Care and Rehab - Boscobel
207 Parker St., Boscobel, WI 53805 · Grant County · 50 certified beds · avg 33 residents/day · certified since Nov 2, 1984
Part of chain: CARE & REHAB (6 facilities, chain avg rating 3.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jan 30, 2025 · F-0692 · triggered by a complaint
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Feb 17, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (3)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 30, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Jul 3, 2024 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | E |
| 2025 | 1 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $157,729.
| Date | Type | Amount / length |
|---|---|---|
| Jan 30, 2025 | Fine | $157,729 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.30 | 4.29 | 3.95 | top 43% in Wisconsin; top 29% in the U.S. |
| Registered Nurse hours | 1.09 | 1.01 | 0.69 | top 35% in Wisconsin; top 12% in the U.S. |
| Weekend total nurse staffing | 3.80 | 3.84 | 3.50 | top 44% in Wisconsin; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.59 | 0.68 | 0.48 | bottom 45% in Wisconsin; top 24% in the U.S. |
| Total nursing staff turnover (%) | 47.4 | 46.9 | 45.8 | bottom 47% in Wisconsin; bottom 43% in the U.S. |
| RN turnover (%) | 25.0 | 39.7 | 42.9 | top 24% in Wisconsin; top 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.57, RN 1.16, weekend 4.04. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Thayer, Grant | Individual | 5% or Greater Direct Ownership Interest | 100% | 05/01/2010 |
| 205 Parker Street LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2010 |
| Bechtel, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2025 |
| Bechtel, Jessica | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Bell, Michaell | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2010 |
| Bell, Michaell | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2010 |
| Ellis, Lona | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/26/2022 |
| Ellis, Lona | Individual | ADP of the SNF | NOT APPLICABLE | 09/26/2022 |
| McCurry, Colleen | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2017 |
| McCurry, Colleen | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2017 |
| Sadowska, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2025 |
| Sadowska, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Thayer, Grant | Individual | Corporate Director | NOT APPLICABLE | 05/01/2010 |
| Thayer, Grant | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2010 |
| Thayer, Grant | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2010 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Dove Healthcare - Fennimore | 10.7 mi | Fennimore, WI | ★★☆☆☆ | 2/5 | |
| Rivers Edge Nursing and Rehab | 14.0 mi | Muscoda, WI | ★☆☆☆☆ | 1/5 | |
| Soldiers Grove Health Services | 18.0 mi | Soldiers Grove, WI | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 525373.