All citations for Rock River Nursing & Rehab

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 Nursing & Rehab

Last standard health inspection on record

May 6, 2026

Showing 1 to 25 of 55 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 April 17, 2025. Found during a standard inspection.

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

  2. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of April 25, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (April 9, 2024).

  3. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

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

  4. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

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

  5. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

  6. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of April 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 21, 2024).

  7. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 12, 2024).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of April 17, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 17, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of April 17, 2025. Found during a standard inspection and a complaint inspection.

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

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

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Widespread (many residents). CMS level F.

    Health citation F-0837, Administration Deficiencies. Inspection of July 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 15, 2024).

  12. 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 12, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

  14. 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 October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

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

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

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

    Have policies on smoking.

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

    Health citation F-0926, Environmental Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

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

  17. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

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

    Give residents a notice of rights, rules, services and charges.

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

    Health citation F-0572, Resident Rights Deficiencies. Inspection of December 12, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

  19. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

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

    Provide or get specialized rehabilitative services as required for a resident.

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

    Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, Resident Rights Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

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

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.