Watertown Health Care Center, Watertown, Wisconsin
- 98
- Citations from health inspectionsWisconsin average: 28 a home
- 12
- Residents harmed or put in dangerWisconsin average: 2.0 a home
- $278,229
- Fines from the federal governmentWisconsin average: $48,150 a home
- 1 out of 5
- Overall rating in starsWisconsin average: 3.0
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
18 inspection visits produced 98 citations. Residents were in immediate danger in seven findings. Residents were found hurt in five cases. Federal fines came to $278,229 (five fines). Two times, Medicare stopped paying for new admissions.
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- 3.02 hours each dayThe Wisconsin average is 4.21 hours
- Time from registered nurses
- 0.42 hours each dayThe Wisconsin average is 0.99 hours
- Nursing staff who left during one year
- 73.6%against the Wisconsin average of 46.9%
- Beds that are certified
- 112
- Ownership
- Limited Liability company (for profit)
- Chain
- Bedrock Healthcare, with nine homes
- Street address
- 121 Hospital Dr., Watertown, Wisconsin 53098
- County
- Dodge
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Eight citations dated July 8, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F691 Proper Care for Surgical Bowel or Bladder Openings: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Nine citations dated June 9, 2026
- F804 Food Taste and Temperature: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F745 Medically Related Social Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F678 CPR and Basic Life Support: immediate danger to residents, one or a few residents, found on a complaint visit.
- F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Seven citations dated May 18, 2026
- F825 Specialized Rehabilitation Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F774 Help With Transportation to Outside Laboratory: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
24 citations dated March 12, 2026
- F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, one or a few residents.
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F774 Help With Transportation to Outside Laboratory: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
- F640 Send Assessment Data to State on Time: risk of harm, no one found hurt, one or a few residents.
- F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, a pattern, several residents.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F553 Resident Involvement in Care Planning: risk of harm, no one found hurt, one or a few residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
One citation dated Jan. 14, 2026
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated Dec. 1, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Feb. 19, 2025
- F569 Return Resident Funds After Discharge or Death: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
15 citations dated Nov. 14, 2024
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F880 Infection Prevention and Control: immediate danger to residents, widespread, found on a complaint visit.
- F847 Right to Refuse Binding Arbitration: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F694 Safe Fluids Given Through a Vein: immediate danger to residents, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
One citation dated Oct. 17, 2024
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
Five citations dated Aug. 20, 2024
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F690 Bladder, Bowel and Catheter Care: residents were harmed, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated July 16, 2024
- F837 Governing Body and Licensed Administrator: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F555 Right to Choose Own Doctor: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated July 1, 2024
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Two citations dated June 19, 2024
One citation dated June 4, 2024
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated April 23, 2024
Three citations dated March 4, 2024
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents, found on a complaint visit.
Four citations dated Jan. 19, 2024
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F700 Safe Use of Bed Rails: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Six citations dated Aug. 2, 2023
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F694 Safe Fluids Given Through a Vein: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Oct. 17, 2024 | Fine | $176,721 |
| Oct. 17, 2024 | Payment denial for new admissions | 43 days |
| June 4, 2024 | Fine | $15,939 |
| June 4, 2024 | Fine | $40,072 |
| June 4, 2024 | Payment denial for new admissions | 60 days |
| March 4, 2024 | Fine | $8,989 |
| Jan. 19, 2024 | Fine | $36,508 |
Ownership and Management of the Home
- The home is run by Opal Healthcare Wi LLC (operational or managerial control).
Three people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 525333. Other homes in Wisconsin.