Watertown Health Care Center
121 Hospital Dr · Watertown, WI · 53098 · 9202619220
112 certified beds For profit - Limited Liability company 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).
- Federal penalties on record: $176,721 in fines in the last 24 months.
- 3 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
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.
$176,721 in federal fines in the last 24 months
1 fine — 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: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 5 · $278,229 |
Inspection citations (62 in the current record)
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Potential for harm · E March 12, 2026 · found via complaint
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 April 12, 2026 · Resident Rights
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Potential for harm · E March 12, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 12, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 12, 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 April 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 12, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 12, 2026 · Pharmacy Service
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Potential for harm · D March 12, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 12, 2026 · Pharmacy Service
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Potential for harm · D March 12, 2026 · found via complaint
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected April 12, 2026 · Administration
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Potential for harm · E March 12, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 12, 2026 · Infection Control
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Potential for harm · D January 14, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 1, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 23, 2025 · Resident Rights
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Potential for harm · D December 1, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected December 23, 2025 · Resident Rights
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Potential for harm · D December 1, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D December 1, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 23, 2025 · Infection Control
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Potential for harm · D February 19, 2025 · found via complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected March 17, 2025 · Resident Rights
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Immediate jeopardy · J November 14, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected December 17, 2024 · Quality of Life and Care
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Immediate jeopardy · L November 14, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 17, 2024 · Infection Control
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Potential for harm · D November 14, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 17, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
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 17, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 17, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2024
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 December 17, 2024 · Pharmacy Service
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Potential for harm · D November 14, 2024 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 17, 2024 · Resident Rights
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Potential for harm · D November 14, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected December 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 14, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 17, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 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 17, 2024 · Pharmacy Service
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Potential for harm · D November 14, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected December 17, 2024 · Pharmacy Service
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Potential for harm · D November 14, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 17, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 17, 2024 | Fine | $176,721 |
| October 17, 2024 | Payment Denial | 43 days |
| June 4, 2024 | Fine | $15,939 |
| June 4, 2024 | Fine | $40,072 |
| June 4, 2024 | Payment Denial | 60 days |
| March 4, 2024 | Fine | $8,989 |
| January 19, 2024 | Fine | $36,508 |
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 525333 · certified since July 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.