Rock Haven

Name: Rock Haven
Address: 3400 N CTY TRK HWY F, Janesville, WI, 53547, US
Telephone: 6087575076

3400 N Cty Trk Hwy F, Janesville, WI 53547 · Rock County · 128 certified beds · avg 90 residents/day · certified since Jul 1, 1985

3/5

Health inspection rating (on-site)

Serious findings on record

$42,560

Fines, last 3 years

5.50

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jun 18, 2025 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jul 14, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (23)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 29, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 29, 2026	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jun 18, 2025	▲ J · Immediate jeopardy, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jun 18, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Sep 19, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Sep 19, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 19, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Sep 19, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 19, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Sep 19, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Sep 19, 2024	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Sep 19, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Sep 19, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Sep 19, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jul 13, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 13, 2023	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	5	0	F
2024	10	0	D
2025	3	1	J ▲
2026	5	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $42,560.

Date	Type	Amount / length
Jun 18, 2025	Fine	$42,560

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Wisconsin avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.50	4.29	3.95	top 12% in Wisconsin; top 7% in the U.S.
Registered Nurse hours	1.43	1.01	0.69	top 13% in Wisconsin; top 5% in the U.S.
Weekend total nurse staffing	5.14	3.84	3.50	top 8% in Wisconsin; top 5% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.40	0.68	0.48	top 3% in Wisconsin; top 2% in the U.S.
Total nursing staff turnover (%)	23.4	46.9	45.8	top 5% in Wisconsin; top 5% in the U.S.
RN turnover (%)	14.3	39.7	42.9	top 10% in Wisconsin; top 7% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.79, RN 1.51, weekend 5.41. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
County of Rock County Clerk	Organization	5% or Greater Direct Ownership Interest	100%	12/31/1973
Colvin, Tonya	Individual	W-2 Managing Employee	NOT APPLICABLE	12/20/2021
Colvin, Tonya	Individual	Corporate Director	NOT APPLICABLE	12/20/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
St Elizabeth Nursing Home	1.6 mi	Janesville, WI	★★☆☆☆	2/5
Mercy Manor Transition Center	1.9 mi	Janesville, WI	★★★★★	4/5
Oak Park Place of Janesville	2.5 mi	Janesville, WI	★★☆☆☆	2/5
Cedar Crest Health Center	4.2 mi	Janesville, WI	★★★★★	5/5
Edgerton Care Center, INC	9.9 mi	Edgerton, WI	★☆☆☆☆	1/5	abuse
Beloit Health and Rehabilitation Center	10.9 mi	Beloit, WI	★★☆☆☆	2/5
Alden Meadow Park HCC	12.0 mi	Clinton, WI	★★★☆☆	3/5
Autumn Lake Healthcare at Beloit	12.1 mi	Beloit, WI	★★★☆☆	3/5
Fair Oaks Rehab & Healthcare	15.7 mi	South Beloit, IL	★☆☆☆☆	2/5	abuse
Evansville Manor Nursing and Rehab, LLC	16.5 mi	Evansville, WI	★☆☆☆☆	1/5	abuseSFF
Skaalen Nursing and Rehabilitation Center	18.1 mi	Stoughton, WI	★★★★★	5/5
Rock River Nursing & Rehab	18.1 mi	Fort Atkinson, WI	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Janesville →

Facility data as of CMS processing date 2026-08-01. CCN 525390.

The Care File

Visit checklist — Rock Haven

3400 N Cty Trk Hwy F, Janesville, WI 53547 · 6087575076

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $42,560

Most serious findings on record:

▲ Jun 18, 2025 (F-0760, Immediate jeopardy, one-off): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 525390 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)