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 26 to 50 of 93 citations

  1. 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 September 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

  2. 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 September 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of September 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

  4. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of September 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

  5. 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).

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

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

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

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

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

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

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

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

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

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

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

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

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

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

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation 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).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

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

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

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

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

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

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, 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).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of September 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.