Care and Rehab - Boscobel
207 Parker St., Boscobel, WI 53805 · Grant County · (608) 375-6342
50 certified beds, about 33 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525373 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 7, 2025, inspectors cited 0 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).
Of 3 health citations since April 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $157,729 in the last three years; the largest was $157,729, and the latest is dated January 30, 2025.
Nurses and nurse aides worked 4.57 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 1.16 of those hours.
47.4% of nursing staff left within the year CMS measured (Wisconsin average 46.9%).
CMS links it to Care & Rehab, an affiliated group of 6 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 3 health citations on file.
August 7, 2025Standard inspection · 0 citations
January 30, 2025Complaint inspection · 1 citation
- J Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents received adequate fluid and food intake to maintain acceptable parameters of hydration and nutrition for 1 of 3 Residents reviewed for nutrition (R1). R1's fluid intake was not documented or evaluated to ensure he was meeting his required daily fluid needs. R1's care plan was not updated with individualized approaches to increase fluid intake to prevent dehydration after it was revealed on 12/27/24 that he had elevated labs indicative of reduced kidney function. R1 was hospitalized with elevated lab value, dehydration, an acute kidney injury, hypernatremia, metabolic encephalopathy, and severe sepsis. The facility did not have a systematic process in place to monitor and assess R1's daily fluid intake or needs and implement corrective actions to prevent dehydration for R1. [...]
July 3, 2024Standard inspection · 2 citations
- E 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.
Inspectors wroteExample 6 R11's POST form, indicating her wish to be a Do Not Resuscitate (DNR), was signed by the physician on [DATE]. The form was not signed by R11 despite the form indicating that she was of capacity to do so and had not indicated she did not wish to sign. Example 7 R28's POST form, indicating her wish to be a DNR, was signed by the physician on [DATE]. The form was not signed by R28 despite the form indicating that she was of capacity to do so and had not indicated she did not wish to sign. On [DATE] at 12:10 PM, Surveyor interviewed DON B (Director of Nursing). When asked if she would expect the POST form to be filled out thoroughly and signed by all the parties, DON B stated that she would leave that to SW C (Social Worker) as that is her job to complete. [...]
- D 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.
Inspectors wroteBased on observation and interview, the facility did not ensure a resident who is fed by and receives medications by enteral means (also known as tube feeding, a way of sending nutrition and / or medications directly to the stomach or small intestine) receives the appropriate treatment and services. This affects 1 (R2) of 5 residents observed during medication pass. The facility did not properly check placement, ensuring the marking on the tube has not changed, of R2's jejunostomy tube (tube placed through the skin of the abdomen into the small intestine for nutrition, hydration, and/or medication administration) prior to administering medications. This is evidenced by: The Facility's policy entitled Verifying Placement of Feeding Tube dated 5/22/24, documents in part: [...]
April 5, 2023Standard inspection · 0 citations
Fire safety inspections
18 fire safety citations on file: 4 on August 7, 2025, 6 on July 3, 2024, 8 on April 5, 2023.
Every fire safety citation18 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Have elevators that firefighters can control in the event of a fire.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Conduct risk assessment and an All-Hazards approach.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Construct fire resistant interior walls.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Properly provide smoke detection systems in areas open to corridors.
- D Install an approved automatic sprinkler system.
- D Meet requirements for the installation and maintenance of electrical systems.
