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Inspection visit

Inspection

Rockcastle Regional Hospital and Respiratory CareCMS #18515712 citations on this visit
12 citations recorded

Citations

12 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0004GeneralS&S Fpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0006GeneralS&S Fpotential for harm

    Conduct risk assessment and an All-Hazards approach.

  • 0013GeneralS&S Fpotential for harm

    Develop Emergency Preparedness policies and procedures.

  • 0029GeneralS&S Fpotential for harm

    Develop a communication plan.

  • 0351GeneralS&S Dpotential for harm

    Install an approved automatic sprinkler system.

  • 0363GeneralS&S Dpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0781GeneralS&S Dpotential for harm

    Have restrictions on the use of portable space heaters.

  • 0920GeneralS&S Epotential for harm

    F920 - Dining and Resident Activities

    Ensure proper usage of power strips and extension cords.

  • 0927GeneralS&S Dpotential for harm

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

  • 0583GeneralS&S Dpotential for harm

    F583 - Privacy and Confidentiality

    Keep residents' personal and medical records private and confidential.

  • 0732GeneralS&S Dpotential for harm

    F732 - Nurse Staffing Information

    Post nurse staffing information every day.

  • 0919GeneralS&S Dpotential for harm

    F919 - Resident Call System

    Make sure that a working call system is available in each resident's bathroom and bathing area.

FAQ · About this visit

Common questions about this visit

What happened during the March 26, 2025 survey of Rockcastle Regional Hospital and Respiratory Care?

This was a inspection survey of Rockcastle Regional Hospital and Respiratory Care on March 26, 2025. The surveyor cited 12 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Rockcastle Regional Hospital and Respiratory Care on March 26, 2025?

Yes, 12 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Develop and maintain an Emergency Preparedness Program (EP)."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.