Facility profile · CCN 145818
Rock River Health Care
37 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $72,260.
Record summary
Federal record · Q1 202637
Total citations
33
Last 3 years
4
Actual harm+
4
Federal penalties
$72,260
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
37 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 19, 2025 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Jul 28, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint |
| Jul 21, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Jul 1, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Jun 4, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint |
| Mar 24, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Mar 5, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Mar 5, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Oct 9, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard |
| Oct 9, 2024 | F807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Standard |
| Oct 9, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Oct 9, 2024 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard |
| Oct 9, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Oct 9, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Oct 9, 2024 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| Oct 9, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard |
| Oct 9, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Oct 9, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Oct 9, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Oct 9, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jun 4, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| May 22, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Mar 7, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Feb 28, 2024 | F693 | 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. | G | Complaint |
| Sep 19, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 13, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Sep 13, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Sep 13, 2023 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Sep 13, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Sep 13, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Sep 13, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Sep 13, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard |
| Sep 13, 2023 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Aug 10, 2022 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard |
| Aug 10, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Aug 10, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 10, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $72,260 and 1 payment-denial actions spanning 7 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 9, 2024 | Fine | $17,540 | — |
| Feb 28, 2024 | Fine | $12,841 | — |
| Sep 13, 2023 | Fine | $41,879 | — |
| Sep 13, 2023 | Payment Denial | — | Oct 10, 2023 · 7 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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