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Rolling Hills Rehab Ctr
14400 Cty Hwy B, Sparta, WI 54656 (opens Google Maps) · Monroe County · (608) 269-8800· 50 certified beds · avg 48 residents/day · certified since Aug 1, 1989 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
2/5
Health inspection rating (on-site)
inspected May 21, 2026
1
Serious findings on record
most recent May 21, 2026
$0
Fines, last 3 years
4.43
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · 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.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 5, 2026 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
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 F-0812
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 F-0868
View all 24 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 21, 2026 | ▲ J · Immediate jeopardy, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| May 21, 2026 | F · Potential for more than minimal harm, widespread | 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 · F-0812 |
| May 21, 2026 | F · Potential for more than minimal harm, widespread | 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 · F-0868 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0578 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0580 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. · from a complaint · F-0675 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0695 |
| Jan 20, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Feb 20, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Feb 20, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0688 |
| Feb 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0600 |
| Feb 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0609 |
| Feb 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0610 |
| Feb 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0640 |
| Feb 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Feb 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Feb 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Aug 20, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| Aug 20, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Jan 11, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jan 11, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Jan 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Jan 11, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 8).
All citationsSerious citations (G–L)
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 9
Serious citations (G–L): 0
2026
All citations: 9
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityWisconsin averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.43
Wisconsin average: 4.29
U.S. average: 3.95
Registered Nurse hours
This facility: 1.00
Wisconsin average: 1.01
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.25
Wisconsin average: 3.84
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.36 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Rolling Hills Rehab Ctr. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 15 owning or managing parties CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 36% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 525430.
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