Beaver Dam Health Care Center
410 Roedl Ct · Beaver Dam, WI · 53916 · 9208877191
90 certified beds For profit - Individual Chain: Bedrock Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- 5 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Total nurse staffing below 3.0 hours per resident-day
2.84 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.84 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 2.50 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 2 · $95,784 |
Inspection citations (100 in the current record)
-
Immediate jeopardy · J March 18, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 23, 2026 · Quality of Life and Care
-
Potential for harm · D March 18, 2026 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 19, 2026 · Resident Rights
-
Immediate jeopardy · K February 18, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 19, 2026 · Quality of Life and Care
-
Actual harm · G February 18, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 19, 2026 · Quality of Life and Care
-
Potential for harm · D February 18, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 18, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 19, 2026 · Quality of Life and Care
-
Potential for harm · D February 18, 2026 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected April 19, 2026 · Nursing and Physician Services
-
Potential for harm · E February 18, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected April 19, 2026 · Environmental
-
Potential for harm · F February 18, 2026 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected April 19, 2026 · Nursing and Physician Services
-
Potential for harm · D November 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 12, 2025 · Quality of Life and Care
-
Potential for harm · D November 13, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 12, 2025 · Pharmacy Service
-
Actual harm · G March 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 20, 2025 · found via complaint
Ensure 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.
Corrected April 14, 2025 · Quality of Life and Care
-
Potential for harm · D March 20, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 14, 2025 · Quality of Life and Care
-
Actual harm · G February 26, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 27, 2025 · Quality of Life and Care
-
Potential for harm · D February 26, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 27, 2025 · Resident Rights
-
Potential for harm · E February 26, 2025 · found via complaint
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.
Corrected March 27, 2025 · Resident Rights
-
Potential for harm · D February 26, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 27, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 26, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected March 27, 2025 · Quality of Life and Care
-
Potential for harm · D February 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 27, 2025 · Quality of Life and Care
-
Potential for harm · E February 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 27, 2025 · Quality of Life and Care
-
Potential for harm · D February 26, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 27, 2025 · Quality of Life and Care
-
Potential for harm · D February 26, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 27, 2025 · Pharmacy Service
-
Potential for harm · E February 26, 2025 · found via complaint
Ensure 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.
Corrected March 27, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 18, 2026 | Payment Denial | 35 days |
| February 26, 2025 | Payment Denial | 18 days |
| June 25, 2024 | Fine | $46,258 |
| June 25, 2024 | Payment Denial | 12 days |
| December 13, 2023 | Fine | $49,526 |
| December 13, 2023 | Payment Denial | 8 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525338 · certified since September 1, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.