All citations for Rock River Health Care

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Rock River Health Care

Last standard health inspection on record

December 10, 2025

Showing 1 to 25 of 109 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2023).

  2. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

    The home is disputing this citation.

  3. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 4, 2025).

  4. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2024).

  5. Harm to a resident

    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.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of February 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 29, 2024).

  6. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  7. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2025).

  8. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2024).

  9. No harm, with potential for more than minimal harm

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2024).

  10. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2024).

  11. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2024).

  12. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2024).

  13. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2024).

  14. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2024).

  15. No harm, with potential for more than minimal harm

    Have elevators that firefighters can control in the event of a fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0531, Services Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2024).

  16. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2024).

  17. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2024).

  18. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2024).

  19. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2024).

  20. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

  21. No harm, with potential for more than minimal harm

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

  22. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

  23. No harm, with potential for more than minimal harm

    Provide primary/alternate means for communication.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

  24. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

  25. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.