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Rockhaven budget recommends operating changes, revenue assumptions and targeted capital work for 2026

5861330 · September 30, 2025
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Summary

Rockhaven, the county27s 128-bed skilled nursing facility, submitted a 2026 recommended budget that assumes higher Medicaid and Medicare reimbursement rates, a modest private-pay increase and targeted capital and equipment investments while declining to fund major recommended clinical reclassifications.

Rockhaven, Rock County's 128-bed skilled nursing facility, was presented in the Human Services portion of the 2026 recommended budget with a set of revenue assumptions and selected capital and operational investments.

What staff presented County staff explained the 2026 revenue assumptions used in the Rockhaven budget: an estimated Medicaid reimbursement of $564 per day in 2026 (up from the $505.26 per-day budgeted for 2025), Medicare at $528 per day (up about $40), and a private-pay daily rate increase to $400 effective March 1, 2026 (from $385). The recommended resident mix used for budgeting was an average daily census of 65 Medicaid, 11 Medicare and 16 private-pay residents.

On the expens…

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