Middle River Health and Rehabilitation Center
8274 E San Rd · South Range, WI · 54874 · 7153983523
86 certified beds For profit - Limited Liability company
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.08 | 0.55–0.75 |
| Weekend hours / resident-day | 3.71 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (23 in the current record)
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Actual harm · G February 3, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 2, 2026 · Quality of Life and Care
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Potential for harm · D February 3, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 3, 2026 · 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 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D August 14, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 12, 2025 · Resident Rights
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Potential for harm · D August 14, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 14, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 14, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025
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 September 12, 2025 · Quality of Life and Care
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Potential for harm · E August 14, 2025
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 September 12, 2025 · Pharmacy Service
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Potential for harm · F August 14, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected September 12, 2025 · Administration
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Potential for harm · D June 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 24, 2025 · Quality of Life and Care
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Potential for harm · D June 25, 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 July 24, 2025 · Pharmacy Service
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Potential for harm · F June 25, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 24, 2025 · Infection Control
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Potential for harm · E April 29, 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 May 19, 2025 · Pharmacy Service
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Potential for harm · D December 2, 2024 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected December 27, 2024 · Pharmacy Service
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Potential for harm · F August 29, 2023 · found via complaint
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected September 22, 2023 · Nutrition and Dietary
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Potential for harm · E June 7, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 7, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 7, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 7, 2023 · Quality of Life and Care
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Potential for harm · D June 7, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 7, 2023 · Quality of Life and Care
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Potential for harm · E June 7, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 7, 2023 · Nutrition and Dietary
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Potential for harm · F June 7, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 7, 2023 · Nutrition and Dietary
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No harm found · C June 7, 2023
Notify 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.
Corrected July 7, 2023 · Resident Rights
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No harm found · C June 7, 2023
Post nurse staffing information every day.
Corrected July 7, 2023 · Nursing and Physician Services
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525408 · certified since April 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.