Middle River Health and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 22 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)
- Above-median deficiencies (11 vs median 7)
- High staff turnover (63%)
Below average in WI · Below recommended RN staffing · Above recommended total nurse staffing · No penalties on record
What this means for your family
While the facility is frequently praised for its cleanliness and the dedication of its staff, families should be aware of reports regarding staffing shortages. We recommend scheduling a tour during a weekend or evening shift to observe staffing levels and response times firsthand to ensure they meet your loved one's needs.
Google Reviews
Google Reviews
22 reviews on Google“Middle River Health and Rehabilitation Center receives mixed feedback, with some families praising the dedicated, caring staff and clean environment, while others express significant concerns regarding staffing levels and overall quality of care. While some long-term residents and their families report positive experiences with activities and staff attentiveness, there are notable warnings from others about the facility's resource limitations and responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated and caring nursing staff
- Clean and well-maintained facility
- Engaging activities for residents
- Pleasant grounds and atmosphere
Concerns
- Inadequate staffing levels (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 24 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given that the facility has 86 residents, how do you ensure that each resident receives consistent, personalized attention throughout the day to maintain the high level of care your staff is known for?
- 2With 11 recent state violations on record, could you walk me through the specific steps the leadership team has taken to address these issues and improve your overall quality of care?
- 3I’ve read positive feedback about your activities program; could you show me a sample calendar and explain how you tailor these engagements to keep residents active and social?
- 4How does your team manage staffing transitions to ensure that residents are never left waiting for assistance, especially during peak hours or shift changes?
- 5In the event of a sudden medical change or emergency, what is the specific protocol for notifying family members and coordinating with local hospitals?
- 6I noticed your facility has a 2-star CMS rating; what specific improvements or investments are you currently prioritizing to elevate the quality of life and care for your residents?
Personalized based on this facility's data
Key Review Excerpts
“This is no high-end place, but I have only seen kind, dedicated, caring staff. The building is tired and there seem to be few resources, but I have to hand it to staff who work for these struggling individuals so need of care and support.”
“My mother at age 91 loves it. Plenty of things to do and very caring staff. This place is kept so clean that you don't want to leave.”
“Nice. Very clean, friendly, if very busy, staff. Residents have activities, beautiful grounds for the summer, and a pleasant atmosphere.”
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 · 17 measures
10
measures
7
measures
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
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
This facility shows concerning patterns with families filing complaints that triggered 7 inspections, revealing recurring problems in medication management, fire safety systems, and quality of care. The most frequent issues involve fire safety equipment maintenance (sprinkler systems, alarms, smoke barriers) and medication services, with some problems persisting across multiple years despite reported corrections. While all deficiencies show correction dates, the repeated nature of safety violations and ongoing complaint activity suggest families should carefully evaluate current conditions during visits.
Feb 3, 2026Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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.
Aug 14, 2025Routine18
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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
Install an approved automatic sprinkler system.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jun 25, 2025Complaint3
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 29, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 2, 2024Complaint1
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Jun 13, 2024Routine4
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Ownership & Operations
Who Operates This Facility
Middle River Health and Rehabilitation Center
for profit
Ownership & Management
Owners
Markowitz, Alan
Owner
Key personnel
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
22 reviews from families & visitors
Official Website
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Medicare data downloads
Original nursing home datasets
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