Elder Care Record

Wisconsin › Grant County › Muscoda

Rivers Edge Nursing and Rehab

1000 N. Wisconsin Ave., Muscoda, WI 53573

CCN 525321 · For-profit, corporation · 58 certified beds · chain Bedrock Healthcare

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.

Rivers Edge Nursing and Rehab, in Muscoda, Wisconsin, is certified for 58 beds under for-profit, corporation ownership and belongs to the Bedrock Healthcare chain.

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

Inspectors recorded 111 health deficiencies across the three most recent survey cycles (28, 64, 19 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 191.4 per 100 beds, more than the state median of 31.8.

CMS lists 7 penalties in the period covered: fines totalling $407K and 3 payment denials.

Reported nurse staffing is 3.4 hours per resident per day (1.0 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 68.2%.

111health deficiencies, 3 survey cycles6 at actual harm or worse
$407Kfines listed by CMS7 penalties in period
3.4nurse hours per resident per daystate median 4.0
63%occupancy (residents ÷ beds)37 residents a day

Compared with county, state and nation

MeasureThis facilityGrant Co. medianWisconsin medianUS average
Overall star rating1233.0
Health citations, 3 cycles111182128.7
Citations per 100 beds191.436.031.826.8
Total nurse hours per resident day3.43.84.03.9
RN hours per resident day1.00.90.90.7
Nursing staff turnover68.2%45.2%46.2%45.8%
Fines listed$406,985$104,515$0—

County and state figures are medians across facilities (7 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)28
Cycle 264
Cycle 319

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 Dec 2025, 25 Jul 2024.

Severity mix: J ×3 G ×3 D ×83 E ×10 F ×11 C ×1

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
16 Jun 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation15 Jul 2026
16 Jun 2026F0610Respond appropriately to all alleged violations.DComplaint investigation15 Jul 2026
16 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation15 Jul 2026
16 Jun 2026F0699Provide care or services that was trauma informed and/or culturally competent.DComplaint investigation15 Jul 2026
21 Jan 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation12 Feb 2026
21 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Feb 2026
21 Jan 2026F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint investigation12 Feb 2026
21 Jan 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation12 Feb 2026
5 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation9 Dec 2025
1 Dec 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey17 Dec 2025
1 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Dec 2025
1 Dec 2025F0880Provide and implement an infection prevention and control program.FStandard survey17 Dec 2025
1 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey17 Dec 2025
1 Dec 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey17 Dec 2025
1 Dec 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey17 Dec 2025
1 Dec 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation17 Dec 2025
1 Dec 2025F0610Respond appropriately to all alleged violations.DComplaint investigation17 Dec 2025
1 Dec 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey17 Dec 2025
1 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation17 Dec 2025
1 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey17 Dec 2025
1 Dec 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey17 Dec 2025
1 Dec 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey17 Dec 2025
25 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation15 Sep 2025
25 Aug 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation15 Sep 2025
25 Aug 2025F0610Respond appropriately to all alleged violations.DComplaint investigation15 Sep 2025
25 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation15 Sep 2025
25 Aug 2025F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation15 Sep 2025
25 Aug 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation15 Sep 2025
30 Jul 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation27 Aug 2025
30 Jul 2025F0760Ensure that residents are free from significant medication errors.EComplaint investigation27 Aug 2025
9 Jul 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.FComplaint investigation9 Aug 2025
9 Jul 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation9 Aug 2025
9 Jul 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation9 Aug 2025
9 Jul 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation9 Aug 2025
9 Jul 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation9 Aug 2025
9 Jul 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation9 Aug 2025
9 Jul 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation9 Aug 2025
9 Jul 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation9 Aug 2025
9 Jul 2025F0732Post nurse staffing information every day.CComplaint investigation9 Aug 2025
21 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation20 May 2025
21 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation23 May 2025
21 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation20 May 2025
21 Apr 2025F0584Honor 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.EComplaint investigation20 May 2025
21 Apr 2025F0700Try 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.EComplaint investigation23 May 2025
21 Apr 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation20 May 2025
21 Apr 2025F0585Honor 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.DComplaint investigation20 May 2025
21 Apr 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation23 May 2025
21 Apr 2025F0687Provide appropriate foot care.DComplaint investigation23 May 2025
21 Apr 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation20 May 2025
21 Apr 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation20 May 2025
27 Mar 2025F0585Honor 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.DComplaint investigation20 Apr 2025
27 Mar 2025F0610Respond appropriately to all alleged violations.DComplaint investigation12 May 2025
27 Mar 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation5 May 2025
29 Jan 2025F0555Honor the resident's right to choose his or her attending physician.DComplaint investigation17 Feb 2025
29 Jan 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation17 Feb 2025
29 Jan 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation17 Feb 2025
29 Jan 2025F0610Respond appropriately to all alleged violations.DComplaint investigation17 Feb 2025
29 Jan 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation17 Feb 2025
16 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation4 Nov 2024
16 Dec 2024F0760Ensure that residents are free from significant medication errors.EComplaint investigation16 Jan 2025
16 Dec 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation16 Jan 2025
16 Dec 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation16 Jan 2025
16 Dec 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation16 Jan 2025
16 Dec 2024F0610Respond appropriately to all alleged violations.DComplaint investigation16 Jan 2025
16 Dec 2024F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation16 Jan 2025
16 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation16 Jan 2025
16 Dec 2024F0730Observe each nurse aide's job performance and give regular training.DComplaint investigation16 Jan 2025
16 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation16 Jan 2025
16 Dec 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation16 Jan 2025
16 Dec 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation16 Jan 2025
16 Dec 2024F0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DComplaint investigation16 Jan 2025
16 Dec 2024F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DComplaint investigation16 Jan 2025
16 Dec 2024F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DComplaint investigation16 Jan 2025
26 Aug 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation18 Sep 2024
26 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation18 Sep 2024
25 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey20 Aug 2024
25 Jul 2024F0881Implement a program that monitors antibiotic use.GStandard survey20 Aug 2024
25 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FStandard survey20 Aug 2024
25 Jul 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey20 Aug 2024
25 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey20 Aug 2024
25 Jul 2024F0880Provide and implement an infection prevention and control program.FStandard survey20 Aug 2024
25 Jul 2024F0551Give the resident's representative the ability to exercise the resident's rights.DStandard survey20 Aug 2024
25 Jul 2024F0585Honor 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.DStandard survey20 Aug 2024
25 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey20 Aug 2024
25 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey20 Aug 2024
25 Jul 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey20 Aug 2024
25 Jul 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey20 Aug 2024
25 Jul 2024F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey20 Aug 2024
25 Jul 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey20 Aug 2024
25 Jul 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey20 Aug 2024
25 Jul 2024F0760Ensure that residents are free from significant medication errors.DStandard survey20 Aug 2024
25 Jul 2024F0917Make 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.DStandard survey20 Aug 2024
10 Jul 2024F0837Establish 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.FComplaint investigation7 Aug 2024
10 Jul 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation7 Aug 2024
10 Jul 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation7 Aug 2024
10 Jul 2024F0610Respond appropriately to all alleged violations.DComplaint investigation7 Aug 2024
10 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation7 Aug 2024
2 Jan 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation23 Jan 2024
2 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation23 Jan 2024
12 Sep 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation6 Oct 2023
12 Sep 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation15 Sep 2023
12 Sep 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Oct 2023
12 Sep 2023F0610Respond appropriately to all alleged violations.DComplaint investigation6 Oct 2023
6 Apr 2023F0641Ensure each resident receives an accurate assessment.DStandard survey5 May 2023
6 Apr 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey5 May 2023
6 Apr 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey5 May 2023
6 Apr 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey5 May 2023
6 Apr 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey5 May 2023
6 Apr 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey5 May 2023
6 Apr 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 survey5 May 2023
6 Apr 2023F0880Provide and implement an infection prevention and control program.DStandard survey5 May 2023

