Elder Care Record

Wisconsin › Jackson County › Black River Falls

Meadowbrook At Black River Falls

1311 Tyler St, Black River Falls, WI 54615

CCN 525488 · For-profit, corporation · 45 certified beds · chain Synergy Senior Care

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 45 beds, Meadowbrook At Black River Falls serves Black River Falls in Jackson County, Wisconsin and has taken Medicare and Medicaid residents since 1992.

CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 3 and quality measures 1.

Inspectors recorded 39 health deficiencies across the three most recent survey cycles (7, 24, 8 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 86.7 per 100 beds, more than the state median of 31.8.

CMS lists 5 penalties in the period covered: fines totalling $108K and 2 payment denials.

Reported nurse staffing is 4.1 hours per resident per day (1.0 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 66.0%.

39health deficiencies, 3 survey cycles3 at actual harm or worse
$108Kfines listed by CMS5 penalties in period
4.1nurse hours per resident per daystate median 4.0
90%occupancy (residents ÷ beds)41 residents a day

Compared with county, state and nation

MeasureThis facilityJackson Co. medianWisconsin medianUS average
Overall star rating1333.0
Health citations, 3 cycles39392128.7
Citations per 100 beds86.786.731.826.8
Total nurse hours per resident day4.14.14.03.9
RN hours per resident day1.01.00.90.7
Nursing staff turnover66.0%66.0%46.2%45.8%
Fines listed$108,338$108,338$0—

County and state figures are medians across facilities (2 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 224
Cycle 38

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Jan 2026, 16 Oct 2024.

Severity mix: J ×2 G ×1 D ×25 E ×3 F ×6 C ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
14 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey14 Feb 2026
14 Jan 2026F0880Provide and implement an infection prevention and control program.FStandard survey14 Feb 2026
14 Jan 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey14 Feb 2026
14 Jan 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey14 Feb 2026
14 Jan 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey14 Feb 2026
14 Jan 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey14 Feb 2026
22 Oct 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation11 Dec 2025
1 Apr 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation23 Apr 2025
22 Jan 2025F0760Ensure that residents are free from significant medication errors.GComplaint investigation24 Mar 2025
22 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation16 Feb 2025
22 Jan 2025F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint investigation16 Feb 2025
18 Dec 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint investigation23 Dec 2024
18 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation23 Dec 2024
18 Dec 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation23 Dec 2024
18 Dec 2024F0732Post nurse staffing information every day.CComplaint investigation23 Dec 2024
16 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation27 Aug 2024
16 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey11 Nov 2024
16 Oct 2024F0578Honor 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.DStandard survey11 Nov 2024
16 Oct 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey11 Nov 2024
16 Oct 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey11 Nov 2024
16 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation11 Nov 2024
16 Oct 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey11 Nov 2024
16 Oct 2024F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey11 Nov 2024
16 Oct 2024F0637Assess the resident when there is a significant change in conditionDComplaint investigation11 Nov 2024
16 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation11 Nov 2024
16 Oct 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey11 Nov 2024
16 Oct 2024F0693Ensure 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.DStandard survey11 Nov 2024
16 Oct 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey11 Nov 2024
16 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey11 Nov 2024
16 Oct 2024F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey11 Nov 2024
16 Oct 2024F0880Provide and implement an infection prevention and control program.DStandard survey11 Nov 2024
10 Jul 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation11 Sep 2024
10 Jul 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation11 Sep 2024
4 Apr 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation3 May 2024
18 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Nov 2023
18 Oct 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation10 Nov 2023
18 Oct 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey10 Nov 2023
18 Oct 2023F0880Provide and implement an infection prevention and control program.DStandard survey10 Nov 2023
18 Oct 2023F0814Dispose of garbage and refuse properly.CStandard survey10 Nov 2023

Penalties

DateTypeAmountDetail
22 Jan 2025Payment denial—32 days
22 Jan 2025Fine$56,898
16 Oct 2024Fine$17,250
10 Jul 2024Payment denial—36 days
10 Jul 2024Fine$34,190

Staffing

Total nursing4.14 h
Nurse aides2.42 h
LPN0.73 h
RN0.98 h
Weekend total3.86 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 66.0%, RNs 77.8%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay22.1%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay9.0%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.0%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.9%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.7%0.9%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay13.2%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay8.2%14.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Brf Nursing And Rehab Llc. Chain: Synergy Senior Care (5 facilities).

OrganisationRole in the CMS recordInterestSince
Synergy Senior Care LLCOperational/managerial controlNOT APPLICABLE12/01/2019
Oconto Falls Nursing and Rehab LLCAdp of the snfNOT APPLICABLE06/28/2022
Reinhart Boerner Van Deuren S.C.Adp of the snfNOT APPLICABLE12/01/2019
Roth & Co, LLPAdp of the snfNOT APPLICABLE12/01/2019
Synergy Senior Care LLCAdp of the snfNOT APPLICABLE03/03/2025
Wipfli LLPAdp of the snfNOT APPLICABLE12/01/2019

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Jackson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Pine View Care CenterBlack River Falls953342223.2—29 Apr 2026

All 2 facilities in Jackson County

Questions and answers

How many deficiencies has Meadowbrook At Black River Falls been cited for?

39 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Meadowbrook At Black River Falls been fined?

Yes. CMS lists fines totalling $108K in the period covered, plus 2 payment denials.

How does staffing at Meadowbrook At Black River Falls compare?

Reported total nurse staffing is 4.1 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Meadowbrook At Black River Falls?

It is part of the Synergy Senior Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Synergy Senior Care LLC. Individual owners and managers are not listed on this site.

When was Meadowbrook At Black River Falls last inspected?

The most recent survey or investigation in the CMS record is dated 14 Jan 2026; the most recent standard health survey was 14 Jan 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.