Federal inspection record · CMS data as of October 1, 2026
Rock River Nursing & Rehab
430 Wilcox St, Fort Atkinson, WI · (920) 563-5533
- Certified beds
- 87
- Residents per day
- 32
- Ownership
- For-Profit
- Chain
- Bedrock Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1979
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Rock River Nursing & Rehab carries 255.5 inspection points. That is fewer than 8% of Wisconsin's 321 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–37 pts
- 3★ 37–76 pts
- 2★ 76–130.75 pts
- 1★ over 130.75 pts
Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
115 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (10)
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care21E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or obtain dental services for each resident.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate foot care.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights21E
- D
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- E
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- E
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
Give residents a notice of rights, rules, services and charges.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Keep residents' personal and medical records private and confidential.
Pharmacy Service11E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Nutrition and Dietary11F
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- C
Dispose of garbage and refuse properly.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Administration9F
- D
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.
- E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- D
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- F
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.
- F
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- F
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- F
Provide training in compliance and ethics.
- F
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- F
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.
Freedom from Abuse, Neglect, and Exploitation9D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Respond appropriately to all alleged violations.
- D
Respond appropriately to all alleged violations.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Respond appropriately to all alleged violations.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Infection Control8F
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services7F
- C
Post nurse staffing information every day.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Observe each nurse aide's job performance and give regular training.
- D
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Assessment and Care Planning6D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Plan the resident's discharge to meet the resident's goals and needs.
Environmental2F
- E
Have policies on smoking.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2026-05-06
8 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-12-04
29 health deficiencies · 20 fire-safety deficiencies
Top issue: Administration (7 deficiencies)
2025-04-17
78 health deficiencies · 15 fire-safety deficiencies
Top issue: Quality of Life and Care (22 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 50 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 50 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 43% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$211,101 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-23 | Fine | $91,960 |
| 2025-07-23 | Payment Denial · 6 day denial | $0 |
| 2024-04-25 | Fine | $119,141 |
| 2024-04-25 | Payment Denial · 150 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts better | 98.9% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6 pts better | 0.0% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts worse | 6.1% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.5 pts better | 16.3% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.1 pts worse | 25.0% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.5 pts better | 5.5% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts better | 13.4% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 1.6% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.2 pts worse | 6.9% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts worse | 24.2% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 5.3% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better | 96.4% | 86.9% | 82.3% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.8 pts better | 100.0% | 82.2% | 80.1% |
·
Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Chopp, Pnina | 5% Or Greater Indirect Ownership Interest · Individual | 60% | 8 facilities |
| Chopp, Martin | 5% Or Greater Indirect Ownership Interest · Individual | 20% | 8 facilities |
| Chopp, Solomon | 5% Or Greater Indirect Ownership Interest · Individual | 20% | 8 facilities |
| Brewer, Anthony | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brewer, Anthony | Adp Of The SNF · Individual | 0% | 1 facilities |
| Chopp, Martin | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Chopp, Martin | Adp Of The SNF · Individual | 0% | 8 facilities |
| Chopp, Pnina | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Chopp, Pnina | Adp Of The SNF · Individual | 0% | 8 facilities |
| Chopp, Solomon | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Chopp, Solomon | Adp Of The SNF · Individual | 0% | 8 facilities |
| Opal Healthcare Wi LLC | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Opal Healthcare Wi LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Ramanujam, Sandeep | Operational/Managerial Control · Individual | 0% | 5 facilities |
·
Fire safety
46 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke17F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Properly provide smoke detection systems in areas open to corridors.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
Emergency Preparedness8F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Develop Emergency Preparedness policies and procedures.
- F
Create arrangements with other facilities to receive patients.
- F
Provide emergency officials' contact information.
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address patient/client population and determine types of services needed.
- F
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems8F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Have proper medical gas storage and administration areas.
- E
Meet requirements for the use of electrical equipment.
Miscellaneous6F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
Services4E
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
- E
Meet other general requirements that are deficient.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress3F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
·
Other homes nearby
-
Alden Estates of Countryside, Inc
Jefferson, WI · The Alden Network
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 52 min
- Fines
- $397,046
-
Lake Mills Health Services
Lake Mills, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 41 min
- Fines
- $120,900
-
Edgerton Care Center, Inc
Edgerton, WI · Wisconsin Illinois Senior Housing, Inc. · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 5 h 13 min
- Fines
- $218,760