Rock Haven
3400 N Cty Trk Hwy F · Janesville, WI · 53547 · 6087575076
128 certified beds Government - County
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.50 | 0.55–0.75 |
| Weekend hours / resident-day | 5.40 | ≈ weekday level |
| Nursing turnover / year | 25% | median 45% |
| Fines (3-yr window) | 1 · $42,560 |
Inspection citations (23 in the current record)
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Potential for harm · D January 29, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 29, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 25, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected February 25, 2026 · Quality of Life and Care
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Potential for harm · F January 29, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 25, 2026 · Nutrition and Dietary
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Potential for harm · E January 29, 2026
Implement a program that monitors antibiotic use.
Corrected February 25, 2026 · Infection Control
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Potential for harm · D August 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2025 · Quality of Life and Care
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Immediate jeopardy · J June 18, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 14, 2025 · Pharmacy Service
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Potential for harm · D June 18, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 11, 2024 · Resident Rights
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Potential for harm · D September 19, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 2024
Observe each nurse aide's job performance and give regular training.
Corrected November 11, 2024 · Nursing and Physician Services
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Potential for harm · D September 19, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected November 11, 2024 · Pharmacy Service
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Potential for harm · D September 19, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected November 11, 2024 · Infection Control
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Potential for harm · D September 19, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 19, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 19, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 19, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 11, 2024 · Quality of Life and Care
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Potential for harm · D July 13, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected August 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 13, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 4, 2023 · Quality of Life and Care
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Potential for harm · D July 13, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 4, 2023 · Quality of Life and Care
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Potential for harm · F July 13, 2023
Provide and implement an infection prevention and control program.
Corrected August 4, 2023 · Infection Control
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Potential for harm · D July 13, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 4, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 18, 2025 | Fine | $42,560 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525390 · certified since July 1, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.