Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
84
66 employees · 18 contractors · 28 on an average day Middle River Health and Rehabilitation Center
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · South Range, WI
ALM Inspection Grade
B+
ALM's inspection grade is 87 / 100, a B+ — 6 points above the Wisconsin average for CMS-certified facilities (81/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 87 / 100, a B+ — 6 points above the Wisconsin average for CMS-certified facilities (81/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
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.
3/5
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.
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Middle River Health and Rehabilitation Center
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · South Range, WI
ALM Inspection Grade
B+
ALM's inspection grade is 87 / 100, a B+ — 6 points above the Wisconsin average for CMS-certified facilities (81/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 87 / 100, a B+ — 6 points above the Wisconsin average for CMS-certified facilities (81/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
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.
3/5
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.
Middle River Health and Rehabilitation Center accepts Medicare, Medicaid, and private pay.
Overview of Middle River Health and Rehabilitation Center
Middle River Health and Rehabilitation Center is a nursing home in South Range, WI, offering skilled nursing, hospice care, and respite care. Skilled nursing provides licensed nursing care on site around the clock, hospice care supports residents receiving end-of-life care, and short-term rehabilitation is available for residents who need rehabilitation services for a limited period. Respite care provides a temporary stay when a usual caregiver needs time away or recovery.
The home has 86 beds. Total nurse staffing is 4 hours and 29 minutes per resident per day, representing the recorded daily nursing time for each resident. Medicare, Medicaid, and private pay are accepted as payment options. The combination of skilled nursing, hospice care, rehabilitation, and respite care may be a good fit for someone whose needs require ongoing nursing support, end-of-life care, recovery services, or a short stay.
Quality ratings
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 65th out of 164 nursing homes we track 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.
4h 29m
This nursing home is ranked 65th out of 164 nursing homes we track 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.
4h 29mStandout metric: LPN / LVN is +44% above Wisconsin average
3 of 6 metrics below Wisconsin average
Daily care time per resident, by role
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. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 8.4-hour shifts
1h 3m
↑ 9% · WI 58mThis facility: 1h 3m per resident per day, 9% above the Wisconsin average of 58m (among Wisconsin facilities reporting a recent figure).
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. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 8.4-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 9 total: 5 of the facility's own employees and 4 agency contractors.
9 staff · 10-hour shifts
55m
↑ 44% · WI 38mThis facility: 55m per resident per day, 44% above the Wisconsin average of 38m (among Wisconsin facilities reporting a recent figure).
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. 9 total: 5 of the facility's own employees and 4 agency contractors.
9 staff · 10-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 34 total: 25 of the facility's own employees and 9 agency contractors.
34 staff · 9.2-hour shifts
2h 31m
↓ 2% · WI 2h 35mThis facility: 2h 31m per resident per day, 2% below the Wisconsin average of 2h 35m (among Wisconsin facilities reporting a recent figure).
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. 34 total: 25 of the facility's own employees and 9 agency contractors.
34 staff · 9.2-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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.
