Rivers Edge Nursing and Rehab
A nursing home in Muscoda, Wisconsin 53573
1000 N. Wisconsin Ave., Muscoda, Wisconsin 53573. (608) 739-3186.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 23 health citations at the latest inspection cycle Wisconsin average: 9.4
- 3.89 nurse hours per resident per day Wisconsin average: 4.25
- 4 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
23 health citations at the latest inspection cycle
The Wisconsin average is 9.4.
Last standard inspection Dec 1, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Aug 20, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
100 citations in 13 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 100 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 73 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 20, 2026: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jun 16, 2026: complaint inspection4 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide care or services that was trauma informed and/or culturally competent.
Jan 21, 2026: complaint inspection4 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Ensure that residents are free from significant medication errors.
Dec 5, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 1, 2025: standard inspection10 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide enough food/fluids to maintain a resident’s health.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Dec 1, 2025: standard and complaint inspection3 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Aug 25, 2025: complaint inspection6 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure medication error rates are not 5 percent or greater.
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Ensure that residents are free from significant medication errors.
Jul 30, 2025: complaint inspection2 citations
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
Jul 9, 2025: complaint inspection9 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
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Provide and implement an infection prevention and control program.
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Post nurse staffing information every day.
Apr 21, 2025: complaint inspection11 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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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.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide appropriate foot care.
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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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Ensure that residents are free from significant medication errors.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Mar 27, 2025: complaint inspection3 citations
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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.
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Respond appropriately to all alleged violations.
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Ensure that residents are free from significant medication errors.
Jan 29, 2025: complaint inspection5 citations
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Honor the resident’s right to choose his or her attending physician.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
-
Ensure that residents are free from significant medication errors.
Dec 16, 2024: complaint inspection15 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Plan the resident’s discharge to meet the resident’s goals and needs.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Observe each nurse aide’s job performance and give regular training.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure medication error rates are not 5 percent or greater.
-
Ensure that residents are free from significant medication errors.
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Provide and implement an infection prevention and control program.
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Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
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Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
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Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Aug 26, 2024: complaint inspection2 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 25, 2024: standard inspection17 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Implement a program that monitors antibiotic use.
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Give the resident’s representative the ability to exercise the resident’s rights.
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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.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate pain management for a resident who requires such services.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Ensure medication error rates are not 5 percent or greater.
-
Ensure that residents are free from significant medication errors.
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Provide and implement an infection prevention and control program.
-
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident’s needs; or 5) adequate closet space.
Jul 10, 2024: complaint inspection5 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
Jan 2, 2024: complaint inspection2 citations
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 1, 1982.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 58 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $406,985 in all.
- 3 Medicare payment denials in the last three years.
- 73 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 9, 2025 | Medicare payment denial | Not given |
| Jul 9, 2025 | Fine | $231,450 |
| Mar 27, 2025 | Medicare payment denial | Not given |
| Mar 27, 2025 | Fine | $61,958 |
| Dec 16, 2024 | Fine | $16,801 |
| Jul 10, 2024 | Medicare payment denial | Not given |
| Jul 10, 2024 | Fine | $96,776 |
Who does the caring?
3.89 nurse hours per resident per day
The Wisconsin average is 4.25.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Wisconsin average |
|---|---|---|
| Nurse hours per resident per day | 3.89 | 4.25 |
| Of which registered nurses | 0.80 | 0.98 |
| At weekends | 3.23 | 3.75 |
| Nursing staff turnover | 62.5% | 46.7% |
| Registered nurse turnover | 55.6% | 40.1% |
| Administrators who left | 1 | Not given |
Who owns it?
- Bedrock Hcs at Riverdale LLC owns 100% directly since Oct 1, 2019.
- Opal Healthcare NJ LLC runs it.
- 12 owners or officers are people: Shulamit Prager (corporate officer, 100%); Kenneth D Nichols (managing employee (under contract), 100%); Kenneth D Nichols (corporate officer, 100%); Kenneth D Nichols (runs it (operational or managerial control), 100%); Martin Chopp (owns 5% or more through other companies, 18%); Pnina Chopp (owns 5% or more through other companies, 18%); Lynn Chopp (owns 5% or more through other companies, 17%); Avrohom Prager (owns 5% or more through other companies, 12.5%); Shulamit Prager (owns 5% or more through other companies, 12.5%); Solomon Chopp (owns 5% or more through other companies, 10%); Rachel Chopp (owns 5% or more through other companies, 7%); Sarah Chopp (owns 5% or more through other companies, 5%).
- Part of Bedrock Healthcare (9 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Bedrock Hc WI LLC | Owns 5% or more through other companies | 100% | Oct 1, 2019 |
| Opal Healthcare NJ LLC | Runs it (operational or managerial control) | 100% | Oct 1, 2019 |
| Bedrock Hcs at Riverdale LLC | Owns 5% or more directly | 100% | Oct 1, 2019 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Wisconsin average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 31.0 miles, this one had the 1st most health citations at the latest inspection cycle (23; the middle value was 4.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Rivers Edge Nursing and Rehab This nursing home | 23 | |
| Schmitt Woodland Hills | 9.9 | 5 |
| Care and Rehab - Boscobel | 14.0 | 2 |
| Pine Valley Community Village | 17.8 | 3 |
| Dove Healthcare - Fennimore | 18.4 | 9 |
| Greenway Manor | 19.2 | 4 |
| Soldiers Grove Health Services | 21.2 | 9 |
| Upland Hills Nursing and Rehab | 23.0 | 2 |
| Mineral Point Health Services | 26.4 | 5 |
| Lancaster Health Services | 28.1 | 7 |
| Orchard Manor | 28.3 | 0 |
| Edenbrook of Platteville | 31.0 | 1 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.