Nursing Care Index

Rockcastle Health & Rehabilitation Center

Brodhead, Rockcastle County, Kentucky · CCN 185246 · For-profit (Corporation) · part of Signature Healthcare (67 facilities, chain average 3.1 stars)

CMS rates Rockcastle Health & Rehabilitation Center 2 of 5 overall as of August 2026. 104 certified beds, 95 residents a day on average. 20 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $15,646.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing3.56449 hours per resident per day
Registered nurses0.64682 hours per resident per day
Weekend total2.9556 hours per resident per day
Nursing staff turnover48.5% (registered nurses 44.4%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-08-29 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-25
2025-08-29 Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · tag F0554
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-25
2025-08-29 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights Deficiencies · tag F0559
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-25
2025-08-29
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-25
2025-08-29 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-25
2025-08-29 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-25
2025-08-29 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · tag F0740
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-25
2025-08-29 Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · tag F0745
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-25
2025-08-29 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-25
2025-08-29 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · tag F0806
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-25
2024-06-29
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2023-04-18
2024-06-29 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-07-26
2024-06-29 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.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-26
2024-06-29 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-26
2019-04-25 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-05-24
2019-04-25 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-05-24
2019-04-25 Provide care by qualified persons according to each resident's written plan of care.
Resident Assessment and Care Planning Deficiencies · tag F0659
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-05-24
2019-04-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-05-24
2019-04-25 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-05-24
2019-04-25 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-05-24

Fines and payment denials

DatePenaltyAmount
2024-06-29Fine$15,646

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Lp Re II Holdings, LLC
Organization
5% or greater direct ownership interest100%2008-03-01
Jjla LLC
Organization
5% or greater indirect ownership interest2008-03-01
Lpsnf LLC
Organization
5% or greater indirect ownership interest2008-03-01
Shc Lp Holdings II LLC
Organization
5% or greater indirect ownership interest2012-07-01
Spring Holdings, LLC
Organization
5% or greater indirect ownership interest2018-05-01
Wheaten LLC
Organization
5% or greater indirect ownership interest2008-03-01
Steier III, Elmer
Individual
5% or greater indirect ownership interest2008-03-01
Doyle, Maria
Individual
corporate officer2021-07-01
Harrison, John
Individual
corporate officer2008-09-16
Dietz, David
Individual
w-2 managing employee2024-01-29

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Rockcastle County.