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A
Very Good

MIDDLE RIVER HEALTH AND REHABILITATION CENTER

8274 E SAN RD · SOUTH RANGE, WI 54874

7153983523 · For profit - Limited Liability company

86 beds45.2 residents65 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MIDDLE RIVER HEALTH AND REHABILITATION CENTER receives an overall staffing grade of A (Very Good). With 4.2432 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.35 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 16.83% compared to weekdays. The facility relies heavily on temporary agency staff (52.61% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️52.61% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.2432hrs/resident/day▲ 0.35
CMS benchmark: 3.48
RN HPRD
0.7509hrs/resident/day▲ 0.07
Recommended: 0.75
Weekend Drop-off
16.83%
4.4551 weekday → 3.7054 weekend
Agency Staff
52.61%
9.53% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.3108hrs/resident/day
Direct care aides
LPN HPRD
1.0455hrs/resident/day
Licensed practical nurses
Consistency
0.5085std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Douglas County Average+0.31 HPRD
3.94
04.24 HPRD
vs. Wisconsin State Average+0.04 HPRD
4.20
04.24 HPRD
vs. National Average+0.35 HPRD
3.90
04.24 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
MIDDLE RIVER HEALTH AND REHABILITATION CENTER ★
SOUTH RANGE · This facility
—
A
4.24320.7509★★☆☆☆
TWIN PORTS HEALTH SERVICES
SUPERIOR
15.1 mi
B
3.4961.1528★★★★★
DOVE HEALTHCARE - SUPERIOR
SUPERIOR
17.2 mi
B
4.18110.5902★★☆☆☆
HAYWARD HEALTH SERVICES
HAYWARD
40.3 mi
B
3.7091.2298★★★★☆
COURT MANOR HEALTH SERVICES
ASHLAND
46.8 mi
B
3.77321.0238★★★☆☆
ASHLAND HEALTH SERVICES
ASHLAND
46.9 mi
B
3.77981.3941★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
21
Total Deficiencies
$0
Fines Assessed
Aug 14, 2025Health
7 deficiencies cited
▼
Jun 25, 2025Health
3 deficiencies cited
▼
Apr 29, 2025Health
1 deficiency cited
▼
Dec 2, 2024Health
1 deficiency cited
▼
Aug 29, 2023Health
1 deficiency cited
▼
Jun 7, 2023Health
7 deficiencies cited
▼
Mar 7, 2023Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.