C-
57/100

BELOIT HEALTH AND REHABILITATION CENTER Inspection Report, Violations & Safety Grade (BELOIT, Wisconsin)

1905 W HART RD, BELOIT, Wisconsin 53511

Phone: 6083652554

CMS Overall:2/5

Overview & Bed Count

Certified Beds
110
Avg Residents/Day
68.9
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Rock
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing3/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityWisconsin AvgDifference
RN Hours per Resident per Day0.660.98-0.33
Total Nurse Hours per Resident per Day3.344.25-0.91
CMS Staffing Rating3/53.7/5-
Nursing Staff Turnover53.3%46.7%-

Health Citation History

47 health citations on record

DateCategoryDescriptionSeverity
2026-07-08Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-01-29Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-01-29Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.F – Moderate Harm Potential
2026-01-29Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2026-01-29Nursing and Physician Services DeficienciesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D – Moderate Harm Potential
2026-01-29Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D – Moderate Harm Potential
2026-01-29Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D – Moderate Harm Potential
2026-01-29Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.C – Minimal Harm Potential
2025-04-30Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-04-30Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-04-30Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-04-30Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-04-30Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2024-09-12Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.G – Actual Harm
2024-09-12Infection Control DeficienciesImplement a program that monitors antibiotic use.G – Actual Harm
2024-09-12Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.F – Moderate Harm Potential
2024-09-12Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F – Moderate Harm Potential
2024-09-12Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-09-12Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2024-09-12Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2024-09-12Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2024-09-12Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2024-09-12Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2024-09-12Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-09-12Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-09-12Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-09-12Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-09-12Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-09-12Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-09-12Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-09-12Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2024-09-12Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.D – Moderate Harm Potential
2024-09-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2024-03-07Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2023-11-01Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D – Moderate Harm Potential
2023-06-15Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G – Actual Harm
2023-06-15Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.G – Actual Harm
2023-06-15Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-06-15Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2023-06-15Infection Control DeficienciesImplement a program that monitors antibiotic use.E – Moderate Harm Potential
2023-06-15Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2023-06-15Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2023-06-15Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-06-15Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2023-06-15Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-06-15Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2023-06-15Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential

Fire Safety Citation History

34 fire safety citations on record

DateCategoryDescriptionSeverity
2026-01-29Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2026-01-29Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2026-01-29Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-01-29Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2026-01-29Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2026-01-29Gas, Vacuum, and Electrical Systems DeficienciesHave power receptacles that are properly grounded.E – Moderate Harm Potential
2026-01-29Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2026-01-29Egress DeficienciesHave correct number of accessible exits for each story.D – Moderate Harm Potential
2026-01-29Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2026-01-29Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2026-01-29Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2026-01-29Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2024-09-12Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2024-09-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-09-12Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2024-09-12Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2024-09-12Services DeficienciesMeet other general requirements that are deficient.F – Moderate Harm Potential
2024-09-12Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-09-12Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2024-09-12Egress DeficienciesHave correct number of accessible exits for each story.D – Moderate Harm Potential
2024-09-12Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-09-12Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.D – Moderate Harm Potential
2023-06-15Emergency Preparedness DeficienciesList the names and contact information of those in the facility.F – Moderate Harm Potential
2023-06-15Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2023-06-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-06-15Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2023-06-15Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2023-06-15Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2023-06-15Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2023-06-15Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2023-06-15Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2023-06-15Egress DeficienciesHave correct number of accessible exits for each story.D – Moderate Harm Potential
2023-06-15Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.D – Moderate Harm Potential
2023-06-15Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.D – Moderate Harm Potential

Total Penalties & Fines

$46,542
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-09-12Fine$46,542-

Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the BELOIT area at no cost.

Advisor service is free for families. We may receive referral compensation.