3m
↓ 21% · WI 4mThis facility: 3m per resident per day, 21% below the Wisconsin average of 4m (among Wisconsin facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 6m
↑ 10% · WI 3h 43mThis facility: 4h 6m per resident per day, 10% above the Wisconsin average of 3h 43m (among Wisconsin facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
36m
↓ 9% · WI 40mThis facility: 36m per resident per day, 9% below the Wisconsin average of 40m (among Wisconsin facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
84
66 employees · 18 contractors · 28 on an average day
84 total staff / 45 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.87 : 1
↓ 22% · WI 2.40This facility: 1.87 staff per resident, 22% below the Wisconsin average of 2.40 (among Wisconsin facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
84 staff ÷ 45 residents
See full Wisconsin ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.2 h
↑ 12% · WI 7.3 hThis facility: 8.2 h, 12% above the Wisconsin average of 7.3 h (among Wisconsin facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
20,810 staff hours this quarter
See full Wisconsin ranking →75.3% of staff hours were worked by the facility's own employees
Wisconsin average: 88.4% · Contractors this quarter: Certified Nursing Assistant (9), Licensed Practical Nurse (4), Feeding Assistant (2), Medical Director (1), Occupational Therapy Assistant (1), Physician Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
86
Rank #79 / 197Bed count — State benchmarked This nursing home is ranked 79th out of 197 nursing homes we track in Wisconsin for bed count. Shows this facility's certified or reported bed count compared to other Wisconsin facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
86
Rank #79 / 197Bed count — State benchmarked This nursing home is ranked 79th out of 197 nursing homes we track in Wisconsin for bed count. Shows this facility's certified or reported bed count compared to other Wisconsin facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #152 / 167Occupancy rate — State benchmarked This nursing home is ranked 152nd out of 167 nursing homes we track in Wisconsin for occupancy. Shows this facility's occupancy rate versus the Wisconsin average, with its Statewide rank out of 167. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #152 / 167Occupancy rate — State benchmarked This nursing home is ranked 152nd out of 167 nursing homes we track in Wisconsin for occupancy. Shows this facility's occupancy rate versus the Wisconsin average, with its Statewide rank out of 167. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
48.1%
This home usually has availability
Based on residents per day and 86 beds.
Lower than the Wisconsin average: 72.1%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
41
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
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.
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.
171
days
About This Community
Resident Council
Short-Term Rehab
Short-Term Rehabilitation
Physical Therapy
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Daily Living Assistance
Housekeeping
Laundry & Linen
Pets not allowed
Comfortable Resident Rooms and Shared Spaces
Building TypeMid-rise
CMS Health Inspection History
ALM Inspection Grade
87 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
6 points above the Wisconsin average for CMS-certified facilities (81/100)
Category breakdown
Citations
Typical
83 severity-weighted points (24 deficiencies) · 9% higher than the typical CMS-certified WI facility (median: 76)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Typical
28 days to fix issues · slower than the typical CMS-certified WI facility (median: 27)
Total health inspections
7
↑ 13% · WI 6.2This facility: 7, 13% above the WI average of 6.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
23
Rank #89 / 168Health citations — State benchmarked This nursing home is ranked 89th out of 168 nursing homes we track in Wisconsin for health citations. Shows this facility's total health deficiency citations benchmarked to the Wisconsin State average, with a ranking across all 168 WI facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 19% · WI 28.3This facility: 23, 19% below the WI average of 28.3 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3.29
Rank #38 / 168Citations per inspection — State benchmarked This nursing home is ranked 38th out of 168 nursing homes we track in Wisconsin for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Wisconsin mean across 168 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 22% · WI 4.24This facility: 3.29, 22% below the WI average of 4.24 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
23 of 23 citations corrected
Critical
J–L
0
↓ 100% · WI 0.9This facility: 0, 100% below the WI average of 0.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↓ 17% · WI 1.2This facility: 1, 17% below the WI average of 1.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
20
↓ 22% · WI 25.8This facility: 20, 22% below the WI average of 25.8 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
2
↑ 300% · WI 0.5This facility: 2, 300% above the WI average of 0.5 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jun 16, 2026 · 1 citation (Quality of Care, moderate), corrected
Most cited category: Quality of Life & Care, 7 of 23 citations · 9 categories in total
Citations history
Most recent first
Jun 16, 2026
1 citation
Quality of Care moderate citation
Corrected
Corrected
Feb 03, 2026
3 citations
Quality of Care serious citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Aug 14, 2025
7 citations
Administration moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Jun 25, 2025
3 citations
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Apr 29, 2025
1 citation
Pharmacy moderate citation
Corrected
Corrected
Dec 02, 2024
1 citation
Pharmacy moderate citation
Corrected
Corrected
Jun 07, 2023
7 citations
Nutrition moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Resident Rights minor citation
Corrected
Corrected
Nursing Services minor citation
Corrected
Corrected
Top deficiency categories
Share of 23 citations
Quality of Life & Care
7 deficiencies (30%)
Pharmacy Services
4 deficiencies (17%)
Resident Assessment & Care Planning
3 deficiencies (13%)
Resident Rights
2 deficiencies (9%)
Nutrition & Dietary
2 deficiencies (9%)
Abuse, Neglect & Exploitation
2 deficiencies (9%)
Infection Control
