facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Rock River Nursing & Rehab using Google Maps.

Other public records

Full public records, with dates and sources

Location and nearby care

Nearest hospital with an emergency room
Fort Memorial Hospital, Fort Atkinson. 0.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Alden Estates of Countryside, INC, Jefferson. 4.1 miles away, straight line.
Nearest home health agency office
Mercyhealth At Home, Janesville. 19.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 53538 as micropolitan (micropolitan core).
Dialysis within 15 miles
Davita Fort Atkinson Dialysis, Fort Atkinson, 0.1 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
9 Medicare hospices tell CMS they serve ZIP code 53538.
Rainbow Hospice Care, office in Jefferson, 4.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Nearest geriatric medicine practice
Mercy Health System Corporation, Janesville. 19.9 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
FEMA National Risk Index
Overall: relatively high. By hazard: hurricane very low, inland flooding very high, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record

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Frequently asked questions

Has Rock River Nursing & Rehab had inspection problems?

Its most recent CMS inspection cited 11 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.

How many beds does Rock River Nursing & Rehab have?

Rock River Nursing & Rehab is certified for 87 beds.