Spring Valley Health and Rehab Center
S830 - Westland Dr · Spring Valley, WI · 54767 · 7157785545
40 certified beds Government - City/county Chain: Health Dimensions Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.74 | 0.55–0.75 |
| Weekend hours / resident-day | 3.54 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 2 · $27,690 |
Inspection citations (38 in the current record)
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Potential for harm · D December 4, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 4, 2026 · Resident Rights
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Potential for harm · D December 4, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 4, 2026 · Resident Rights
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Potential for harm · D December 4, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025
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.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · F December 4, 2025
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.
Corrected January 4, 2026 · Nutrition and Dietary
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Potential for harm · F December 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 4, 2026 · Nutrition and Dietary
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Potential for harm · F December 4, 2025
Dispose of garbage and refuse properly.
Corrected January 4, 2026 · Nutrition and Dietary
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Potential for harm · F December 4, 2025
Provide and implement an infection prevention and control program.
Corrected January 4, 2026 · Infection Control
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Potential for harm · F December 4, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected January 4, 2026 · Infection Control
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Potential for harm · E December 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 4, 2026 · Quality of Life and Care
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No harm found · C August 8, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G August 1, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 29, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024
Provide care by qualified persons according to each resident's written plan of care.
Corrected August 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 29, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 29, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected August 29, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024
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.
Corrected August 29, 2024 · Pharmacy Service
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Potential for harm · F August 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 29, 2024 · Nutrition and Dietary
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Potential for harm · F August 1, 2024
Provide and implement an infection prevention and control program.
Corrected August 29, 2024 · Infection Control
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Immediate jeopardy · J April 25, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 25, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 25, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 1, 2024 | Fine | $12,048 |
| April 25, 2024 | Fine | $15,642 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525466 · certified since May 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.