Rockcastle Health & Rehabilitation Center

371 West Main Street · Brodhead, KY · 40409 · 6067588711

104 certified beds For profit - Corporation Chain: Signature Healthcare

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.

Get the Safety Report

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 88
Staffing 20% 61
Federal penalties 15% 74
Trend 10% 63
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.343.48 min · 4.1 strong
RN hours / resident-day0.640.55–0.75
Weekend hours / resident-day2.79≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)1 · $15,646

Inspection citations (20 in the current record)

  • Potential for harm · D August 29, 2025

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

    Corrected September 25, 2025 · Resident Rights

  • Potential for harm · D August 29, 2025

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

    Corrected September 25, 2025 · Resident Rights

  • Potential for harm · E August 29, 2025

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

    Corrected September 25, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 29, 2025

    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.

    Corrected September 25, 2025 · Quality of Life and Care

  • Potential for harm · D August 29, 2025

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

    Corrected September 25, 2025 · Quality of Life and Care

  • Potential for harm · D August 29, 2025

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

    Corrected September 25, 2025 · Quality of Life and Care

  • Potential for harm · D August 29, 2025

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

    Corrected September 25, 2025 · Quality of Life and Care

  • Potential for harm · D August 29, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 25, 2025 · Pharmacy Service

  • Potential for harm · D August 29, 2025

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected September 25, 2025 · Nutrition and Dietary

  • Potential for harm · D August 29, 2025 · found via complaint

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

    Corrected September 25, 2025 · Quality of Life and Care

  • Immediate jeopardy · J June 29, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 18, 2023 · Quality of Life and Care

  • Actual harm · G June 29, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 29, 2024

    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.

    Corrected July 26, 2024 · Resident Rights

  • Potential for harm · D June 29, 2024

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

    Corrected July 26, 2024 · Quality of Life and Care

  • Potential for harm · D April 25, 2019

    Ensure each resident receives an accurate assessment.

    Corrected May 24, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D April 25, 2019

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 24, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D April 25, 2019

    Provide care by qualified persons according to each resident's written plan of care.

    Corrected May 24, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D April 25, 2019

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

    Corrected May 24, 2019 · Quality of Life and Care

  • Potential for harm · D April 25, 2019

    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.

    Corrected May 24, 2019 · Pharmacy Service

  • Potential for harm · D April 25, 2019

    Provide and implement an infection prevention and control program.

    Corrected May 24, 2019 · Infection Control

Federal penalties

DateTypeAmount / length
June 29, 2024Fine$15,646

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185246 · certified since March 11, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.