Cycle 1
Health 2024-09-19 · Fire 2024-09-19
13 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Janesville, WI
Rock Haven
3-star overall rating with 2-star inspections with 13 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
3400 N Cty Trk Hwy F, Janesville, WI
(608) 757-5076
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
128
Certified beds
Average residents
84
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1985-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.50
Registered nurse staffing · state 0.97 · national 0.68
LPN hours / resident day
0.55
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
3.60
Nurse aide staffing · state 2.59 · national 2.35
Total nurse hours
5.66
All reported nurse hours · state 4.20 · national 3.89
Licensed hours
2.05
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
5.13
Weekend nurse staffing · state 3.72 · national 3.43
Weekend RN hours
1.17
Weekend registered nurse coverage · state 0.66 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.47
CMS adjusted RN staffing hours
Adjusted total hours
5.54
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,737
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.06
Composite VBP score used to determine payment impact.
Payment multiplier
1.0017
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.93
Baseline 19.67% · Performance 20.54% · Measure score 1.93 · Achievement 1.93 · Improvement 0
Healthcare-associated infections
2.15
Baseline 6.17% · Performance 7.19% · Measure score 2.15 · Achievement 2.15 · Improvement 0
Total nurse turnover
7.81
Baseline 26.47% · Performance 31.75% · Measure score 7.81 · Achievement 7.81 · Improvement 0
Adjusted total nurse staffing
7.33
Baseline 5.36 hours · Performance 5.16 hours · Measure score 7.33 · Achievement 7.33 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.38% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 73 · Observed rate 5.48% · Lower 95% interval 6.09% |
| Discharge to community | 45.79% |
50.57%
4.8 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 38.98% · Lower 95% interval 34.55% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 63.04% |
95.27%
32.2 pts worse
|
Numerator 29 · Denominator 46 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 46 |
| Discharge self-care score | 38.46% |
53.69%
15.2 pts worse
|
Numerator 15 · Denominator 39 |
| Discharge mobility score | 33.33% |
50.94%
17.6 pts worse
|
Numerator 13 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 46 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.19% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 6.82% · Lower 95% interval 3.63% |
| Staff COVID-19 vaccination coverage | 5.03% |
8.2%
3.2 pts worse
|
Numerator 10 · Denominator 199 |
| Staff flu vaccination coverage | 84.36% |
42%
42.4 pts better
|
Numerator 178 · Denominator 211 |
| Discharge function score | 43.59% |
56.45%
12.9 pts worse
|
Numerator 17 · Denominator 39 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 86.36% |
96.28%
9.9 pts worse
|
Numerator 19 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 3.33% |
25.2%
21.9 pts worse
|
Numerator 1 · Denominator 30 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.6
0.5 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
2.2
0.4 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.2% |
95.7%
1.5 pts worse
|
93.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 90.4% · Q2 93.4% · Q3 96.2% · Q4 96.3% · 4Q avg 94.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.4% |
95.0%
5.6 pts worse
|
95.5%
6.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.2%
About the same
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 1.3% · Q3 0.0% · Q4 3.7% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.6% |
5.0%
2.6 pts worse
|
11.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 5.3% · Q3 10.7% · Q4 9.2% · 4Q avg 7.6% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
4.9%
1.2 pts worse
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.0% · Q3 10.3% · Q4 3.3% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.9% |
16.6%
7.3 pts worse
|
19.6%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 25.4% · Q3 30.6% · Q4 21.3% · 4Q avg 23.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.8% |
16.7%
4.9 pts better
|
16.7%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 13.0% · Q3 12.0% · Q4 12.0% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.8% |
21.1%
4.3 pts better
|
16.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 37.0% · Q3 10.6% · 4Q avg 16.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.5% |
17.3%
0.8 pts better
|
14.9%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 20.0% · Q3 19.0% · Q4 15.3% · 4Q avg 16.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
2.3%
1.1 pts better
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.6% · Q4 1.3% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
3.0%
2 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.9% |
25.5%
6.6 pts better
|
19.8%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 22.6% · Q3 22.8% · Q4 26.0% · 4Q avg 18.9% |
| Percentage of long-stay residents with pressure ulcers | 0.7% |
5.5%
4.8 pts better
|
5.1%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.0% |
86.8%
5.8 pts worse
|
81.7%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 67.3% · Q2 74.6% · Q3 86.7% · Q4 93.2% · 4Q avg 81.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 30.8% |
15.0%
15.8 pts worse
|
12.0%
18.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.8% · Observed 25.9% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.6% |
1.3%
2.3 pts worse
|
1.6%
2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 8.1% · Q4 2.6% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.7% |
82.2%
2.5 pts worse
|
79.7%
About the same
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 79.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.2% |
22.7%
8.5 pts better
|
23.9%
9.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 11.1% · Expected 18.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-13 · Fire 2023-07-13
5 health deficiencies
Top issue: Infection Control (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-04-27 · Fire 2022-04-27
9 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-09-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-03
E · Potential for more than minimal harm
2024-09-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-09
E · Potential for more than minimal harm
2024-09-19
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-10-03
E · Potential for more than minimal harm
2024-09-19
K925 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Corrected 2024-10-08
D · Potential for more than minimal harm
2024-09-19
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-10-08
D · Potential for more than minimal harm
2024-09-19
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-09-19
D · Potential for more than minimal harm
2023-07-13
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-07-14
D · Potential for more than minimal harm
2023-07-13
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-07-12
C · Minimal harm
2023-07-13
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-07-27
E · Potential for more than minimal harm
2022-04-27
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-04-27
E · Potential for more than minimal harm
2022-04-27
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-04-28
D · Potential for more than minimal harm
2022-04-27
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-04-28
D · Potential for more than minimal harm
2022-04-27
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-04-29
D · Potential for more than minimal harm
2022-04-27
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-04-29
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-01
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-22
J · Immediate jeopardy
2025-06-18
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-14
D · Potential for more than minimal harm
2025-06-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-14
D · Potential for more than minimal harm
2024-09-19
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-09-19
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-09-19
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-09-19
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-09-19
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-09-19
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-09-19
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-09-19
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-09-19
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-09-19
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-11
F · Potential for more than minimal harm
2023-07-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-04
D · Potential for more than minimal harm
2023-07-13
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-08-04
D · Potential for more than minimal harm
2023-07-13
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-04
D · Potential for more than minimal harm
2023-07-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-04
D · Potential for more than minimal harm
2023-07-13
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-08-04
G · Actual harm
2023-03-28
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-04-28
F · Potential for more than minimal harm
2023-03-28
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-03-29
D · Potential for more than minimal harm
2023-03-28
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-03-28
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-03-28
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-04-28
E · Potential for more than minimal harm
2022-04-27
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2022-05-26
D · Potential for more than minimal harm
2022-04-27
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-05-26
D · Potential for more than minimal harm
2022-04-27
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-05-26
D · Potential for more than minimal harm
2022-04-27
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2022-05-26
Penalties and ownership
What sits behind the stars
Ownership
County Of Rock County Clerk
5% Or Greater Direct Ownership Interest · Organization
Colvin, Tonya
Corporate Director · Individual
Colvin, Tonya
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
St Elizabeth Nursing Home
Janesville, WI
1-star overall rating with 2-star inspections with $31,171 in total fines with 8 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Mercy Manor Transition Center
Janesville, WI
5-star overall rating with 4-star inspections with $82,840 in total fines with 1 fire-safety deficiencies in the latest cycle
#3
Oak Park Place Of Janesville
Janesville, WI
2-star overall rating with 2-star inspections with $9,750 in total fines with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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