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 20 of 20 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

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

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

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

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

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

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, 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).

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

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0807, 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).

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

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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

    Health citation F-0557, Resident Rights Deficiencies. Inspection of August 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 27, 2025).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 20, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 20, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of July 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 7, 2025).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

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

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

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

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, 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).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, 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).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service 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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.

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

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.