Meadowbrook at Black River Falls
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 37 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (8 vs median 7)
- High staff turnover (68%)
- High RN turnover (77%)
Below average in WI · Meets national RN staffing standard · $138,975 in fines
What this means for your family
While the facility has dedicated frontline staff and engaging activities, the recurring reports of severe understaffing and poor facility maintenance are significant red flags. We strongly recommend that you tour the facility unannounced and specifically ask about their current staffing ratios and their process for reporting and addressing resident health concerns.
Google Reviews
Google Reviews
37 reviews on Google“Meadowbrook at Black River Falls receives highly polarized feedback, with recent reviews highlighting a stark divide between praise for individual staff members and severe criticism of facility management and physical conditions. While some families appreciate the activities and compassionate frontline workers, others report critical failures in medication management, hygiene, and staffing levels that have led to hospitalizations. Potential families should be aware of recurring reports regarding facility cleanliness and administrative responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and dedicated frontline nursing staff
- Engaging resident activities and events
- Strong physical and occupational therapy teams
- Homelike atmosphere
Concerns
- Severe understaffing leading to poor care (mentioned by 5 reviewers)
- Poor facility cleanliness and maintenance (mentioned by 4 reviewers)
- Poor administrative communication and management (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 35 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed the facility has a very active calendar; could you walk me through a typical day for a resident and how you encourage participation in these activities?
- 2Given the current staffing levels, what specific protocols do you have in place to ensure consistent, timely care for residents during peak hours?
- 3I understand that maintaining a clean environment is a priority; could you explain your current cleaning schedule and how you manage facility maintenance requests?
- 4What is your standard process for communicating updates or concerns to family members, and who is the primary point of contact for administrative questions?
- 5How does your team coordinate with the nursing staff to ensure that medication management is handled accurately and safely for each resident?
- 6I see that you occasionally respond to feedback online; how do you use that input to make tangible improvements to the daily experience here at Meadowbrook?
Personalized based on this facility's data
Key Review Excerpts
“Very dirty and dilapidated condition. My mother not fed or cared for properly causing her to be sent to hospital for dehydration.”
“The staff at meadowbrook was great.but they need more CNA s the food was good .I met some wonderful people there .and I want to give a shout out to my absolute favorite nurse Tanya”
“Terrible administration. Failure to report elopments. Severely understaffed , CNAS really do care and do there best but have zero support from the admin.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
7
measures
8
measures
1
measures
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaint reports against this facility, with 17 complaint-triggered deficiencies spanning recent years. Recurring issues include food safety and preparation problems, medication management errors, and infection control failures that appear across multiple surveys from 2023 through 2025. While the facility has provided correction dates for most deficiencies, the pattern of repeated violations in critical care areas like nutrition, pharmacy services, and infection prevention suggests ongoing operational challenges that families should carefully consider.
Jan 14, 2026Routine13
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Oct 22, 2025Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Apr 1, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Jan 22, 2025Complaint3
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Dec 18, 2024Complaint4
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Oct 16, 2024Routine29
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Construct fire resistant interior walls.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Federal Penalties
Fine
Jan 22, 2025
$56,898
Payment Denial
Jan 22, 2025
32-day denial
Fine
Oct 16, 2024
$17,250
Fine
Jul 10, 2024
$34,190
Payment Denial
Jul 10, 2024
36-day denial
Ownership & Operations
Who Operates This Facility
Meadowbrook at Black River Falls
for profit
Chain Affiliation
Synergy Senior Care
5 facilities nationwide
Chain avg rating: 2.4/5 · Rank 3 of 5
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
37 reviews from families & visitors
Official Website
Visit meadowbrookbrf.com
Medicare data downloads
Original nursing home datasets
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