Rolling Hills Rehab Ctr

14400 Cty Hwy B · Sparta, WI · 54656 · 6082698800

50 certified beds Government - County

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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 57
Serious harm & abuse 20% 100
Staffing 20% 87
Federal penalties 15% 100
Trend 10% 34
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.323.48 min · 4.1 strong
RN hours / resident-day0.890.55–0.75
Weekend hours / resident-day4.13≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • Potential for harm · D January 20, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 20, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 20, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 20, 2025

    Respond appropriately to all alleged violations.

    Corrected March 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 20, 2025

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected March 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 20, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected March 18, 2025 · Quality of Life and Care

  • Potential for harm · D February 20, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 18, 2025 · Quality of Life and Care

  • Potential for harm · D February 20, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 18, 2025 · Pharmacy Service

  • Potential for harm · D February 20, 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 March 18, 2025 · Pharmacy Service

  • Potential for harm · F February 20, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 18, 2025 · Infection Control

  • Potential for harm · D August 20, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected September 5, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 20, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 5, 2024 · Quality of Life and Care

  • Potential for harm · D January 11, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 7, 2024 · Resident Rights

  • Potential for harm · D January 11, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected February 7, 2024 · Resident Rights

  • Potential for harm · E January 11, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 7, 2024 · Nutrition and Dietary

  • Potential for harm · D January 11, 2024

    Provide and implement an infection prevention and control program.

    Corrected February 7, 2024 · Infection Control

  • Potential for harm · E December 1, 2022

    Honor 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.

    Corrected December 22, 2022 · Resident Rights

  • Potential for harm · D December 1, 2022

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected December 22, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E December 1, 2022

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 22, 2022 · Quality of Life and Care

  • Potential for harm · D December 1, 2022

    Ensure medication error rates are not 5 percent or greater.

    Corrected December 22, 2022 · Pharmacy Service

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 525430 · certified since August 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.