Rock County Hospital Long Term Care

In the surveyor’s words

From the most serious findings on record at Rock County Hospital Long Term Care, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 20, 2024

  Licensure Reference Number 175 NAC 12-006.09(H)(iii)(1) Based on observation, interview, and record review; the facility failed to implement measures to prevent the development of pressure ulcers (injury to skin and underlying tissue caused by prolonged pressure to skin) for Resident 10 prior to the development of pressure ulcers. The sample size was 3 and the facility census was 27. Findings are: Review of the facility policy Pressure Injury Prevention and Management with a review date of 7/2023 revealed the following: -The facility was committed to the prevention of avoidable pressure injuries and the promotion of healing of existing pressure ulcers. […]

• Actual harm, isolatedF686Aug 20, 2024

  Licensure Reference Number 175 NAC 12-006.09(H)(iii)(1) Based on observation, interview, and record review; the facility failed to implement measures to prevent the development of pressure ulcers (injury to skin and underlying tissue caused by prolonged pressure to skin) for Resident 10 prior to the development of pressure ulcers. The sample size was 3 and the facility census was 27. Findings are: Review of the facility policy Pressure Injury Prevention and Management with a review date of 7/2023 revealed the following: -The facility was committed to the prevention of avoidable pressure injuries and the promotion of healing of existing pressure ulcers. […]

• No harm, potential for more than minimal, widespreadF812Sep 11, 2025

  Licensure Reference Number 175 NAC 12-006.11(E)Based on observation, record review and interview; the facility failed to handle food in a manner that prevented potential food borne illness. This had the potential to affect all facility residents. The census was 18. Findings are: Review of the facility policy Proper use of Gloves with a revision date of 7/2013 revealed the purpose was to prevent disease and food borne illness. This included the following procedures: -Washing hands before gloving and when changing to a new pair of gloves. […]

• No harm, potential for more than minimal, patternF689Jun 8, 2026

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09(l) Based on observations, record review, and interview; the facility failed to identify causal factors for the development and/or revision of fall prevention interventions and to implement fall interventions for 4 (Residents 1, 2, 3, and 4) of 4 sampled residents. The facility census was 20. Findings are: A. Review of the Fall Prevention and Treatment Long Term Care policy dated 6/25revealed the purpose of the policy was to prevent any unintended falls. Each resident was assessed for fall risk and was to receive care and services in accordance with their individualized level of risk to minimize the likelihood of falls. Each resident was to be screened at admission, quarterly and with any significant change of status. […]

• No harm, potential for more than minimal, patternF689Aug 20, 2024

  Licensure Reference Number 175 NAC 12-006.09(I)(i)(3)(4) Based on record review and interview; the facility failed to put interventions in place and/or revise interventions to prevent ongoing falls for Residents 8 and 24. The sample size was 4 and the facility census was 25. Findings are: A. Review of the facility policy Fall Prevention and Treatment last approved 1/2024 revealed the following: -upon admission a fall assessment would be completed to determine the resident's level of fall risk, -the nurse would indicate in the resident's care plan what the fall risk was then implement interventions in accordance with the fall risk level, -if the resident was at a high risk for falls, they would be placed on the facilities fall prevention program and additional interventions would be… […]