Occupancy rate
15%
In line with Wisconsin averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Sheboygan County
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Rocky Knoll Health Care Center
Nursing Home in Sheboygan County
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Rocky Knoll Health Care Center
Overview of Rocky Knoll Health Care Center
Rocky Knoll Health Care Center is a skilled nursing facility in Plymouth, WI, offering both short-term rehabilitation and long-term care. Owned and operated by Sheboygan County, the center is set in a peaceful rural location and can accommodate up to 149 residents. With supportive amenities, enrichment opportunities, memory care, and end-of-life services, Rocky Knoll offers a compassionate environment that focuses on comfort and well-being. Backed by strong community support, Rocky Knoll remain committed to helping each resident achieve the highest possible quality of life.
Recreational programs, social events, and wellness-focused activities at Rocky Knoll provide residents with opportunities for appropriate social interaction and meaningful daily structure. With paved walking paths, wooded biking trails, and spacious courtyards, there are comfortable outdoor areas available for fresh air and relaxation. Rocky Knoll’s setting offers a peaceful environment surrounded by Plymouth’s natural scenery. As a trusted skilled nursing community serving Sheboygan County for 100 years, Rocky Knoll remains committed to delivering consistent, high-quality care and services that support the health, comfort, and well-being of older adults.
Kayla Clinton serves as the Nursing Home Administrator at Rocky Knoll Health Care Center. She leads the team dedicated to providing compassionate care and support to residents, overseeing various departments including nursing, life enrichment, and administration to ensure a high standard of long-term care.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
149
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
15.4%
Residents per day
23
Occupancy rate
15.4%
Residents per day
23
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
84% of new residents, usually for short-term rehab.
Typical stay
15 days
Private pay
13% of new residents, often for short stays.
Typical stay
1 years
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
8 years
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$20.8M
Surplus of revenue
$1.8M
Governmental community
Operated by county authorities.
Home revenue
$20.8M
Surplus of revenue
$1.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$19.0M
149-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 1 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy
In line with Wisconsin averageOccupied beds
23 / 149
Average residents
54 per day
Facility TypeSkilled Care
CountySHEBOYGAN
CMS Certification Number525337
Rocky Knoll Health Care Center is legally operated by Sheboygan County, and administrated by Kayla Clinton.
Profit StatusGOVERNMENT COUNTY
Wheelchair Accessible
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Alzheimer's Certification
Short-Term Rehabilitation
Fax(855) 716-7528
Private Rooms
Salon Beauty/Barber Shop
Aroma Therapy
State-Of-The-Art Rehabilitation Equipment
Entertainment
Lounges
Spiritual Services
Music & Memory Certified Facility
Wheelchair Accessible Gardening Area
Outdoor Spaces
Transportation
Beautiful Sun Shelter
General Store And Gift Shop
Veteran Hall Of Honor
ActivitiesEach month an events calendar is created showing all of the events available that month.
Specific ProgramsShort-Term Rehabilitation, Long-Term Care, Amenities, Life Enrichment, Dining Services
Operating Hours24 hours a day, every day of the year
Food DescriptionRocky Knoll offers healthy and delicious dining with a tableside service model to enhance the dining experience for residents.
Meal ScheduleBreakfast 8:00 – 9:00am; Lunch 12:00 - 1:00pm; Dinner 5:00 – 6:00pm
What does this home offer?
Housing Options: Private Rooms
Building Type: 3-story
Memorial Services
Salon Beauty/Barber Shop
Aroma Therapy
State-Of-The-Art Rehabilitation Equipment
Entertainment
Lounges
Spiritual Services
Music & Memory Certified Facility
Wheelchair Accessible Gardening Area
Outdoor Spaces
Transportation Services
Beautiful Sun Shelter
General Store And Gift Shop
Veteran Hall Of Honor
Types of Care at Rocky Knoll Health Care Center
Nursing Home
Inspection History
In Wisconsin, the Department of Health Services, Division of Quality Assurance performs unannounced onsite surveys to ensure that long-term care facilities meet health and safety laws.
