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Rockcastle Health & Rehabilitation Center

All states › Kentucky › Brodhead › Rockcastle Health & Rehabilitation Center

371 West Main Street Brodhead, KY 40409 · Rockcastle County

(606) 758-8711

Accepts Medicare Accepts Medicaid 104 certified beds For profit

CMS certification number 185246 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Rockcastle Health & Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Rockcastle Health & Rehabilitation Center as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Kentucky average of 3.0. Inspectors issued 20 citations in the last three years. CMS imposed 1 penalty, including $15,646 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 3.53 hours per resident per day at Rockcastle Health & Rehabilitation Center, below the Kentucky median of 3.75 (US median: 3.72). About 0.63 of those hours are from registered nurses. On weekends it falls to 2.89 hours, 18% below its all-week average. Ask how weekends are staffed. 41.9% of nursing staff left within a year (Kentucky median 44.3%).

Nursing care per resident per day 3.53 hours
Below the Kentucky median of 3.75 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.63 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.89 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 41.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 43.8% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds104
Residents per day 97 About 94% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMarch 1991
Part of a chainSignature Healthcare
Legal business nameLP BRODHEAD LLC

Paying for care at Rockcastle Health & Rehabilitation Center: Medicare and Medicaid

Rockcastle Health & Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Kentucky's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 29, 2025 and found 9 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 20 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 20 citations at Rockcastle Health & Rehabilitation Center across 3 inspection dates, 2 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 29, 2024 (complaint inspection). The most common areas cited were quality of life and care (8) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, June 29, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.

August 29, 2025 · 10 citations · includes complaint inspection

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Sep 25, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Sep 25, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0559 · Deficient, Provider has date of correction (Sep 25, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Sep 25, 2025)

DEnsure 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Sep 25, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Sep 25, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0740 · Deficient, Provider has date of correction (Sep 25, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0745 · Deficient, Provider has date of correction (Sep 25, 2025)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Sep 25, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (Sep 25, 2025)

June 29, 2024 · 4 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Apr 18, 2023)

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

Actual harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 26, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jul 26, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jul 26, 2024)

April 25, 2019 · 6 citations

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (May 24, 2019)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (May 24, 2019)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0659 · Deficient, Provider has date of correction (May 24, 2019)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (May 24, 2019)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 24, 2019)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 24, 2019)

Questions to ask on a tour of Rockcastle Health & Rehabilitation Center

  1. Inspectors cited the home at the immediate-jeopardy level on June 29, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 29, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $15,646 in fines.

DateTypeAmount or length
Jun 29, 2024 Fine $15,646

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 2/5 2/5 5/5
August 2026 2/5 2/5 2/5 4/5
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Location

Hospitals near Rockcastle Health & Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Rockcastle Regional Hospital and Respiratory Care Mount Vernon · 5.7 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 143 beds · Medicaid
The Terrace Nursing and Rehabilitation Center Berea · 14.6 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 102 beds · Medicaid
Berea Health and Rehabilitation Berea · 15.3 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 84 beds · Medicaid
Stanford Crossing Stanford · 16.5 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 128 beds · Medicaid
Landmark of Lancaster Rehabilitation and Nursing Center Lancaster · 17.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 96 beds · Medicaid

More nursing homes near Rockcastle Health & Rehabilitation Center ›   All nursing homes in Brodhead ›

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Other Signature Healthcare nursing homes in Kentucky

Affiliation comes from CMS's affiliated-entity data, October 2026. All 67 Signature Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/kentucky/brodhead/rockcastle-health-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.