Rolling Hills Rehab Ctr
14400 Cty Hwy B, Sparta, WI 54656 · Monroe County · 50 certified beds · avg 48 residents/day · certified since Aug 1, 1989
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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 · May 21, 2026 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Jun 5, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 |
|---|---|---|
| May 21, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 21, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| May 21, 2026 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | 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. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Jan 20, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Feb 20, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 20, 2025 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 20, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Aug 20, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 11, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 6 | 0 | E |
| 2025 | 9 | 0 | F |
| 2026 | 9 | 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)
No fines or payment denials in the published 3-year window.
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) | 4.43 | 4.29 | 3.95 | top 39% in Wisconsin; top 25% in the U.S. |
| Registered Nurse hours | 1.00 | 1.01 | 0.69 | top 43% in Wisconsin; top 16% in the U.S. |
| Weekend total nurse staffing | 4.25 | 3.84 | 3.50 | top 29% in Wisconsin; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.68 | 0.48 | bottom 36% in Wisconsin; top 31% in the U.S. |
| Total nursing staff turnover (%) | 35.9 | 46.9 | 45.8 | top 19% in Wisconsin; top 26% in the U.S. |
| RN turnover (%) | 30.8 | 39.7 | 42.9 | top 38% in Wisconsin; top 30% 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 4.36, RN 0.99, weekend 4.18. Staffing rating: 5/5.
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: 2/5 · short-stay residents: —/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| County of Monroe | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/15/2011 |
| Broad River Rehabilitation | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Broad River Rehabilitation | Organization | ADP of the SNF | NOT APPLICABLE | 11/19/2025 |
| Cogbill, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Cogbill, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| County of Monroe | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1975 |
| County of Monroe | Organization | ADP of the SNF | NOT APPLICABLE | 08/22/2022 |
| Hanson, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2012 |
| Hanson, Mary | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
| Karacson, Chelsea | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/30/2022 |
| Karacson, Chelsea | Individual | ADP of the SNF | NOT APPLICABLE | 06/30/2022 |
| Osterberg, Tina | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/04/2019 |
| Osterberg, Tina | Individual | ADP of the SNF | NOT APPLICABLE | 05/04/2019 |
| Smith, Linda | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/24/2012 |
| Smith, Linda | Individual | ADP of the SNF | NOT APPLICABLE | 01/24/2012 |
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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you learn each resident's personal preferences and make sure staff actually follow them?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Morrow Memorial Home | 0.4 mi | Sparta, WI | ★★★★★ | 4/5 | |
| Lakeview Health Center | 13.3 mi | West Salem, WI | ★★★★★ | 4/5 | |
| Mulder Health Care Facility | 13.8 mi | West Salem, WI | ★☆☆☆☆ | 1/5 | |
| Tomah Nursing and Rehab | 14.8 mi | Tomah, WI | ★★☆☆☆ | 2/5 | |
| Norseland Nursing Home | 19.9 mi | Westby, WI | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 525430.