Rocky Knoll Health Care
N7135 Rocky Knoll Parkway, Plymouth, WI 53073 · Sheboygan County · 149 certified beds · avg 140 residents/day · certified since Aug 18, 1983
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
5.15
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: 3/5
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.
All citations in the current public record (26)
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 |
|---|---|---|
| Jun 10, 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. |
| Jun 10, 2026 | 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. |
| Jun 10, 2026 | 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 10, 2026 | D · Potential for harm, one-off | 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 11, 2025 | 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 |
| Mar 6, 2025 | 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. |
| Mar 6, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 6, 2025 | E · Potential for harm, repeated | 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. |
| Mar 6, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 6, 2025 | E · Potential for harm, repeated | 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. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Mar 6, 2025 | 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. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 6, 2025 | D · Potential for harm, one-off | 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. |
| Jul 3, 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 |
| Jul 3, 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 |
| Jul 3, 2024 | 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 |
| Feb 14, 2024 | 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. |
| Feb 14, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 14, 2024 | 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 (11 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 10 | 0 | F |
| 2025 | 12 | 0 | F |
| 2026 | 4 | 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)
No fines or payment denials in the published 3-year window.
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) | 5.15 | 4.29 | 3.95 | top 18% in Wisconsin; top 11% in the U.S. |
| Registered Nurse hours | 1.18 | 1.01 | 0.69 | top 27% in Wisconsin; top 10% in the U.S. |
| Weekend total nurse staffing | 4.84 | 3.84 | 3.50 | top 14% in Wisconsin; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.85 | 0.68 | 0.48 | top 22% in Wisconsin; top 9% in the U.S. |
| Total nursing staff turnover (%) | 58.6 | 46.9 | 45.8 | bottom 21% in Wisconsin; bottom 18% in the U.S. |
| RN turnover (%) | 55.6 | 39.7 | 42.9 | bottom 27% in Wisconsin; bottom 28% 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 4.99, RN 1.14, weekend 4.69. Staffing rating: 4/5.
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: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| County of Sheboygan | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/18/1983 |
| Clinton, Katherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/11/2017 |
| Clinton, Katherine | Individual | ADP of the SNF | NOT APPLICABLE | 09/11/2017 |
| County of Sheboygan | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/18/1983 |
| Fetterer, Jeremy | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/04/2007 |
| Fetterer, Jeremy | Individual | ADP of the SNF | NOT APPLICABLE | 09/04/2007 |
| Healthpro Heritage LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Healthpro Heritage LLC | Organization | Trustee of the SNF | NOT APPLICABLE | 01/01/2025 |
| Healthpro Heritage LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/04/2025 |
| Kohal, Amanda | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/31/2022 |
| Kohal, Amanda | Individual | ADP of the SNF | NOT APPLICABLE | 05/31/2022 |
| Krause, Alayne | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/22/2023 |
| Loeffler, Cortney | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/18/2021 |
| Loeffler, Cortney | Individual | ADP of the SNF | NOT APPLICABLE | 10/18/2021 |
| Lunde, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Lunde, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Optum 360 Services, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2023 |
| Optum 360 Services, INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/22/2025 |
| Wipfli LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/03/1998 |
| Wipfli LLP | Organization | ADP of the SNF | NOT APPLICABLE | 11/06/2025 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Plymouth Health Services | 3.9 mi | Plymouth, WI | ★☆☆☆☆ | 2/5 | |
| Sheboygan Senior Community INC | 10.0 mi | Sheboygan, WI | ★☆☆☆☆ | 2/5 | |
| Willowdale Health Services | 11.2 mi | New Holstein, WI | ★★★☆☆ | 4/5 | |
| Homestead Health Services | 11.8 mi | New Holstein, WI | ★★★☆☆ | 2/5 | |
| Sheboygan Health Services | 11.9 mi | Sheboygan, WI | ★★★☆☆ | 3/5 | |
| Edenbrook Sheboygan | 12.1 mi | Sheboygan, WI | ★☆☆☆☆ | 1/5 | |
| Morningside Health Services | 12.9 mi | Sheboygan, WI | ★★★☆☆ | 4/5 | |
| Sheboygan Progressive Health Services | 13.4 mi | Sheboygan, WI | ★☆☆☆☆ | 2/5 | |
| Meadow View Health Services | 14.0 mi | Sheboygan, WI | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 525337.