Rivers Edge Nursing and Rehab
1000 N. Wisconsin Ave. · Muscoda, WI · 53573 · 6087393186
58 certified beds For profit - Corporation Chain: Bedrock Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $113,577 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation 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.
Cited under the freedom-from-abuse rule
Cited 4 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$113,577 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
71% 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: 2 of 5
| Total nurse hours / resident-day | 3.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.84 | 0.55–0.75 |
| Weekend hours / resident-day | 3.23 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 2 · $113,577 |
Inspection citations (109 in the current record)
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Potential for harm · D January 21, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 12, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 21, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 12, 2026 · Quality of Life and Care
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Potential for harm · D January 21, 2026 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected February 12, 2026 · Quality of Life and Care
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Potential for harm · D January 21, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 12, 2026 · Pharmacy Service
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Potential for harm · D December 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · D December 1, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 17, 2025 · Resident Rights
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Potential for harm · D December 1, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 17, 2025 · Resident Rights
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Potential for harm · D December 1, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 1, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 17, 2025 · Quality of Life and Care
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Potential for harm · D December 1, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected December 17, 2025 · Quality of Life and Care
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Potential for harm · D December 1, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 17, 2025 · Pharmacy Service
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Potential for harm · F December 1, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 17, 2025 · Nutrition and Dietary
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Potential for harm · F December 1, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 17, 2025 · Nutrition and Dietary
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Potential for harm · E December 1, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · F December 1, 2025
Provide and implement an infection prevention and control program.
Corrected December 17, 2025 · Infection Control
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Potential for harm · D December 1, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 1, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 1, 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 December 17, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J August 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · D August 25, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 25, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 15, 2025 · Quality of Life and Care
-
Potential for harm · D August 25, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected September 15, 2025 · Pharmacy Service
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Potential for harm · D August 25, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 15, 2025 · Pharmacy Service
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Potential for harm · E July 30, 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 August 27, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 9, 2025 | Payment Denial | 44 days |
| March 27, 2025 | Payment Denial | 3 days |
| December 16, 2024 | Fine | $16,801 |
| July 10, 2024 | Fine | $96,776 |
| July 10, 2024 | Payment Denial | 26 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525321 · certified since July 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.