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BEDROCK HCS AT ATKINSON LLC

FORT ATKINSON, WI · Jefferson County · For profit - Corporation · 87 certified beds

📍 430 Wilcox St, Fort Atkinson, WI 53538  ·  📞 (920) 563-5533

Medicare ID: 525262  ·  Last Medicare inspection: Feb 6, 2026

Special Focus Facility (SFF)
CMS has identified this as a facility with a history of serious quality issues that requires enhanced oversight and more frequent inspections.
Overall Safety Score
38
out of 100
Poor
Component Scores
Inspection
88
Staffing
4
Enforcement
50
Complaints
38
Quality
📋 Last inspected: February 6, 2026 📦 CMS data as of: May 2026

Score Breakdown

Inspection
0
Staffing
88
Enforcement
4
Complaints
50
Quality Outcomes
38

What the numbers mean

BEDROCK HCS AT ATKINSON LLC scored 38 out of 100 — 29 points below the state average of 67.

📋 Inspections: 118 citations over the last 36 months — 95 more than the state average (23). 10 were rated serious (G+) — inspectors found actual or potential harm to residents. 13 findings recurred across inspection cycles — indicating a problem that was not fixed.

👥 Staffing: Staffing levels are strong — RN hours and total nurse hours per resident are in the favorable range. Adequate staffing is one of the most important factors in resident safety.

⚠️ Penalties & enforcement: CMS has recorded 5 enforcement actions totaling $136,384 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.

⚠️ Complaints: Above-average complaint activity. Complaint surveys are unannounced and targeted — they often surface problems that routine annual inspections miss. Ask management about the nature of complaints filed and how each was resolved.

🚨 Resident quality outcomes: Multiple quality measures are well below national benchmarks — residents may experience higher rates of falls, pain, or hospitalizations than at comparable facilities. Ask management about their improvement plans.

What inspectors found (last 3 surveys)

118
Total citations
State avg: 23
10
Serious (G+)
State avg: 1.7
13
Repeat findings

Top concern areas

118

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

$136,384
Total federal fines
5
Enforcement actions

⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.

📋 Enforcement Context Analysis
📊
Enforcement score: 4/100 — 65 points below the state average of 69/100 — worse than most comparable facilities. A score below 70 indicates a meaningful enforcement history that warrants direct conversation with facility management.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
5.5% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
9.0% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
🔒 Full breakdown — 2 of 14 total measures shown
Premium unlocks all quality measures, quarterly trends, hospitalization rates, and how this facility compares to others in the state.
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Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

See every citation, score history, ownership, and get monthly alerts

Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

Watch this facility — $14.99/yr Family plan — 3 facilities for $29.99/yr

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 5, 2026.