1 deficiency (4%)
Administration
1 deficiency (4%)
Nursing & Physician Services
1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 23 citations resulted from standard inspections; and 9 of 23 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Enforcement
Penalties and fines
Penalties and fines
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 Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
WI avg $107KWisconsin average: $106,807. Average among the 146 Wisconsin facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
WI avg 2.03Wisconsin average: 2.03. Average among the 146 Wisconsin facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
WI avg 0.71Wisconsin average: 0.71. Average among the 146 Wisconsin facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Wisconsin average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 32% · WI 3.0This facility: 4.0, 32% above the WI average of 3.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
↓ 65% · WI 2.9This facility: 1.0, 65% below the WI average of 2.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
4.5
Score · lower is better
↓ 50% · WI 9.0This facility: 4.5, 50% below the WI average of 9.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
12.6
Score · lower is better
↓ 33% · WI 18.9This facility: 12.6, 33% below the WI average of 18.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 5 worse, 1 near WI average
7 short-stay measures: 3 better, 2 worse, 2 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
9.2%
↓ 42% · WI 15.8This facility: 9.2, 42% below the WI average of 15.8 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
9.2%
↓ 42% · WI 15.8This facility: 9.2, 42% below the WI average of 15.8 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
3.8%
↓ 78% · WI 17.0This facility: 3.8, 78% below the WI average of 17.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
3.8%
↓ 78% · WI 17.0This facility: 3.8, 78% below the WI average of 17.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.8%
↑ 5% · WI 23.6This facility: 24.8, 5% above the WI average of 23.6 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.8%
↑ 5% · WI 23.6This facility: 24.8, 5% above the WI average of 23.6 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · WI 2.7This facility: 0.0, 100% below the WI average of 2.7 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · WI 2.7This facility: 0.0, 100% below the WI average of 2.7 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
↓ 63% · WI 3.3This facility: 1.2, 63% below the WI average of 3.3 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
↓ 63% · WI 3.3This facility: 1.2, 63% below the WI average of 3.3 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.3%
↓ 73% · WI 4.9This facility: 1.3, 73% below the WI average of 4.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.3%
↓ 73% · WI 4.9This facility: 1.3, 73% below the WI average of 4.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
7.0%
↑ 43% · WI 4.9This facility: 7.0, 43% above the WI average of 4.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
7.0%
↑ 43% · WI 4.9This facility: 7.0, 43% above the WI average of 4.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.6%
↓ 89% · WI 6.0This facility: 0.6, 89% below the WI average of 6.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.6%
↓ 89% · WI 6.0This facility: 0.6, 89% below the WI average of 6.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
40.2%
↑ 153% · WI 15.9This facility: 40.2, 153% above the WI average of 15.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
40.2%
↑ 153% · WI 15.9This facility: 40.2, 153% above the WI average of 15.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 4% · WI 96.0This facility: 100.0, 4% above the WI average of 96.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 4% · WI 96.0This facility: 100.0, 4% above the WI average of 96.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · WI 95.6This facility: 100.0, 5% above the WI average of 95.6 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · WI 95.6This facility: 100.0, 5% above the WI average of 95.6 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.57
↑ 60% · WI 1.61This facility: 2.57, 60% above the WI average of 1.61 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.57
↑ 60% · WI 1.61This facility: 2.57, 60% above the WI average of 1.61 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.05
↑ 39% · WI 2.19This facility: 3.05, 39% above the WI average of 2.19 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.05
↑ 39% · WI 2.19This facility: 3.05, 39% above the WI average of 2.19 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 7 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
43.5%
↓ 19% · US 53.7This facility: 43.5, 19% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
43.5%
↓ 19% · US 53.7This facility: 43.5, 19% below the US average of 53.7 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
4.4%
↑ 280% · WI 1.2This facility: 4.4, 280% above the WI average of 1.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
4.4%
↑ 280% · WI 1.2This facility: 4.4, 280% above the WI average of 1.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
↑ 13% · WI 86.9This facility: 98.2, 13% above the WI average of 86.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
↑ 13% · WI 86.9This facility: 98.2, 13% above the WI average of 86.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
↑ 9% · WI 82.2This facility: 89.7, 9% above the WI average of 82.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
↑ 9% · WI 82.2This facility: 89.7, 9% above the WI average of 82.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.5%
↓ 19% · WI 22.7This facility: 18.5, 19% below the WI average of 22.7 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.5%
↓ 19% · WI 22.7This facility: 18.5, 19% below the WI average of 22.7 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
22.1%
↑ 47% · WI 15.0This facility: 22.1, 47% above the WI average of 15.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
22.1%
↑ 47% · WI 15.0This facility: 22.1, 47% above the WI average of 15.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Middle River Health and Rehabilitation Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 164 Wisconsin nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Fiscal 2024 adds up two reports filed back to back, usually after a change of operator.
