The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
Fort Atkinson Care Center
Registered name: Rock River Nursing & Rehab
FORT ATKINSON, WI · Medicare-certified · 87 beds
Needs attention
Special Focus FacilityFor-profitChain member
Data as of July 1, 2026
Not yet rated
Overall rating: not rated. Fort Atkinson Care Center has special focus status, with no fines in the last 24 months, and reported nurse staffing is 4.36 hours per resident per day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.3564 hrs/resident/day
Quality measures
Last inspection: February 6, 2026Penalties, last 24 months: $0special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3564.
Staffing detail
- Registered nurses
- 0.83
- Licensed practical nurses
- 1.08
- Nurse aides
- 2.45
- Weekend nursing
- 3.87
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 78%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—31.4%—
Residents with a fall causing major injury
0%5%Worsening
Residents with pressure ulcers (bedsores)
8.1%5.8%Improving
Residents with a urinary tract infection
6.7%10%Worsening
Residents who lost too much weight
7.1%4.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.6%10%Improving
Residents whose ability to walk got worse
—5.2%—
Long-stay residents on antianxiety or sleep medication
24.1%19%Improving
Residents with a long-term catheter
3%0%Improving
Residents with new or worsening incontinence
31.2%23.8%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89.1%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—95.8%—
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited January 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: J
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $136,384 in total fines · 3 payment denials.
- 36 days
Medicare/Medicaid payment denial
Jul 23, 2025
- 150 days
Medicare/Medicaid payment denial
Apr 25, 2024
- $119,141
Federal fine
Apr 25, 2024
- 126 days
Medicare/Medicaid payment denial
Oct 16, 2023
- $17,243
Federal fine
Oct 16, 2023
Operator & ownership
Recent ownership change · Oct 1, 2019
Now operated by Fort Atkinson Health Care Center, previously Dycora Transitional Health- Fort Atkinson.
- Ownership
- For profit - Corporation
- Chain
- Part of BEDROCK HEALTHCARE · 9 homes · 1.4 stars avg
- Occupancy
- 27 residents on an average day (31% of 87 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.