Rockcastle Regional Hospital and Respiratory Care
Strong Medicare quality ratings; families often praise specialized respiratory and ventilator care. Still worth an in-person visit.
based on 79 Google reviews
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What this means for your family
Rockcastle Regional is highly regarded for its specialized respiratory and ventilator care, making it a strong candidate for complex medical needs. However, families must be aware of significant inconsistencies in the emergency department and long-term care monitoring; we strongly advise scheduling a tour to observe staff-to-patient interactions and asking specifically about their protocols for call-button response times.
Google Reviews
Google Reviews
79 reviews on Google“Rockcastle Regional Hospital and Respiratory Care receives highly polarized feedback, with many families praising the compassionate, specialized respiratory and long-term care staff, while others report severe neglect and poor communication in the emergency department. While some patients highlight life-saving care and attentive nursing, a recurring theme of long wait times, dismissive attitudes, and failures in basic patient hygiene or monitoring suggests significant inconsistency in service quality.”
Quality Themes
Tap a score for detailsStrengths
- Specialized respiratory and ventilator care
- Compassionate and attentive bedside nursing
- Clean and modern facility environment
- Efficient and kind pediatric team
Concerns
- Excessive wait times in the Emergency Department (mentioned by 7 reviewers)
- Neglect of basic patient needs (hygiene, call button response) (mentioned by 5 reviewers)
- Poor communication and dismissive staff attitudes (mentioned by 6 reviewers)
- Inadequate diagnostic follow-up or misdiagnosis (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 84 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given your facility's specialized focus on respiratory and ventilator care, how do you ensure that residents receive consistent, hands-on attention for their daily hygiene and comfort needs?
- 2I noticed the staffing rating is a 3 out of 5; could you walk me through your current process for responding to call buttons to ensure residents aren't waiting too long for assistance?
- 3Effective communication is very important to our family; what systems do you have in place to keep families updated on changes in a resident's health or medication adjustments?
- 4Since the facility is part of a larger hospital system, how is the transition handled if a resident needs urgent medical care or a diagnostic follow-up outside of their routine nursing care?
- 5What opportunities are there for residents to engage in social activities or daily enrichment, and how do you ensure those with higher medical needs are still able to participate?
- 6How do you train your staff to maintain a supportive and open communication style when families have questions or concerns about their loved one's care plan?
Personalized based on this facility's data
Key Review Excerpts
“My loved one has been there for over a week and their care is surpassed Vanderbilt Trama. They actually are very attentive, they do preventive care and the atmosphere is loving and positive.”
“My mother was in the long term care and I can tell you that if you have a loved one on ventilator don't send here! My mother passed away in March of last year due to no one got to her in time and she bleed out from a ruptured artery in her neck.”
“The staff here are the most loving, caring and thoughtful staff I have ever experienced.. and the cafeteria is so reasonably priced..”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
7
measures
7
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents with a long-term catheter
Residents on antipsychotic medication
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Rockcastle Regional Hospital and Respiratory Care has 13 federal deficiencies across two surveys, with the most recent survey in 2025 finding significant issues in emergency preparedness, fire safety systems, and electrical safety. All deficiencies have been corrected by the provider, and the facility went nearly seven years between surveys with only one minor issue identified in the interim period, suggesting generally consistent operations.
Mar 26, 2025Routine12
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies
Develop a communication plan.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Aug 30, 2018Routine1
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Ownership & Operations
Who Operates This Facility
Rockcastle Regional Hospital and Respiratory Care
nonprofit
Ownership & Management
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
79 reviews from families & visitors
Official Website
Visit rockcastleregional.org
Medicare data downloads
Original nursing home datasets
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