Rockcastle Health & Rehabilitation Center has a 2-star overall rating, with 2-star health inspection and staffing ratings and a 4-star quality measures rating. Reported nurse staffing is 3.56 hours per resident per day, below the federal benchmark of 4.1, with $0 in fines in the last 24 months.
Last inspection: August 29, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5645.
Staffing detail
Registered nurses
0.65
Licensed practical nurses
0.94
Nurse aides
1.98
Weekend nursing
2.96
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
10.5%16.9%Worsening
Residents with a fall causing major injury
3.8%2.3%Improving
Residents with pressure ulcers (bedsores)
6.9%1.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.1%2.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.7%6.5%Worsening
Residents whose ability to walk got worse
10.7%10.2%No change
Long-stay residents on antianxiety or sleep medication
53.8%41.9%Improving
Short-stay residents newly given an antipsychotic
0%1.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.3%20.6%Worsening
Residents with depressive symptoms
73.9%59.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.8%—
Long-stay residents given the pneumonia vaccine
88.8%64%Worsening
Short-stay residents given the seasonal flu vaccine
—71.4%—
Short-stay residents given the pneumonia vaccine
50.5%48%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited August 2025 — isolated incident, potential for harm.
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F-Tag 554 — 42 CFR §483.10 — S/S: D
The home failed to respect the resident’s right to choose a roommate or spouse and to give written notice before changing the room arrangement. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 559 — 42 CFR §483.10 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $15,646 was recorded.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,646 in total fines.
Federal fine
Jun 29, 2024
$15,646
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
Occupancy
95.1 residents on an average day (91% of 104 beds)
Resident voice
Resident council
Medicare history
Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.