Is it financially stable?
Breaking even on care
3.3% operating margin
+41.9 pts vs prior year
Positive margin in 2 of the last 8 reported years. Net income $0.3M after other income.
Does it invest in staff?
Spends less on payroll than most Wisconsin homes
54.0% payroll share of revenue
WI average 58.7%Rank #100 / 164Payroll % of net patient revenue — State benchmarked This nursing home is ranked 100th out of 164 nursing homes we track in Wisconsin for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Wisconsin average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $1.2M while revenue rose $1.5M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Wisconsin homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | WI median | Compared with WI homesRank in WI | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $6.1M | +$1.5M | Trend 20162024 | WI median $8.3M | Rank in WI Rank #121 / 164Net patient revenue — State benchmarked This nursing home is ranked 121st out of 164 nursing homes we track in Wisconsin for net patient revenue. Shows this facility's net patient revenue compared to the Wisconsin average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 26% of homes | Below WI median Higher net patient revenue than 26% of WI homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $5.9M | −$0.5M | Trend 20162024 | WI median $8.4M | Rank in WI Rank #130 / 164Operating expenses — State benchmarked This nursing home is ranked 130th out of 164 nursing homes we track in Wisconsin for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Wisconsin homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 21% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.2M | +$2.0M | Trend 20162024 | WI median −$0.1M | Rank in WI Rank #63 / 164Net patient income — State benchmarked This nursing home is ranked 63rd out of 164 nursing homes we track in Wisconsin for net patient income. Shows net patient revenue minus operating expenses, compared with other Wisconsin homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 62% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 3.3% | +41.9 pts | Trend 20162024 | WI median −1.0% | Rank in WI Rank #54 / 164Operating margin — State benchmarked This nursing home is ranked 54th out of 164 nursing homes we track in Wisconsin for operating margin. Shows net patient income as a share of net patient revenue, compared with other Wisconsin homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 67% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Net income The bottom line after other income. | $0.3M | +$1.7M | Trend — | WI median $0.2M | Rank in WI Rank #60 / 164Net income — State benchmarked This nursing home is ranked 60th out of 164 nursing homes we track in Wisconsin for net income. Shows the bottom line after other income, compared with other Wisconsin homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 64% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Wisconsin homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | WI median | Compared with WI homesRank in WI | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.3M | +$1.2M | Trend 20162024 | WI median $4.4M | Rank in WI Rank #126 / 164Payroll costs — State benchmarked This nursing home is ranked 126th out of 164 nursing homes we track in Wisconsin for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Wisconsin average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 23% of homes | Below WI median Higher payroll than 23% of WI homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 54.0% | +8.4 pts | Trend 20162024 | WI median 56.9% | Rank in WI Rank #100 / 164Payroll % of net patient revenue — State benchmarked This nursing home is ranked 100th out of 164 nursing homes we track in Wisconsin for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Wisconsin average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 39% of homes | 4.7 pts under WI average The WI average is 58.7% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · WI benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Wisconsin payroll average.