5 visits/inspections
3 visits/inspections triggered by complaints
3 routine inspections
Results
5 with issues
0 without issues
Show Inspection Reports
Latest inspection
Date
July 11, 2025
Complaint Investigation28 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Wisconsin average: 12 deficiencies
Health Inspection History
Inspections
Total health inspections
5
Wisconsin average 6
Last Health inspection on Jul 2025
Total health citations
27
Wisconsin average 27.3
Citations per inspection
5.4
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 27 citations resulted from standard inspections; 4 of 27 resulted from complaint investigations; and 1 of 27 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Wisconsin averageWisconsin average: 0.9
Serious Health citations
0
0
100% better than Wisconsin averageWisconsin average: 1.2
0 critical citations
0 serious citations
27 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 11, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 11, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 06, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 06, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 06, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 06, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 06, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 06, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Sheboygan County The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
Filter by care type
Rocky Knoll Health Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Plymouth
149
1
Private Rooms
Places of interest near Rocky Knoll Health Care Center
3.7 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
314
Employees
194
Contractors
120
Staff to resident ratio
2.34:1
0% compared with Wisconsin averageWisconsin average ratio: 2.41:1
Avg staff/day
112
Average shift
7.1 hours
0% compared with Wisconsin averageWisconsin average: 7.3 hours
Total staff hours (quarter)
72,790
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
25
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
190
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
42.4%
30,896 contractor hours this quarter
Certified Nursing Assistant: 64
Registered Nurse: 30
Licensed Practical Nurse: 13
Physical Therapy Aide: 4
Physical Therapy Assistant: 4
Speech Language Pathologist: 2
Respiratory Therapy Technician: 1
Qualified Social Worker: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 126 | 64 | 190 | 43,948 | 91 | 100% | 7.5 |
| Registered Nurse | 18 | 30 | 48 | 11,721 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 12 | 13 | 25 | 6,152 | 91 | 100% | 7.6 |
| Other Dietary Services Staff | 15 | 0 | 15 | 2,634 | 91 | 100% | 5.8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,846 | 63 | 69% | 8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 942 | 63 | 69% | 7.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 928 | 63 | 69% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 908 | 63 | 69% | 8 |
| Physical Therapy Aide | 0 | 4 | 4 | 805 | 64 | 70% | 5.7 |
| Speech Language Pathologist | 0 | 2 | 2 | 558 | 68 | 75% | 5.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 489 | 68 | 75% | 7.1 |
| Dental Services Staff | 1 | 0 | 1 | 481 | 61 | 67% | 7.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 478 | 68 | 75% | 7 |
| Dietitian | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Qualified Social Worker | 0 | 1 | 1 | 225 | 64 | 70% | 3.5 |
| Medication Aide/Technician | 3 | 0 | 3 | 164 | 22 | 24% | 7.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 65 | 9 | 10% | 7.2 |
| Administrator | 8 | 0 | 8 | 0 | 63 | 69% | 0 |
190 Certified Nursing Assistant
% of Days
100%
48 Registered Nurse
% of Days
100%
25 Licensed Practical Nurse
% of Days
100%
15 Other Dietary Services Staff
% of Days
100%
4 Clinical Nurse Specialist
% of Days
69%
2 Occupational Therapy Aide
% of Days
69%
2 Mental Health Service Worker
% of Days
69%
2 Nurse Practitioner
% of Days
69%
4 Physical Therapy Aide
% of Days
70%
2 Speech Language Pathologist
% of Days
75%
4 Physical Therapy Assistant
% of Days
75%
1 Dental Services Staff
% of Days
67%
1 Respiratory Therapy Technician
% of Days
75%
1 Dietitian
% of Days
62%
1 Qualified Social Worker
% of Days
70%
3 Medication Aide/Technician
% of Days
24%
1 Occupational Therapy Assistant
% of Days
10%
8 Administrator
% of Days
69%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
134 residents
Residents by payment source
Medicare
45 residents (33.6%)
Medicaid
64 residents (47.8%)
Private pay or other
25 residents (18.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.6
10% worse than Wisconsin averageWisconsin average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.8
26% worse than Wisconsin averageWisconsin average: 22.1
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.7%
Percent of long-stay residents whose need for help with daily activities has increased
24.7%
40% worse than Wisconsin averageWisconsin average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
25.4%
Percent of long-stay residents whose ability to move independently worsened
25.4%
11% worse than Wisconsin averageWisconsin average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.5%
28% worse than Wisconsin averageWisconsin average: 26.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
In line with Wisconsin averageWisconsin average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.4%
Percent of long-stay high risk residents with pressure ulcers
1.4%
74% better than Wisconsin averageWisconsin average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.4%
Percent of long-stay residents with a urinary tract infection
1.4%
58% better than Wisconsin averageWisconsin average: 3.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.2%
Percent of long-stay residents who lose too much weight
3.2%
35% better than Wisconsin averageWisconsin average: 4.9%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.4%
Percent of long-stay residents who have depressive symptoms
2.4%
52% better than Wisconsin averageWisconsin average: 5.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.8%
Percent of long-stay residents who received an antipsychotic medication
18.8%
17% worse than Wisconsin averageWisconsin average: 16.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
In line with Wisconsin averageWisconsin average: 95.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Wisconsin averageWisconsin average: 95.0%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.08
Number of hospitalizations per 1,000 long-stay resident days.
1.08
33% better than Wisconsin averageWisconsin average: 1.61
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
64% better than Wisconsin averageWisconsin average: 2.19
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
13% better than Wisconsin averageWisconsin average: 87.3%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Wisconsin averageWisconsin average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
20% better than Wisconsin averageWisconsin average: 82.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.6%
13% worse than Wisconsin averageWisconsin average: 22.7%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
4.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.6%
69% better than Wisconsin averageWisconsin average: 15.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Wisconsin averageWisconsin average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
60.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.9%
13% better than Wisconsin averageWisconsin average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
61.2%
Rate of successful return to home or community from a skilled nursing facility.
61.2%
21% better than Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Rocky Knoll Health Care Center based on CMS SNF Cost Reports.
Occupancy Rate
74.9%
↑ 7.9pp vs 2022
Net Income
$1.8M
↑ ~$1.7M vs 2022
Total Payroll
$14.4M
↑ ~$2.5M vs 2022
Profit Margin
10.6%
↑ 10.2pp vs 2022
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