ElderGrade
C

58.5/100

Average

Rockcastle Health & Rehabilitation Center

371 West Main Street, Brodhead, KY 40409

CMS 2/5 stars #2 of 2 in Rockcastle County (606) 758-8711
Certified beds
104
Occupancy
91%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $15,646 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 16/30 Staffing 13.5/30 Stability 9/15 Outcomes 12/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

16/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

13.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.32 total nurse hours per resident per day (national median 3.77)
  • 0.65 RN hours per resident per day
  • Weekend staffing drops 17% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 49% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $15,646 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.56 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.65 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.96 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 48.50%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 20 citations

Last standard health inspection: August 29, 2025 (11 months ago).

E Aug 29, 2025 F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Aug 29, 2025 F0554

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

No actual harm, potential for more than minimal harm

D Aug 29, 2025 F0559

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

No actual harm, potential for more than minimal harm

D Aug 29, 2025 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D Aug 29, 2025 F0693

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

No actual harm, potential for more than minimal harm

D Aug 29, 2025 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

D Aug 29, 2025 F0740

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

No actual harm, potential for more than minimal harm

D Aug 29, 2025 F0745

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of SIGNATURE HEALTHCARE, which operates 68 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
DIETZ, DAVID Individual W-2 MANAGING EMPLOYEE
DOYLE, MARIA Individual CORPORATE OFFICER
HARRISON, JOHN Individual CORPORATE OFFICER
JJLA LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
LPSNF LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
SHC LP HOLDINGS II LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
SPRING HOLDINGS, LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
WHEATEN LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
STEIER III, ELMER Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
LP RE II HOLDINGS, LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Rockcastle Health & Rehabilitation Center

What is the ElderGrade for Rockcastle Health & Rehabilitation Center? +

Rockcastle Health & Rehabilitation Center holds an ElderGrade of C (58.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Rockcastle Health & Rehabilitation Center? +

Residents receive an average of 3.56 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Rockcastle Health & Rehabilitation Center been cited for harming residents? +

Yes. 2 of the 20 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Rockcastle Health & Rehabilitation Center accept Medicaid? +

Yes, Rockcastle Health & Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.