Boscobel, WI

Care And Rehab - Boscobel

4-star overall rating with 4-star inspections with $157,729 in total fines with 4 fire-safety deficiencies in the latest cycle

207 Parker St, Boscobel, WI

(608) 375-6342

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

35

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Care & Rehab

Operator or chain grouping

Approved since

1984-11-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 4 overall / 4 health / 4 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.90

Registered nurse staffing · state 0.97 · national 0.68

LPN hours / resident day

0.65

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.79

Nurse aide staffing · state 2.59 · national 2.35

Total nurse hours

4.35

All reported nurse hours · state 4.20 · national 3.89

Licensed hours

1.56

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.73

Weekend nurse staffing · state 3.72 · national 3.43

Weekend RN hours

0.55

Weekend registered nurse coverage · state 0.66 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.88

CMS adjusted RN staffing hours

Adjusted total hours

4.21

CMS adjusted total nurse staffing hours

Case-mix index

1.41

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,613

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

26.20

Composite VBP score used to determine payment impact.

Payment multiplier

0.9841

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.45

Baseline 50.00% · Performance 53.66% · Measure score 2.45 · Achievement 2.45 · Improvement 0

Adjusted total nurse staffing

2.79

Baseline 4.20 hours · Performance 3.87 hours · Measure score 2.79 · Achievement 2.79 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.43%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 36 · Observed rate 8.33% · Lower 95% interval 6.69%
Discharge to community	49.63%	50.57% 0.9 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 43.33% · Lower 95% interval 37.13%
Medicare spending per beneficiary	1.17	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 29 · Denominator 29
Falls with major injury	3.45%	0.77% 2.7 pts worse	Numerator 1 · Denominator 29
Discharge self-care score	35%	53.69% 18.7 pts worse	Numerator 7 · Denominator 20
Discharge mobility score	35%	50.94% 15.9 pts worse	Numerator 7 · Denominator 20
Pressure ulcers or injuries, new or worsened	13.79%	2.29% 11.5 pts worse	Numerator 4 · Denominator 29 · Adjusted rate 14.77%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	12.33%	8.2% 4.1 pts better	Numerator 9 · Denominator 73
Staff flu vaccination coverage	49.31%	42% 7.3 pts better	Numerator 71 · Denominator 144
Discharge function score	40%	56.45% 16.5 pts worse	Numerator 8 · Denominator 20
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.6 0.3 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.0	2.2 0.8 pts worse	1.8 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.2 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.7% 4.3 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.4%	95.0% 2.4 pts better	95.5% 1.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4%
Percentage of long-stay residents experiencing one or more falls with major injury	0.7%	3.2% 2.5 pts better	3.3% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.5%	5.0% 2.5 pts better	11.4% 8.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 3.2% · Q4 3.7% · 4Q avg 2.5%
Percentage of long-stay residents who lose too much weight	4.7%	4.9% 0.2 pts better	5.4% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 0.0% · Q3 3.6% · Q4 4.0% · 4Q avg 4.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.7%	16.6% 2.1 pts worse	19.6% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 4.0% · Q3 25.0% · Q4 32.0% · 4Q avg 18.7%
Percentage of long-stay residents who received an antipsychotic medication	12.0%	16.7% 4.7 pts better	16.7% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 15.0% · Q3 10.0% · Q4 15.0% · 4Q avg 12.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	4.6%	21.1% 16.5 pts better	16.3% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.1%	17.3% 1.8 pts worse	14.9% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 9.5% · Q3 8.7% · Q4 42.9% · 4Q avg 19.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	2.3% 2.3 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	3.0% 3 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.7%	25.5% 4.2 pts worse	19.8% 9.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.3% · Q2 46.0% · Q3 17.7% · Q4 14.0% · 4Q avg 29.7%
Percentage of long-stay residents with pressure ulcers	7.3%	5.5% 1.8 pts worse	5.1% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 6.9% · Q3 7.1% · Q4 9.1% · 4Q avg 7.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.7%	86.8% 2.1 pts worse	81.7% 3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 81.0% · Q3 81.8% · Q4 84.0% · 4Q avg 84.7%
Percentage of short-stay residents who had an outpatient emergency department visit	26.8%	15.0% 11.8 pts worse	12.0% 14.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 28.6% · Expected 11.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.3%	22.7% 2.4 pts better	23.9% 3.6 pts better	Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 19.0% · Expected 22.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-07 · Fire 2025-08-07

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-07-03 · Fire 2024-07-03

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-04-05 · Fire 2023-04-05

0 health deficiencies

No concentrated health issue counts in this cycle.

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-08-13

F · Potential for more than minimal harm 2025-08-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-08

E · Potential for more than minimal harm 2025-08-07

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2025-08-08

E · Potential for more than minimal harm 2025-08-07

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-08-08

E · Potential for more than minimal harm 2024-07-03

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-07-03

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-07-03

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-07-03

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-07-03

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-26

F · Potential for more than minimal harm 2023-04-05

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-04-26

E · Potential for more than minimal harm 2023-04-05

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-04-05

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-04-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-04-05

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-04-26

D · Potential for more than minimal harm 2023-04-05

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-04-26

D · Potential for more than minimal harm 2023-04-05

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-04-21

Inspection history

Recent health citations

J · Immediate jeopardy 2025-01-30

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-02-17

E · Potential for more than minimal harm 2024-07-03

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-07-03

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-07-26

Penalties and ownership

What sits behind the stars

$157,729 2025-01-30

Fine

Fine · fine $157,729

Fine

Ownership

Thayer, Grant

5% Or Greater Direct Ownership Interest · Individual

100% 6 facilities 2010-05-01

Bechtel, Jessica