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.
Riverdale Health Care Center operates 58 beds at 1000 N Wisconsin Ave in Muscoda, Grant County, Wisconsin, under the ownership of Bedrock Hcs At Riverdale LLC. Most residents stay extended periods in this long-term care-focused facility, which serves Medicare, Medicaid, and private-pay populations with an average census stay of 103 days.
The facility received a 1-star CMS overall rating, with health inspection, staffing, and quality measures each rated at 1 star. Health inspection findings place it 64.3% below Wisconsin benchmarks.
Between July 2024 and July 2025, regulators imposed four payment denials; serious federal enforcement action that suspended new Medicare and Medicaid admissions for cumulative periods totaling 73 days. Four additional civil money penalties totaling $179,000 accompany these denials, substantially exceeding the Wisconsin average of $95,000 in fines.
Nursing hours stand at 3 hours 8 minutes per resident per day, falling 27% short of Wisconsin’s 4 hours 17 minutes average and ranking the facility 153rd among 172 state nursing homes. The staff-to-resident ratio of 1.49:1 runs 40% below the state standard of 2.48:1. Weekend staffing drops further to 2 hours 37 minutes per day, 30% below the state’s already-limited weekend baseline.
Emergency department visits are an indicator of preventable or manageable conditions being sent out of the facility and they occur at 5.84 per 1,000 resident days, exceeding the Wisconsin average more than threefold. Unintended weight loss appears in 14.5% of long-stay residents, triple the state average. Pressure ulcers affect 9.7% of high-risk residents, double the benchmark. Hospitalization rates run 32% above state averages.
The facility lost $502,100 in 2023 on $5.6 million in revenue. Occupancy declined from 78.9% in 2022 to 67.3% in 2023. Despite substantial payroll investment at 65% of revenue, quality outcomes across multiple domains remain below state performance standards.
Riverdale’s regulatory history, staffing constraints, and clinical quality measures point to substantial risks for prospective residents and families, particularly those requiring long-term skilled care.
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.
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.
| 50m per day | ▼ 13% 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.
| 30m per day | ▼ 20% 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 15m per day | ▼ 13% State avg: 2h 35m per day · National avg: 2h 21m 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 14m per day | ▼ 13% 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.
| 51m per day | ▲ 30% State avg: 39m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
12 total: 9 full-time employees and 3 contractors.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursAssists with medical care and medications.
All 4 LPN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursHelps with daily care and mobility.
31 total: 19 full-time employees and 12 contractors.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
575 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 19 | 12 | 31 | 6,618 | 92 | 100% | 7.7 |
| Registered Nurse | 9 | 3 | 12 | 2,238 | 89 | 97% | 10.6 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,725 | 81 | 88% | 10.3 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,030 | 76 | 83% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 530 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 492 | 63 | 68% | 7.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 452 | 56 | 61% | 8.1 |
| Medical Director | 0 | 1 | 1 | 200 | 20 | 22% | 10 |
| Occupational Therapy Aide | 0 | 1 | 1 | 102 | 13 | 14% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 79 | 38 | 41% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 6 | 7% | 2.5 |
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)
87% higher than State averageState average: $95K
94% more fines than State averageState average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
4
504% more payment denials than State averageState 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.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 9, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 27, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 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.
14.8
42% worse than State averageState average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.4
19% worse than State averageState 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
18.5%
5% worse than State averageState average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
30.3%
33% worse than State averageState average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
16% worse than State averageState average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
63% better than State averageState average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
9.7%
78% worse than State averageState average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.3%
61% better than State averageState average: 3.2%
Percent of long-stay residents who lose too much weight
14.5%
197% worse than State averageState average: 4.9%
Percent of long-stay residents who have depressive symptoms
6.3%
26% worse than State averageState average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
14.0%
13% better than State averageState average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
9% worse than State averageState average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
83.3%
12% worse than State averageState average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
2.13
32% worse than State averageState average: 1.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
5.84
167% worse than State averageState average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.8%
15% worse than State averageState average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.5%
14% better than State averageState average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
22.6%
51% worse than State averageState average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
36.6%
28% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
16% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
45% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
39Residents 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 Riverdale Health Care Center from 2011–2023, based on CMS SNF Cost Reports.
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 #137 / 183Payroll — State benchmarkedThis home is ranked 137th out of 183 homes in Wisconsin. 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.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 #44 / 183Payroll % — State benchmarkedThis home is ranked 44th out of 183 homes in Wisconsin. 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.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 stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (45% of admissions), and a typical Medicaid stay runs around 5 - 6 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.7 miles from city center
Estimated distance in miles from Muscoda's city center to Riverdale Health Care Center's address, calculated via Google Maps.
— 10.37 miles to nearest hospital (Richland Hospital)
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The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
| Riverdale Health Care Center | NH | Muscoda | - | 58 | - | 37 | - |
| Oak Park Nursing & Rehab Center | NH AL IL MC | Madison (North Star) | - | 100 | A+ | 5 | 1 Bed / 2 Bed |
| Sun Prairie Senior Living | NH ADC AL | Sun Prairie | - | 42 | A+ | 74 | Studio / 1 Bed / 2 Bed |
| Ascension Living Alexian Village – Milwaukee | NH | Milwaukee (Northridge) | - | 108 | A+ | 24 | 1 Bed / 2 Bed / 3 Bed |
| Harbor Haven Health & Rehabilitation | NH HC MC PC | Fond Du Lac | - | 85 | - | 57 | Private / Semi-Private Rooms |
Riverdale Health Care Center is in the Muscoda neighborhood.
Riverdale Health Care Center has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Riverdale Health Care Center's occupancy is 67.3%.
Riverdale Health Care Center is registered as a for-profit.
Yes — there are 4 photos of Riverdale Health Care Center in the photo gallery on this page.
Riverdale Health Care Center is located at 1000 N Wisconsin Ave, Muscoda, WI 53573.
(608) 739-3186 will put you in contact with the team at Riverdale Health Care Center.
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