Federal inspection record · CMS data as of October 1, 2026
Rocky Knoll Health Care
N7135 Rocky Knoll Parkway, Plymouth, WI · (920) 893-6441
- Certified beds
- 149
- Residents per day
- 141
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 18, 1983
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Rocky Knoll Health Care carries 48 inspection points. That is fewer than 58% of Wisconsin's 321 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: 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★ 0–11 pts
- 4★ 11–37 pts
- 3★ 37–76 pts
- 2★ 76–130.75 pts
- 1★ over 130.75 pts
Bars show every rated home in Wisconsin 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
27 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights6E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care5D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning3D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Ensure each resident receives an accurate assessment.
Pharmacy Service1E
- E
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.
Inspection history
2026-06-10
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2025-03-06
12 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-02-14
10 health deficiencies · 8 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 43 min of nursing staff time a day, 1 h 24 min of it from a registered nurse.
This home
5 h 43 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 57% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.0 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better | 0.7 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better | 100.0% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse | 4.7% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.7 pts better | 2.3% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 2.6% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts better | 15.6% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.1 pts worse | 19.0% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.9 pts worse | 19.9% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.9 pts worse | 17.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.8 pts worse | 4.7% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 2.6% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.3 pts worse | 29.9% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.8 pts better | 2.1% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12 pts better | 98.9% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.9 pts better | 6.7% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.5% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.2 pts better | 99.4% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse | 26.2% | 22.5% | 23.4% |
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Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| County Of Sheboygan | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Clinton, Katherine | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Clinton, Katherine | Adp Of The SNF · Individual | 0% | 1 facilities |
| County Of Sheboygan | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Fetterer, Jeremy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fetterer, Jeremy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Healthpro Heritage LLC | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Healthpro Heritage LLC | Trustee Of The SNF · Organization | 0% | 17 facilities |
| Healthpro Heritage LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Kohal, Amanda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kohal, Amanda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Krause, Alayne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Loeffler, Cortney | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Loeffler, Cortney | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lunde, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lunde, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Optum 360 Services, Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Optum 360 Services, Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Wipfli Llp | Operational/Managerial Control · Organization | 0% | 102 facilities |
| Wipfli Llp | Adp Of The SNF · Organization | 0% | 102 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
Construction2F
- F
Use approved construction type or materials.
- D
Meet requirements for sections of health care facilities separated by fire resistive construction.
Egress2D
- D
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.
- D
Install proper backup exit lighting.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
Miscellaneous1E
- E
Provide a written emergency evacuation plan.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Plymouth Health Services
Plymouth, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 47 min
- Fines
- $0
-
Sheboygan Senior Community Inc
Sheboygan, WI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0
-
Willowdale Health Services
New Holstein, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 47 min
- Fines
- $0