Beaver Dam Health Care Center - Bedrock Healthcare

    410 Roedl Ct, Beaver Dam, WI, 53916
    3.3 · 30 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    1.0

    Neglected care, poor management, avoid

    I had a terrible temporary skilled nursing stay - basic care was neglected (missed meds like gabapentin, no showers, no teeth brushing for 15 days), pain poorly managed, and infection-related hospitalizations followed. Administration and the DON were unresponsive; I contacted state and federal authorities after survey violations and immediate-jeopardy issues. Some staff were friendly and the building/food looked nice, but inconsistent nursing, safety and transfer failures, and high cost mean I would not recommend.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.30 · 30 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      3.1
    • Meals

      4.3
    • Amenities

      3.0
    • Value

      1.0

    Pros

    • Welcoming and friendly staff
    • Caring and compassionate caregivers
    • Efficient and helpful front-line staff
    • Experienced RN endorsement
    • Well-run, neat, and clean facility (per some reviewers)
    • Great food and good meals
    • Excellent rehab/therapy program (per some reviewers)
    • Plenty of activities and social programming (per some reviewers)
    • Transportation/bus service to doctor appointments
    • Beautiful apartments
    • Patients appear well cared for (in positive reports)
    • Professional attitudes among some staff and leadership
    • Helpful and humorous staff during intake and sign-up
    • Residents report feeling well taken care of and happy

    Cons

    • Severe lapses in basic personal care (e.g., no teeth brushing for extended periods)
    • Poor oral hygiene management (plaque, inflamed/bleeding gums)
    • Medication errors and omissions (missing/discontinued meds such as gabapentin)
    • Failure to follow physician orders and care plans
    • Neglect leading to infections, hospitalizations, and at least one reported death
    • State investigations, survey violations, and reports of immediate jeopardy
    • Significant miscommunication between shifts and staff (CNA handoffs)
    • Unresponsive or ineffective administration and Director of Nursing
    • Unresponsive staff to calls and phone inquiries
    • Billing office and other administrative offices not returning calls
    • Unsafe or poorly maintained bathroom facilities
    • Infrequent cleaning and missing supplies (e.g., towels)
    • Therapy program advertised but not consistently provided
    • Questionable credentials of some leadership/dietitian reported
    • Restricted patient rights and social worker pressure to remove residents
    • Poor transfer assistance and continuity of care
    • No parking lot and winter/snow safety concerns
    • Perception of mismanagement and ownership lacking healthcare experience
    • Mixed staff quality with inconsistent standards of care
    • High cost and not perceived value for money

    Summary review

    The reviews for Beaver Dam Health Care Center - Bedrock Healthcare are highly polarized, with a clear split between very positive experiences and very serious negative reports. Many reviewers praise the facility’s front-line staff, describing them as welcoming, friendly, caring, efficient, and professional. Positive comments highlight good food, a neat and clean environment (per several accounts), attractive apartments, effective intake experiences, helpful sign-up processes, and availability of transportation to medical appointments. Several reviewers specifically commend an excellent rehabilitation/therapy program and experienced nursing staff, and some residents report feeling well cared for and content to live there.

    Conversely, a substantial number of reviews describe critical lapses in clinical care and facility management. Specific accounts include prolonged failures in basic personal care (for example, one reviewer reported no teeth brushing for 15 days, visible plaque, and a toothbrush left in its plastic wrapper), medication errors or omissions (missing gabapentin and other medication discontinuations), failures to follow physician orders, and miscommunication between night and day shift CNAs. Several reviewers assert neglect that led to infections, hospitalizations, and at least one death; state-level oversight actions, survey violations, and allegations of immediate jeopardy were explicitly mentioned. These reports point to systemic risks in clinical care and patient safety rather than isolated incidents.

    Staffing and management receive mixed evaluations. On the positive side, many frontline caregivers and some leaders are described as compassionate, professional, and well-liked. On the negative side, reviewers report unresponsive administration and Director of Nursing, ineffective communication from management, and an unhelpful billing office. Some reviews described social services pressuring families to remove residents, restricted patient rights, and a perception that facility ownership lacks healthcare expertise and is mismanaging operations. Several reviewers said they escalated concerns to regulatory bodies (state Division of Quality Assurance, Office of Inspector General) citing neglect and safety violations.

