Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Rocky Knoll Health Care

Plymouth, WI · 149 certified beds · Last Life Safety survey June 10, 2026

CMS Certification Number 525337 · first certified August 1983

Ownership

Independently operated (no chain recorded by CMS) · Government - County

No change of ownership on CMS record since January 1, 2016, when the records begin.

15
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within WI

15 citations — more than 38% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 10 months from now. This facility’s last Life Safety survey was June 2026. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 15 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility15WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
82024-0252025-0322026-06
Citations at each Life Safety survey
Survey dateCitations
February 14, 20248
March 6, 20255
June 10, 20262

Most-cited tags

Most-cited tags at this facility
K-03722K-03532K-02221K-05111K-03511K-03111K-03451K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22025-03-06
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-03-06
K-0222Add 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.12024-02-14
K-0511Have properly installed electrical wiring and gas equipment.12024-02-14
K-0351Install an approved automatic sprinkler system.12024-02-14
K-0311Have an enclosure around a vertical opening shaft.12025-03-06
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-02-14
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-03-06

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Construction Deficiencies 2
  • Egress Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Construction Deficiencies2
Egress Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 10, 2026 — 2 citations

Citations issued on June 10, 2026
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (July 6, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 6, 2026)

March 6, 2025 — 5 citations

Citations issued on March 6, 2025
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (March 27, 2025)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (March 27, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 27, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 28, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 27, 2025)

February 14, 2024 — 8 citations

Citations issued on February 14, 2024
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (February 14, 2024)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (February 19, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Waiver has been granted (April 30, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (March 5, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 7, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 15, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 7, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (March 5, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.