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 51 to 75 of 115 citations

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2026).

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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of July 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

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

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

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

    Health citation F-0942, Resident Rights Deficiencies. Inspection of July 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

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

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

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

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

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

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

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

    Health citation F-0944, Administration Deficiencies. Inspection of July 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 17, 2025. Found during a complaint inspection.

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

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

  15. 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 January 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

  16. 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.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of January 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of January 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of January 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

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

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

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

    Health citation F-0942, Resident Rights Deficiencies. Inspection of January 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

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

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

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

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

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

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

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

    Health citation F-0945, Infection Control Deficiencies. Inspection of January 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

  22. 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).

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

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

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, 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).

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

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

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

    Health citation F-0559, 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.