- D Have power receptacles that are properly grounded.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 30, 2025 | Fine | $157,729 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Wisconsin | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.57 | 4.21 | 3.86 |
| Registered nurses | 1.16 | 0.99 | 0.69 |
| All nursing staff on weekends | 4.04 | 3.77 | 3.42 |
| Nurse aides | 3.01 | ||
| Licensed practical nurses | 0.39 | ||
| Nursing staff turnover (share who left in a year) | 47.4% | 46.9% | 45.8% |
| Registered nurse turnover | 25.0% | 39.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.07 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.78 on weekdays and 4.04 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.20 in April to June 2025 to 4.57 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.57 | 1.16 | 4.78 | 4.04 | 0.0% | 0 of 90 | 33 |
| Oct to Dec 2025 | 4.40 | 0.96 | 4.61 | 3.84 | 0.0% | 0 of 92 | 34 |
| Jul to Sep 2025 | 4.35 | 0.90 | 4.58 | 3.73 | 1.2% | 0 of 92 | 35 |
| Apr to Jun 2025 | 4.20 | 0.95 | 4.43 | 3.62 | 1.1% | 0 of 91 | 36 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wisconsin, Jan to Mar 2026 | 4.19 | 0.95 | 4.36 | 3.74 | 8.8% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wisconsin | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.9 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.2 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.3 | 15.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.3 | 23.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 33.1 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 2.3 | 1.8 |
Owners and operators
Legal business name: SENIOR MANAGEMENT INC. CMS links this home to Care & Rehab, a group of 6 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Thayer, Grant | 5% or greater direct ownership interest | Individual | 100% | 05/01/2010 |
| Thayer, Grant | Corporate director | Individual | 05/01/2010 | |
| Bechtel, Jessica | Operational/managerial control | Individual | 03/10/2025 | |
| Bell, Michaell | Operational/managerial control | Individual | 06/01/2010 | |
| Ellis, Lona | Operational/managerial control | Individual | 09/26/2022 | |
| McCurry, Colleen | Operational/managerial control | Individual | 09/01/2017 | |
| Sadowska, Timothy | Operational/managerial control | Individual | 03/10/2025 | |
| Thayer, Grant | Operational/managerial control | Individual | 06/01/2010 | |
| 205 Parker Street LLC | Adp of the SNF | Organization | 06/01/2010 | |
| Bechtel, Jessica | Adp of the SNF | Individual | 03/10/2025 | |
| Bell, Michaell | Adp of the SNF | Individual | 06/01/2010 | |
| Ellis, Lona | Adp of the SNF | Individual | 09/26/2022 | |
| McCurry, Colleen | Adp of the SNF | Individual | 09/01/2017 | |
| Sadowska, Timothy | Adp of the SNF | Individual | 03/10/2025 | |
| Thayer, Grant | Adp of the SNF | Individual | 06/01/2010 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 30, 2025: "Provide enough food/fluids to maintain a resident's health."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on July 3, 2024: "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."
Other nursing homes nearby
- Dove Healthcare - Fennimore Fennimore, 10.7 mi · 2 of 5 stars · 31 citations
- Rivers Edge Nursing and Rehab Muscoda, 14 mi · 1 of 5 stars · 111 citations
- Soldiers Grove Health Services Soldiers Grove, 18 mi · 2 of 5 stars · 21 citations
- Lancaster Health Services Lancaster, 20.4 mi · 2 of 5 stars · 18 citations
- Schmitt Woodland Hills Richland Center, 20.8 mi · 5 of 5 stars · 11 citations
- Orchard Manor Lancaster, 21.3 mi · 5 of 5 stars · 9 citations
- Prairie Maison Prairie Du Chien, 22.3 mi · 2 of 5 stars · 16 citations
Wisconsin contacts for a concern about a nursing home
These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Wisconsin Department of Health Services, Division of Quality Assurance, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Wisconsin Board on Aging and Long Term Care, Ombudsman Program, 1-800-815-0015. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Wisconsin DHS Provider Search (Survey History), where Wisconsin publishes its own records on licensed homes.
Common questions
- What is Care and Rehab - Boscobel's Medicare star rating?
- CMS rates Care and Rehab - Boscobel 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Care and Rehab - Boscobel get at its last inspection?
- 0 health deficiencies at the standard inspection on August 7, 2025. The Wisconsin average is 9.5.
- Has Care and Rehab - Boscobel been fined?
- Yes. CMS lists 1 fine totaling $157,729 in the last three years.
- Does Care and Rehab - Boscobel accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Care and Rehab - Boscobel?
- CMS lists 15 owners and managers, and links the home to Care & Rehab. Legal business name: SENIOR MANAGEMENT INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.