Rockcastle Health & Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 45 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (5 vs median 2.0)
- High staff turnover (62%)
Below average in KY · Below recommended RN staffing · Below chain average · $15,646 in fines
What this means for your family
While the facility's rehab therapy team is frequently praised for helping patients return home, families should exercise extreme caution. Multiple recent reviews contain serious allegations of neglect, hygiene failures, and medication errors. If you consider this facility, conduct an unannounced visit, observe the care provided to other residents, and ask specifically how they manage pressure wounds and medication schedules.
Google Reviews
Google Reviews
45 reviews on Google“Rockcastle Health & Rehabilitation Center receives highly polarized feedback, with some families praising the therapy team and staff friendliness, while others report severe concerns regarding basic hygiene, medication management, and neglect. Multiple reviewers have documented distressing incidents involving pressure wounds, failure to provide oral care, and poor communication during medical emergencies. Prospective families should weigh the positive reports of rehab success against the recurring, serious allegations of substandard nursing care.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Friendly and welcoming staff
- Homelike atmosphere
Concerns
- Neglect and poor hygiene (soiled linens, lack of bathing, pressure wounds) (mentioned by 6 reviewers)
- Medication management errors or delays (mentioned by 4 reviewers)
- Understaffing or lack of responsiveness to call bells (mentioned by 3 reviewers)
- Poor communication and unprofessional staff behavior (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 50 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It is wonderful to see how much effort the management puts into responding to feedback from families; how do you currently use that feedback to improve the cleanliness and hygiene of the resident rooms?
- 2We have heard great things about the physical and occupational therapy programs here; could you tell us more about how the therapists work with residents to meet their mobility goals?
- 3How does the nursing team ensure that medication schedules are strictly followed and that there are no delays in administration?
- 4What is the process for communicating important health updates or changes in condition to family members to ensure we are always in the loop?
- 5With the goal of maintaining a homelike atmosphere, what kind of daily social activities or group dining experiences do you have planned for the residents?
- 6In the event of a medical emergency during the night, what is the protocol for contacting both the on-call physician and the resident's family?
Personalized based on this facility's data
Key Review Excerpts
“They performed absolutely zero oral care on my father leading to plaque buildup of at least an inch and a half as he is NPO, let him lay in his own mess even when he rang his call bell, never turned him which caused a pressure wound to form.”
“The O.T and P.T staff was really good these people worked hard with me to get me ready to go home.”
“My mom was in their nursing home care for more than a decade, the nurses dropped her, broke her hip, lifted her up and broke both her shoulder blades... they didn’t properly wash her so she got armpit and vaginal yeast infections.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
7
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints about this facility, including concerns about accident prevention and daily care assistance. The most recurring problems involve care planning and assessment, medication management, and safety/maintenance issues. While most deficiencies show planned correction dates, the facility has had consistent issues across multiple surveys from 2018 to 2024, suggesting ongoing challenges with maintaining compliance standards.
Aug 29, 2025Routine10
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Aug 29, 2025Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jun 29, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 29, 2024Routine12
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Apr 25, 2019Routine6
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
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.
Federal Penalties
Fine
Jun 29, 2024
$15,646
Ownership & Operations
Who Operates This Facility
Rockcastle Health & Rehabilitation Center
for profit
Chain Affiliation
Signature Healthcare
68 facilities nationwide
Chain avg rating: 3.0/5 · Rank 40 of 70
Ownership & Management
Owners
Lp Re II Holdings, LLC
Owner · Organization
Jjla LLC
Owner (parent company) · Organization
Lpsnf LLC
Owner (parent company) · Organization
Shc Lp Holdings II LLC
Owner (parent company) · Organization
Spring Holdings, LLC
Owner (parent company) · Organization
Wheaten LLC
Owner (parent company) · Organization
Steier III, Elmer
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
45 reviews from families & visitors
Official Website
Visit rockcastlehealth.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.