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Nursing HomeMedicaid Investigative

Beaver Dam Health Care Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

410 Roedl Ct, Beaver Dam, WI 5391690 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 45 Google reviews

5
4
3
2
1
Beaver Dam Health Care Center Nursing Home in Beaver Dam, WI — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (21 vs median 7)
  • High staff turnover (61%)

Bottom 25% in WI · Critically understaffed (RN) · Significantly below average staffing · Worst in BEDROCK HEALTHCARE chain · $144,764 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility has a history of extreme inconsistency, with some families reporting excellent care while others allege life-threatening neglect and hygiene issues. Before choosing this facility, we strongly advise you to request the most recent state survey results and ask specifically how they handle medication management and infection control, as these are recurring points of failure in negative reviews.

Google Reviews

Google Reviews

45 reviews on Google
Beaver Dam Health Care Center receives highly polarized feedback, with some families praising the compassionate staff and welcoming environment, while others report severe concerns regarding patient neglect and safety. Critical reviews frequently cite issues with medication management, hygiene, and inadequate staffing levels, leading to serious health complications for residents. Prospective families should be aware of these significant inconsistencies in care quality and conduct thorough due diligence.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean4.0Activities5.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Friendly and compassionate nursing staff
  • Welcoming and clean environment
  • Hands-on administrative leadership
  • Effective rehab therapy department

Concerns

  • Neglect and poor quality of care leading to health decline (mentioned by 5 reviewers)
  • Medication management errors (mentioned by 3 reviewers)
  • Understaffing, particularly during night shifts (mentioned by 3 reviewers)
  • Lack of responsiveness from administration to complaints (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02021(1)3.32022(7)4.32023(7)2.02024(4)3.52025(24)5.02026(4)

Distribution · 47 analyzed

5
29
4
2
3
0
2
0
1
16

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your nursing staff; how do you ensure that this level of care remains consistent across all shifts, including overnight?
  • 2Since we've seen that the administrative leadership is very hands-on, what is the best way for our family to communicate with management if we have questions about our loved one's care?
  • 3Could you walk us through your specific protocols for medication management to ensure everything is administered accurately and on schedule?
  • 4What kind of daily activities or social programs do you have in place to keep residents engaged and connected with one another?
  • 5In the event of a medical emergency during the night, what is the immediate process for notifying the family and providing care?
  • 6We want to make sure our loved one's room and common areas are kept very tidy; what does your daily cleaning and maintenance schedule look like?

Personalized based on this facility's data


Key Review Excerpts

The staff at the facility deeply care about the needs of the residents and maintaining adequate care for all the residents. They are always looking to make sure that the residents are getting the appropriate care and do their best to resolve any issues or problems that arise.

Family member · 2025★★★★★

I AM DISGUSTED that after the STATE FOUND neglect of my loved one, causing her death due to an constantly ignored infection...that a close friend's family member has been placed in this nursing home...and the neglect never stopped.

Family member · 2025☆☆☆☆

My grandma is a resident here at this facility, and I went to visit her the other day and came home with BED BUGS!! I know it was this place that gave them to me because I’ve heard conversations about BED BUGS happening between other residents in the building

Grandchild · 2025☆☆☆☆
Source: 45 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
63%
Registered nurses for medical care
Total Nursing
2.84hrs
69%
All nurses + aides combined
Staff Turnover
65%
Lower is better (< 30% = good)
RN Turnover
64%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility29.9%
Worse than Avg
Here
29.9%
US
15.5%
WI
15.9%
Dodge
14.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
WI
5.2%
Dodge
6.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
15.3%
WI
19.9%
Dodge
19.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility86.0%
Worse than Avg
Here
86.0%
US
93.4%
WI
95.6%
Dodge
94.8%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility12.9%
Worse than Avg
Here
12.9%
US
4.9%
WI
5.3%
Dodge
4.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
14.4%
WI
16.7%
Dodge
16.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility65.0%
Worse than Avg
Here
65.0%
US
81.8%
WI
86.6%
Dodge
87.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility73.0%
Worse than Avg
Here
73.0%
US
79.8%
WI
82.2%
Dodge
86.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Worse than Avg
Here
1.7%
US
1.6%
WI
1.3%
Dodge
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

26deficiencies
6penalties
Well above state avg (9.8)
64 complaint-triggered
$144,764 in fines

This facility has significant ongoing care issues, with families filing numerous complaints throughout the review period. The most recurring problems involve treatment and care quality, medication management, and pressure ulcer prevention. While all deficiencies show correction dates, the persistent pattern of complaints about fundamental care areas—including a recent abuse protection violation—suggests systemic challenges that families should carefully consider before visiting.

Mar 18, 2026Complaint
2
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Feb 18, 2026Complaint
7
0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0947Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

Nov 13, 2025Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Mar 20, 2025Complaint
4
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Feb 26, 2025Complaint
15
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0940Potential for harm · WidespreadCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Feb 26, 2025Routine
11
0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Federal Penalties

Payment Denial

Feb 18, 2026

35-day denial

Payment Denial

Feb 26, 2025

18-day denial

Fine

Jun 25, 2024

$46,258

Payment Denial

Jun 25, 2024

12-day denial

Fine

Dec 13, 2023

$49,526

Payment Denial

Dec 13, 2023

8-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Beaver Dam Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Bedrock Healthcare

Chain Size

9 facilities nationwide

Chain avg rating: 1.3/5 · Rank 5 of 8 (Worst)

Ownership & Management

Owners

Bedrock Hc Wi LLC

Owner · Organization

Bedrock Op Holdco LLC

Owner (parent company) · Organization

Chopp, Martin

Owner (parent company)

Chopp, Pnina

Owner (parent company)

Chopp, Solomon

Owner (parent company)

Key personnel

Opal Healthcare Nj LLCManagerOpal Healthcare Wi LLCManagerChopp, PninaManagerChopp, SolomonManagerGrunhut, ShimonManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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