Federal inspection record · CMS data as of October 1, 2026

Rock County Hospital Long Term Care

100 East South Street, Bassett, NE · (402) 684-2991

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
30
Residents per day
20
Ownership
Government
Chain
No chain reported
Medicare / Medicaid
Medicaid
Certified since
April 1, 2025

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Nebraska homes

Rock County Hospital Long Term Care carries 43 inspection points. That is fewer than 49% of Nebraska's 178 rated homes.

5★4★3★2★1★+6 homes above 174.505102550100inspection points → fewer is better on the leftThis home · 43 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–31 pts
  • 3★ 31–50 pts
  • 2★ 50–94.25 pts
  • 1★ over 94.25 pts

Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

13 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts
E 5 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    August 20, 2024 · Standard inspection · Quality of Life and Care · F686 · Corrected September 16, 2024

Everything else, by area of care

Quality of Life and Care3E
  1. E

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

    June 8, 2026 · Complaint · F689 · Corrected July 3, 2026

  2. D

    Provide care or services that was trauma informed and/or culturally competent.

    September 11, 2025 · Standard · F699 · Corrected October 24, 2025

  3. E

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

    August 20, 2024 · Complaint · F689 · Corrected September 16, 2024

Pharmacy Service3E
  1. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    August 20, 2024 · Standard · F756 · Corrected September 16, 2024

  2. E

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    August 20, 2024 · Standard · F757 · Corrected September 16, 2024

  3. E

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    August 20, 2024 · Standard · F758 · Corrected September 16, 2024

Resident Assessment and Care Planning2D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    September 11, 2025 · Standard · F644 · Corrected October 24, 2025

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    August 20, 2024 · Standard · F657 · Corrected September 16, 2024

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    September 11, 2025 · Standard · F880 · Corrected October 24, 2025

  2. D

    Provide and implement an infection prevention and control program.

    August 20, 2024 · Standard · F880 · Corrected September 16, 2024

Nutrition and Dietary1F
  1. F

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

    September 11, 2025 · Standard · F812 · Corrected October 24, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    August 20, 2024 · Complaint · F609 · Corrected September 16, 2024

Inspection history

  1. 2025-09-11

    5 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-08-20

    8 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 19 min of nursing staff time a day, 55 min of it from a registered nurse.

This home

5 h 19 min

Nebraska average

4 h 7 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$0 in federal fines on record over the past three years.

DatePenaltyAmount
2024-08-20Payment Denial · 3 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better100.0%93.0%93.7%
Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts worse7.6%4.5%3.2%
Percentage of long-stay residents who have depressive symptoms4.4 pts better0.0%4.4%13.5%
Percentage of long-stay residents who lose too much weight0.6 pts better4.5%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication14.5 pts better4.5%19.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication20.7 pts better0.0%20.7%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.2 pts worse20.0%16.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.7 pts worse22.7%19.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better0.0%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection4.9 pts worse7.6%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.9 pts better12.1%25.0%18.3%
Percentage of long-stay residents with pressure ulcers4 pts better0.0%4.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.7 pts better100.0%81.3%82.3%

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems2E
  1. E

    Ensure proper usage of power strips and extension cords.

    September 11, 2025 · K920 · Corrected October 24, 2025

  2. E

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    August 20, 2024 · K929 · Corrected September 16, 2024

Smoke2D
  1. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 20, 2024 · K321 · Corrected September 16, 2024

  2. D

    Inspect, test, and maintain automatic sprinkler systems.

    August 20, 2024 · K353 · Corrected September 16, 2024

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    September 11, 2025 · K712 · Corrected October 24, 2025

·

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