% of net patient revenue
Payroll share Operating margin WI payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020no report | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $5.7M | $5.4M | $6.4M | $5.8M | $4.7M | $1.1M | $4.6M | $6.1M | |
| Operating expenses | $5.9M | $5.7M | $6.3M | $6.4M | $5.5M | $1.8M | $6.4M | $5.9M | |
| Net patient income | −$0.2M | −$0.2M | $0.1M | −$0.6M | −$0.8M | −$0.7M | −$1.8M | $0.2M | |
| Operating margin | −3.0% | −4.3% | 2.1% | −9.6% | −16.1% | −66.7% | −38.6% | 3.3% | |
| Net income | −$0.2M | −$0.2M | $0.1M | −$0.6M | −$0.7M | −$0.6M | −$1.3M | $0.3M | |
| Payroll costs | $3.7M | $3.6M | $3.8M | $4.1M | $4.1M | $0.9M | $2.1M | $3.3M | |
| Payroll share of revenue | 65.1% | 66.8% | 59.5% | 70.4% | 86.5% | 82.0% | 45.6% | 54.0% | |
| Beds | 86 | 86 | 86 | 86 | 86 | 86 | 86 | 86 | |
| Gross revenue | $5.7M | $5.5M | $6.6M | $6.1M | $5.7M | $1.3M | $4.5M | $5.8M | |
| Salaries | $3.2M | $3.1M | $3.3M | $3.6M | $3.0M | $0.8M | $1.9M | $2.8M | |
| Wage-related costs | $0.5M | $0.5M | $0.5M | $0.6M | $1.1M | $0.1M | $0.2M | $0.5M | |
| Contract labor | $0.4M | $0.4M | $0.6M | $0.5M | — | $0.1M | $1.6M | $0.5M | |
| Other operating costs | $2.2M | $2.0M | $2.5M | $2.3M | $1.4M | $0.9M | $4.3M | $2.6M | |
| Net patient revenue per day | $234 | $243 | $260 | $254 | $261 | $68 | $309 | $395 | |
| Cost per day | $241 | $253 | $254 | $278 | $303 | $114 | $428 | $382 | |
| Average length of stay | 171.4 days | 168.0 days | 143.6 days | 181.2 days | 410.6 days | 447.8 days | 304.7 days | 162.8 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
74 admissions · FY2024
Residents admitted during the year.
Medicare
32 · 43%
Medicaid
21 · 28%
Private pay & other
21 · 28%
Resident snapshot
45 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
4 · 9%
Medicaid
34 · 76%
Private pay & other
7 · 16%
Leaving
66 discharges · FY2024
Residents discharged during the year.
Medicare
14 · 21%
Medicaid
26 · 39%
Private pay & other
26 · 39%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Middle River Health and Rehabilitation Center
6.9 miles from city center
Estimated distance in miles from South Range's city center to Middle River Health and Rehabilitation Center's address, calculated via Google Maps.
Calculate Travel Distance to Middle River Health and Rehabilitation Center
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Know before you visit
Frequently Asked Questions about Middle River Health and Rehabilitation Center
Quick answers from public records and the community's own listing.01 What is the occupancy rate at Middle River Health and Rehabilitation Center?
Middle River Health and Rehabilitation Center's occupancy is 48.1%.
02 Are pets allowed at Middle River Health and Rehabilitation Center?
No, Middle River Health and Rehabilitation Center has a no-pet policy.
03 Does Middle River Health and Rehabilitation Center operate as a for-profit or non-profit?
Middle River Health and Rehabilitation Center is registered as a for-profit.
04 What is the overall rating for Middle River Health and Rehabilitation Center?
Middle River Health and Rehabilitation Center received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
05 How many beds does Middle River Health and Rehabilitation Center have?
Middle River Health and Rehabilitation Center has 86 beds.
06 What levels of care does Middle River Health and Rehabilitation Center provide?
Middle River Health and Rehabilitation Center offers Nursing Home, Hospice Care, Respite Care & Skilled Nursing.
07 What is the address of Middle River Health and Rehabilitation Center?
Middle River Health and Rehabilitation Center is located at 8274 E San Rd, South Range, WI 54874.
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