    Facility condition and amenities present a mixed picture. Positive comments note a clean, welcoming environment, good meals, attractive apartments, and a range of activities and bus services. However, others note infrequent cleaning, missing towels, an unsafe bathroom, lack of parking, and winter snow safety issues. The therapy program and advertised services are inconsistently delivered according to some reviewers: while some praise excellent rehab, others claim the therapy program was not offered as advertised and overall clinical support was mediocre.

    A clear pattern emerges of inconsistency: experiences depend heavily on which staff members and shifts a resident encounters. This results in wide variance in perceived quality — from “amazing place” with excellent staff and leadership to “terrible” with neglect, mismanagement, and safety concerns. Because the negative reports cite concrete clinical harms (medication mistakes, infections, hospitalizations, and regulatory findings), they raise serious concerns that go beyond common customer-service complaints. Families and prospective residents should weigh the positive reports of compassionate staff and good amenities against the documented allegations of neglect, medication errors, regulatory interventions, and inconsistent administration.

    Overall, the facility appears capable of providing excellent care in some circumstances but has documented lapses and systemic concerns that have led to severe outcomes for other residents. Key areas for improvement based on the reviews are: ensuring reliable basic personal care and hygiene, improving medication management and adherence to physician orders, strengthening shift-to-shift communication and staffing consistency, addressing administrative responsiveness (billing and leadership communication), resolving environmental safety issues (bathrooms, parking, snow removal), and ensuring advertised therapy and activity offerings are consistently delivered. Given the gravity of the negative reports and state involvement cited by reviewers, families should perform thorough, up-to-date checks with regulatory agencies and seek recent references before making placement decisions.

    Location

    Map showing location of Beaver Dam Health Care Center - Bedrock Healthcare

    About Beaver Dam Health Care Center - Bedrock Healthcare

    Beaver Dam Health Care Center - Bedrock Healthcare sits in Beaver Dam, Wisconsin, and serves as a nursing home with 90 certified beds and about 64 residents on average, giving it a fairly homey, close-knit feeling, and folks who've stayed there mention a nurturing and secure environment, especially in its memory care unit for Alzheimer's and dementia patients, plus there's short-term rehab and long-term care, with room options like studios, semi-private, share, and companion rooms, so residents have some flexibility. Staff includes a range of healthcare professionals like CNAs and notable names such as Jennifer Nencka, DPT, who's a Doctor of Physical Therapy, and it's got a team approach, which means people work together to keep care consistent, though the nurse turnover rate sits at 77.3%, higher than the state average, and nurse staffing comes to about 3.15 hours per resident each day, which is less than the state's 4.1 hour average.

    Bedrock Healthcare runs this center, with leadership from individuals like Kenny Nichols, Co-Founder and Chief Operating Officer, and others including Pnina Chopp and Shimon Grunhut, and the group also has facilities in cities like Milwaukee, Fort Atkinson, Watertown, and a few more, showing it's got experience across the region, and from what's listed, this place provides services covering assisted living, home care, memory care, skilled and independent nursing, hospice, and palliative care, with extra programs like rehab for cardiac, pulmonary, and orthopedic needs, plus wound care and post-op care, so there's quite a range for residents dealing with health changes.

    The place tries to match care and activities to fit people's needs, and says it wants to meet clinical, social, and emotional needs with programs and a caring staff, but there's been a history of inspection issues, with 104 deficiencies over the last few years and special attention needed for infection control, as reports detail 11 infection-related deficiencies, so that's an active area for improvement, and the place sits as a Special Focus Facility Candidate, which means the government noticed past problems though hasn't issued a formal warning yet. Medicare and Medicaid help cover costs here, and ratings show mixed impressions-a 2-star rating from the Centers for Medicare & Medicaid Services but a stronger 8 out of 10 from some community reviewers and 4.3 out of 5 based on 9 public reviews, so experiences can vary, and it gives a picture both of quality efforts and challenges. Amenities here match standard nursing home offerings, and the secure environment supports people needing extra care, especially those with memory concerns, with personalized wellness and activities trying to keep each resident's days meaningful and supported. For those who want more detailed facts or policy information, the website is at http://bedrockhcs.com/.

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