Deficiency Index

Rocky Knoll Health Care

Plymouth, Wisconsin · CCN 525337

24 surveys since 2010, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
102
Surveys
24
Harm or worse
2
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file17/24

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
149
Ownership
Government - County
Chain
Independent
County
Sheboygan
Medicare-certified since
1983

CMS ratings

Overall
3
Health inspection
3
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 28 facilities with 128 or more beds in Wisconsin.

Last survey on record

Jul 28, 2026

104 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.994.99
Registered-nurse hours per resident day1.14—
Annual nurse turnover58.6%41.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2062.5%E721.9%F515.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 32 of the 102 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8124×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6093×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F5502×

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

  • F6892×

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

  • F8042×

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

In the surveyor’s words

From the most serious findings on record at Rocky Knoll Health Care, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jun 10, 2026

    Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect all 138 residents residing in the facility. The facility did not consistently follow safe food cooling protocol. The facility did not ensure wash and rinse cycles for the dishwasher met the minimum required temperatures. The facility did not ensure cooked, pureed, and reheated food or food held for service reached a temperature of 165 degrees Fahrenheit (F). Findings include:On 6/8/26, Dietary Manager (DM)-F verified the facility follows the Food and Drug Administration (FDA) Food Code. […]

  • No harm, potential for more than minimal, widespreadF812Mar 6, 2025

    Based on observation, staff interview, and record review, the facility did not ensure food was stored, prepared, and served in a sanitary manner. This practice had the potential to affect all 134 residents residing in the facility. Staff did not store or date food in a manner to ensure food safety. Staff did not follow safe food cooling protocols. Staff did not adhere to temperature requirements when testing parts per million (PPM) of the sanitizing solution. Staff did appropriately process clean dishes and did not maintain dishwasher temperature testing strips. Staff did not follow microwave safe heating procedures. Staff did not consistently wear hair restraints in the kitchen and while serving food. […]

  • No harm, potential for more than minimal, widespreadF812Feb 14, 2024

    Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner which had the potential to affect all 113 residents residing in the facility. Procedures for reheating food in a microwave were not followed. Initial cook temperatures were not consistently documented. Four boxes of Italian Wedding Soup were stored on the floor of the walk-in freezer. The edge of the mixer contained dried debris and the mixer was not covered. Findings include: On 2/12/24 at 9:18 AM, Surveyor and Registered Dietitian (RD)-G completed an initial tour of the kitchen. RD-G indicated the facility follows the Wisconsin Food Code. 1. […]

  • No harm, potential for more than minimal, widespreadF803Nov 30, 2022

    Based on observation, Resident (R) interview, staff interview, and record review, the facility did not ensure the menu was consistently updated and followed. This practice had the potential to affect 102 of 103 residents (one resident was fed via tube feeding) residing in the facility. Staff did not serve food in accordance with menu serving sizes. Staff did not follow the menu or communicate menu updates to residents. Findings include: Serving Sizes Extended menu serving sizes for the 11/29/22 lunch meal: 3/4 cup - Beef Burgundy #6 scoop (2/3 cup) - Pureed Beef Burgundy (puree texture) 3 ounces (oz) - BBQ Chicken (alternate entree) 2 fluid oz - Brown Gravy 1/2 cup (4 oz) - Garlic Mashed Potatoes 1/2 cup - Roasted Beets 1/2 cup - Seasoned Broccoli Cuts (alternate vegetable) 1/2 cup -… […]

  • No harm, potential for more than minimal, widespreadF812Nov 30, 2022

    Based on observation, staff interview, and record review, the facility did not ensure food was stored, prepared, and served in a safe and sanitary manner which had the potential to affect 102 Residents (R) of 103 residents (1 resident was fed via tube) at the facility. Freezer temperatures were not logged on the Rehabilitation unit. Additionally, refrigerator temperatures were noted to be in the temperature danger zone (above 41 degrees which causes rapid growth of bacteria). Registered Dietician (RD)-I attempted to put away for re-use a gallon of milk that sat on the counter for a period of time and was in the temperature danger zone. Staff did not date and and discard food that was time and temperature controlled for safety. […]

Read 22 findings in full →The most serious and the most recent: 22 of 102 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 28, 2026Complaint1 finding
  • Jun 10, 2026Standard and complaint4 findings
  • Jul 11, 2025Complaint1 finding
  • Mar 6, 2025Standard11 findings
  • Jul 3, 2024Complaint3 findings
  • Feb 14, 2024Standard and complaint7 findings
  • Nov 30, 2022Standard5 findings
  • Sep 28, 2022Complaint2 findings
Show the 16 earlier surveys
  • Sep 29, 2021Standard2 findings
  • Jun 29, 2020Infection control1 finding
  • Oct 9, 2019Standard2 findings
  • Oct 31, 2018Standard3 findings
  • Aug 9, 2017Standard2 findings
  • Jun 28, 2016Standard9 findings
  • Apr 6, 2015Standard and complaint6 findings
  • Dec 11, 2014Complaint1 finding
  • Nov 13, 2014Complaint1 finding
  • Apr 3, 2014Standard5 findings
  • Feb 14, 2013—11 findings · 1 harm
  • Oct 23, 2012—1 finding
  • Feb 28, 2012—9 findings · 1 harm
  • Jan 18, 2012—5 findings
  • Jan 25, 2011—7 findings
  • Nov 30, 2010—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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