BEDROCK HCS AT BEAVER DAM LLC
NPI 1679124705
Skilled Nursing Facility in Beaver Dam, WI

Active since September 20, 2019CLIA 52D0394034 · Waiver
1/5
Overall Rating
410 ROEDL CT, BEAVER DAM, WI 53916(920) 887-7191 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bedrock Hcs At Beaver Dam Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEDROCK HCS AT BEAVER DAM LLC (NPI 1679124705) is a healthcare organization registered as a skilled nursing facility in Beaver Dam, Wisconsin and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Esther Tillim, Bookkeeper, as its authorized official.

NPPES Registry Identity

NPI1679124705
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBEDROCK HCS AT BEAVER DAM LLC
Location Address410 ROEDL CTBeaver Dam, WI 53916-2934
Mailing AddressWorkspaces At Bitbean C/o Esther Tillim, 1776 Ave Of The States Suite 302Lakewood, NJ 08701 · (732) 328-7499
Organization SubpartNo
Authorized OfficialEsther TillimBookkeeper · (732) 328-7499
Enumeration DateSeptember 20, 2019
NPI 1679124705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
410 ROEDL CT, Beaver Dam, WI 53916

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0394034

Bedrock Hcs At Beaver Dam LLC · Beaver Dam, WI
Active · expires Aug 31, 2026
CLIA Number52D0394034
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Emily Streekstra
Laboratory Phone(920) 887-7191
Laboratory LocationBedrock Hcs At Beaver Dam LLC410 Roedl Court, Beaver Dam, WI 53916
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Beaver Dam Health Care Center (CMS certification number 525338), from CMS Care Compare.

Beaver Dam Health Care Center

Nursing home · Beaver Dam, WI
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number525338
Certified Beds90 beds54 residents per day on average
Medicare & Medicaid Participant SinceSeptember 1, 1983
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
390.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.72 · LPN 0.57 · RN 0.66
2.94 hrs per resident per day
Weekend Nurse Staffing
2.57 hrs per resident per day
Physical Therapist Staffing
0.11 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
66.3%
Registered Nurse Turnover
45.5%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS lists this facility in its Special Focus Facility program, which identifies nursing homes with a persistent pattern of inspection issues for increased oversight.
Facility-Reported Incidents
12
Substantiated Complaints
26
Infection-Control Citations
2
Fines
6 totaling $314,675.07
Medicare Payment Denials
2
Total Penalties
8
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
410 ROEDL CT
BEAVER DAM, WI 53916
Physical Therapist
410 ROEDL CT
BEAVER DAM, WI 53916
Skilled Nursing Facility
410 ROEDL CT
BEAVER DAM, WI 53916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bedrock Hcs At Beaver Dam LLC's NPI number?

The NPI number for Bedrock Hcs At Beaver Dam LLC is 1679124705. It was assigned to this organization in the NPPES registry on September 20, 2019.

Where is Bedrock Hcs At Beaver Dam LLC located?

Bedrock Hcs At Beaver Dam LLC is located at 410 Roedl Ct, Beaver Dam, WI 53916. The listed phone number is (920) 887-7191.

What is Bedrock Hcs At Beaver Dam LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Bedrock Hcs At Beaver Dam LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0394034) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bedrock Hcs At Beaver Dam LLC a Medicare-certified nursing home?

Yes. Beaver Dam Health Care Center is a Medicare-certified nursing home with 90 certified beds.

What quality rating does Bedrock Hcs At Beaver Dam LLC have?

CMS rates Beaver Dam Health Care Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Bedrock Hcs At Beaver Dam LLC accept?

Health plans from Network Health, Quartz and Security Health Plan list Bedrock Hcs At Beaver Dam LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bedrock Hcs At Beaver Dam LLC was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.