1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Owned by Gail Jacobson, Meadowbrook at Black River Falls is a skilled nursing home at 1311 Tyler Street in Black River Falls, Wisconsin. The 50-bed community was recently opened to serve the area. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover short-term rehabilitation and longer-term stays. The facility’s current occupancy rate is 87%. Residents stay an average of 99 days, which is a mix of post-acute rehabilitation residents and those receiving ongoing nursing care.
Staffing throughout the facility is structured around hands-on clinical support. Total nurse staffing averages 3 hours and 41 minutes per resident each day. Registered nurses provide 1 hour and 13 minutes of care, while nursing aides contribute 2 hours and 25 minutes. Licensed practical nurses add another 37 minutes daily. This layered staffing supports residents recovering from surgery, orthopedic procedures, and acute illness who need skilled monitoring and daily assistance.
The clinical focus is broad. Rehabilitation services are a major part of the care model. Respiratory care and cardiac rehabilitation are offered with bariatric care. Residents with specialized dietary needs can work with the on-site dietician. Nursing coverage is available 24 hours a day, and admissions are accepted around the clock. Respite care is available for families needing temporary support while managing other responsibilities.
Daily life includes personalized meals and snacks tailored to resident preferences and medical needs. There are planned social activities to keep them engaged throughout the week. The neighborhood has a Walk Score of 52, which is moderately walkable. Some nearby errands are within walking distance, but most outings require a short drive. Families can expect a quieter residential feel rather than a busier urban environment.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 116th out of 178 homes in Wisconsin for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 13m per day | ▲ 25% State avg: 58m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 37m per day | ▼ 4% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 25m per day | ▼ 7% State avg: 2h 35m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 42m per day | ■ Avg State avg: 3h 43m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | ▼ 100% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 54m per day | ▲ 36% State avg: 40m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Meadowbrook at Black River Falls is legally operated by Monica Thomas.
Key information about the people who lead and staff this community.
State average 6
Last Health inspection on Oct 2025
State average 27.3
State average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
31 of 49 citations resulted from standard inspections; 13 of 49 resulted from complaint investigations; and 5 of 49 came from combined inspections (standard and complaint).
122% worse than State averageState average: 0.9
67% worse than State averageState average: 1.2
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
36% fewer staff per resident than Wisconsin average
14% better than Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursAssists with medical care and medications.
All 6 LPN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
All 28 CNA Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 28 | 0 | 28 | 8,291 | 92 | 100% | 8.3 |
| Registered Nurse | 12 | 0 | 12 | 3,154 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 6 | 0 | 6 | 2,095 | 91 | 99% | 8.6 |
| Dietitian | 2 | 0 | 2 | 928 | 74 | 80% | 8.4 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 227 | 40 | 43% | 5.7 |
Includes penalties issued in 2024-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
46% higher than Wisconsin averageWisconsin average: $95K
45% more fines than Wisconsin averageWisconsin average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
202% more payment denials than Wisconsin averageWisconsin average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
5 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 22, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 22, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 16, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 10, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.4
In line with Wisconsin averageWisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
32.7
48% worse than Wisconsin averageWisconsin average: 22.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
23.8%
35% worse than Wisconsin averageWisconsin average: 17.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
41.5%
59% worse than Wisconsin averageWisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
12% worse than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
9.8%
80% worse than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
7.6%
138% worse than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
4.5%
8% better than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
11.8%
134% worse than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
6.5%
59% better than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.8%
In line with Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Wisconsin averageWisconsin average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.3%
11% worse than Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
113% worse than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.1%
5% worse than Wisconsin averageWisconsin average: 82.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Wisconsin averageWisconsin average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
34.1%
33% worse than Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
54% of new residents, usually for short-term rehab.
12% of new residents, often for short stays.
34% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
34Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Meadowbrook at Black River Falls from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #133 / 183Payroll — State benchmarkedThis home is ranked 133rd out of 183 homes in Wisconsin for payroll. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #84 / 183Payroll % — State benchmarkedThis home is ranked 84th out of 183 homes in Wisconsin for payroll %. Shows payroll as a percentage of revenue versus the Wisconsin average. Well-run Wisconsin facilities typically land around 62–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wisconsin that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (54% of admissions), and a typical Medicare stay runs around 16 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Black River Falls's city center to Meadowbrook at Black River Falls's address, calculated via Google Maps.
Add your location
The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
| Lasata Care Center | NH AL IL SNF | Cedarburg | - | 106
Facility
106
WI AVG
61
Rank
#56 / 494 | A+ |
84
Facility
84
WI AVG
42
Rank
#31 / 580 | - |
| Maplewood of Sauk Prairie | NH MC PC RC SNF | Sauk City | - | 120
Facility
120
WI AVG
61
Rank
#33 / 494 | A+ |
67
Facility
67
WI AVG
42
Rank
#113 / 580 | - |
| Morrow Memorial Home | NH AL IL MC SNF | Sparta | - | 80
Facility
80
WI AVG
61
Rank
#120 / 494 | A+ |
68
Facility
68
WI AVG
42
Rank
#105 / 580 | - |
| Columbia Health Care Center | NH | Wyocena | - | 85
Facility
85
WI AVG
61
Rank
#108 / 494 | - |
9
Facility
9
WI AVG
42
Rank
#512 / 580 | - |
| Meadowbrook at Black River Falls | NH AL HOS RC SNF | Black River Falls | - | 50
Facility
50
WI AVG
61
Rank
#234 / 494 | A- |
52
Facility
52
WI AVG
42
Rank
#204 / 580 | - |
Meadowbrook at Black River Falls is legally operated by Monica Thomas.
Meadowbrook at Black River Falls has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Meadowbrook at Black River Falls's occupancy is 87.1%.
Meadowbrook at Black River Falls has been operating for approximately 1 year, based on available licensing and registration records.
No, Meadowbrook at Black River Falls has a no-pet policy.
Meadowbrook at Black River Falls is registered as a for-profit in WI.
Monica Thomas is the administrator of Meadowbrook at Black River Falls.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
