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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 30th out of 172 homes in Wisconsin. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 4m per day | ▲ 10% State avg: 58m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 34m per day | ▼ 11% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 34m per day | ▲ 38% State avg: 2h 35m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 41m per day | ▲ 26% State avg: 3h 43m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 42m per day | ▲ 8% State avg: 39m per day · National avg: 29m per day |
Lower than the Wisconsin average: 70%Rocky Knoll Health Care Center is legally operated by Sheboygan County, and administrated by Kayla Clinton.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Wisconsin state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WI Average | vs. WI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 28 | 12 | This facility has 133% more total deficiencies than a typical Wisconsin nursing home (28 vs. WI avg 12).↑ 133% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 7 | 3 | This facility has 133% more deficiencies per year than a typical Wisconsin nursing home (7 vs. WI avg 3).↑ 133% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 11, 2025, identified a deficiency for failure to timely report an allegation of abuse involving two residents. Earlier inspections showed a pattern of deficiencies related to abuse reporting and investigation, food service practices, resident dignity during care, medication management, and infection control. Complaint investigations in prior years found substantiated issues with delayed reporting of abuse and incomplete investigations, but no enforcement actions or fines were listed in the available reports. Most complaints were substantiated, particularly regarding abuse reporting and food service concerns. The facility’s inspection history shows ongoing challenges with timely abuse reporting and food service standards, with no clear improvement trend over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWisconsin average 6
Last Health inspection on Jul 2025
Wisconsin average 27.3
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).
100% better than Wisconsin averageWisconsin average: 0.9
100% better than Wisconsin averageWisconsin average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% worse than Wisconsin average
0% compared with Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
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.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
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.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
29,583 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 109 | 54 | 163 | 42,174 | 92 | 100% | 7.6 |
| Registered Nurse | 18 | 30 | 48 | 11,375 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 10 | 9 | 19 | 6,822 | 92 | 100% | 8.1 |
| Other Dietary Services Staff | 14 | 0 | 14 | 2,604 | 92 | 100% | 6 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,837 | 61 | 66% | 8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 927 | 61 | 66% | 7.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 916 | 61 | 66% | 7.9 |
| Nurse Practitioner | 2 | 0 | 2 | 916 | 61 | 66% | 7.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 855 | 65 | 71% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 451 | 56 | 61% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 439 | 65 | 71% | 6.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 436 | 72 | 78% | 5.5 |
| Dietitian | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 401 | 66 | 72% | 5.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 257 | 29 | 32% | 8.3 |
| Qualified Social Worker | 0 | 1 | 1 | 226 | 66 | 72% | 3.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 90 | 12 | 13% | 7.5 |
| Administrator | 8 | 0 | 8 | 0 | 62 | 67% | — |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
24.7%
40% worse than Wisconsin averageWisconsin average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
25.4%
11% worse than Wisconsin averageWisconsin average: 22.8%
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%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
In line with Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.4%
74% better than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.4%
58% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
3.2%
35% better than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
2.4%
52% better than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
18.8%
17% worse than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
In line with Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Wisconsin averageWisconsin average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.08
33% better than Wisconsin averageWisconsin average: 1.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
64% better than Wisconsin averageWisconsin average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
13% better than Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
20% better than Wisconsin averageWisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.6%
13% worse than Wisconsin averageWisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.6%
69% better than Wisconsin averageWisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Wisconsin averageWisconsin average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.9%
13% better than Wisconsin averageWisconsin average: 53.7%
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.
84% of new residents, usually for short-term rehab.
13% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
134Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Rocky Knoll Health Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #3 / 177Payroll — State benchmarkedThis home is ranked 3rd out of 177 homes in Wisconsin. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
3.7 miles from city center
Estimated distance in miles from Plymouth's city center to Rocky Knoll Health Care Center's address, calculated via Google Maps.
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Rocky Knoll Health Care Center is located in Plymouth, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
Rocky Knoll Health Care Center is in the Rocky Knoll Parkway neighborhood of Plymouth.
The legal owner and operator of Rocky Knoll Health Care Center is Sheboygan County.
Rocky Knoll Health Care Center has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.
Rocky Knoll Health Care Center's occupancy is 15%.
Kayla Clinton is the administrator of Rocky Knoll Health Care Center.
Rocky Knoll Health Care Center has 149 beds.
Yes — there are 6 photos of Rocky Knoll Health Care Center in the photo gallery on this page.
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