Penalties

DateTypeAmountDetail
9 Jul 2025Payment denial—44 days
9 Jul 2025Fine$231,450
27 Mar 2025Payment denial—3 days
27 Mar 2025Fine$61,958
16 Dec 2024Fine$16,801
10 Jul 2024Payment denial—26 days
10 Jul 2024Fine$96,776

Staffing

Total nursing3.4 h
Nurse aides1.92 h
LPN0.51 h
RN0.98 h
Weekend total2.9 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 68.2%, RNs 66.7%; 2 administrators 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 Stay16.3%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.4%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.7%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.7%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.4%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.7%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay25.0%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: Bedrock Hcs At Riverdale Llc. Chain: Bedrock Healthcare (9 facilities).

OrganisationRole in the CMS recordInterestSince
Bedrock Hcs At Riverdale LLC5% or greater direct ownership interest100%10/01/2019
Bedrock Hc Wi LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED10/01/2019
Opal Healthcare Nj LLCOperational/managerial controlNOT APPLICABLE10/01/2019

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 Grant County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Orchard ManorLancaster74555912.2$22K15 Aug 2024
Care and Rehab - BoscobelBoscobel5044436.0$158K30 Jan 2025
Edenbrook of PlattevillePlatteville80444911.3—11 Jun 2026
Dove Healthcare - FennimoreFennimore502242958.0$105K2 Dec 2025
Lancaster Health ServicesLancaster502241836.0—19 Aug 2025
St Dominic VillaHazel Green622153454.8$129K22 Dec 2025

All 7 facilities in Grant County

Questions and answers

How many deficiencies has Rivers Edge Nursing and Rehab been cited for?

111 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Rivers Edge Nursing and Rehab been fined?

Yes. CMS lists fines totalling $407K in the period covered, plus 3 payment denials.

How does staffing at Rivers Edge Nursing and Rehab compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Rivers Edge Nursing and Rehab?

It is part of the Bedrock Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Bedrock Hcs At Riverdale LLC, Bedrock Hc Wi LLC and Opal Healthcare Nj LLC. Individual owners and managers are not listed on this site.

When was Rivers Edge Nursing and Rehab last inspected?

The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 1 Dec 2025.

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.