Rock County Hospital Long Term Care
100 East South Street, Bassett, NE 68714 · Rock County · (402) 684-2991
30 certified beds, about 17 residents a day · Government - County · Medicaid since 2025
CMS Care Compare ratings, data as of September 1, 2026 · CCN 28E303 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 11, 2025, inspectors cited 4 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
Of 13 health citations since August 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 6.14 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 1.12 of those hours.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
June 8, 2026Complaint inspection · 1 citation
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09(l) Based on observations, record review, and interview; the facility failed to identify causal factors for the development and/or revision of fall prevention interventions and to implement fall interventions for 4 (Residents 1, 2, 3, and 4) of 4 sampled residents. The facility census was 20.
September 11, 2025Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.11(E)Based on observation, record review and interview; the facility failed to handle food in a manner that prevented potential food borne illness. This had the potential to affect all facility residents. The census was 18.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09A Based on record review and interview; the facility failed to ensure a new Pre-admission Screening and Resident Review (PASARR) screen was completed related to a mental health diagnosis for Resident 3. The sample size was 1 and the facility census was 18.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 Based on interview and record review; the facility failed to ensure Resident 3 received trauma informed care related to a diagnosis of Post Traumatic Stress Disorder (PTSD) and to identify triggers and implement approaches to mitigate potential triggers. The sample size was 1 and the facility census was 18.
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18 Based on record review and interview; the facility failed to implement infection control practices to prevent the potential spread of Covid-19 infection related to testing a symptomatic resident (Resident 4) for COVID-19. The sample size was 2 and the census was 18.
August 20, 2024Standard inspection, Complaint inspection · 8 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(iii)(1) Based on observation, interview, and record review; the facility failed to implement measures to prevent the development of pressure ulcers (injury to skin and underlying tissue caused by prolonged pressure to skin) for Resident 10 prior to the development of pressure ulcers. The sample size was 3 and the facility census was 27.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(I)(i)(3)(4) Based on record review and interview; the facility failed to put interventions in place and/or revise interventions to prevent ongoing falls for Residents 8 and 24. The sample size was 4 and the facility census was 25.
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.12(A)(vi) Based on record review and interview; the facility Pharmacist failed to identify medication irregularities related to a diagnosis for an antipsychotic medication for Resident 15, failed to ensure Resident 22's antibiotic medication had a clinical rationale to support ongoing daily use, failed to ensure a gradual dose reduction was attempted or there was a clinical rationale for continued use of Resident 11's antidepressant medication, and failed to ensure Resident's 8, 24, and 25's as needed antipsychotic medication orders did not exceed 14 days without a providers reassessment of the resident's conditions. The sample size was 7 and the facility census was 27.
- E Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteLicensure Reference Number 12-006.09(H) Based on record review and interview; the facility failed to ensure antibiotic medication orders for Resident 22 had the required duration of use or a documented rationale for continued daily use in accordance with facility policies and clinical standards. The sample size was 7 and the facility census was 27.
- E Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H) Based on interview and record review; the facility failed to have a diagnosis for the use of an antipsychotic (medication typically used to manage psychotic disorders) medication for Resident 15, failed to attempt a gradual dose reduction or have a documented contraindication for reducing an antidepressant (medication typically used to treat depression) medication for Resident 11, and failed to ensure PRN (as needed) antipsychotic medications orders were limited to 14 days for Residents 8, 24, and 25. The sample size was 7 and the facility census was 27. A. Review of the facility policy Use of Psychotropic Drugs with a review date of 8/2023 revealed the following: [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H) Based on record review and interview; the facility failed to submit a completed investigation report to the State Agency for a fall for Resident 8. The sample size was 3 and the facility census was 25.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(F)(iii) Based on observation, record review and interview; the facility failed to review and revise Resident 10's Care Plan addressing pressure ulcer risk prior to the resident developing a pressure injury/s (injury to skin and or underlying tissue caused by prolonged pressure to skin). The sample size was 18 and the facility census was 27.
- D Provide and implement an infection prevention and control program.
Inspectors wroteF. Observation on 8/19/24 at 9:10 AM RN-E obtained Resident 20's medications from the medication cart. RN-E placed the oral medications into a medication cup and obtained a topical medication in a tube and went to the resident room. RN-E donned a gown, gloves, and mask and entered the resident room. Resident 20 was still in bed and RN-E placed the medication cup and the topical medication on the resident's bedside table without a barrier. RN-E administered the resident's oral medications and gave the resident a sip of water. The resident started to spit out the medications and RN-E caught the medications in RN-E's gloved hand. RN-E removed their gloves and discarded, then put on a new pair without performing hand hygiene. RN-E obtained the topical medication from the resident's bedside table and applied the medication. [...]
Fire safety inspections
5 fire safety citations on file: 2 on September 11, 2025, 3 on August 20, 2024.
Every fire safety citation5 citations
- F Have simulated fire drills held at unexpected times.
- E Ensure proper usage of power strips and extension cords.
- E Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 20, 2024 | Payment Denial | 3 days from September 13, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 6.14 | 3.98 | 3.86 |
| Registered nurses | 1.12 | 0.67 | 0.69 |
| All nursing staff on weekends | 5.36 | 3.48 | 3.42 |
| Nurse aides | 4.41 | ||
| Licensed practical nurses | 0.62 | ||
| Nursing staff turnover (share who left in a year) | not reported | 48.7% | 45.8% |
| Registered nurse turnover | not reported | 44.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.06 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 6.45 on weekdays and 5.36 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.28 in July to September 2025 to 6.14 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 6.14 | 1.12 | 6.45 | 5.36 | 0.0% | 0 of 90 | 17 |
| Oct to Dec 2025 | 5.41 | 0.90 | 5.71 | 4.64 | 0.0% | 12 of 92 | 16 |
| Jul to Sep 2025 | 6.28 | 1.05 | 6.68 | 5.27 | 0.0% | 1 of 92 | 17 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for Nebraska
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nebraska, all employers | |||
| CNAs (nursing assistants) | $19.23 | $18.29 to $22.31 | 16,450 |
| LPNs and LVNs | $30.13 | $28.41 to $34.55 | 4,580 |
| Registered nurses | $40.74 | $38.09 to $47.90 | 24,720 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.4 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 8.8 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.5 | 4.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.6 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 20.7 | 15.4 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Rock County Hospital Long Term Care's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: This nursing home is not required to submit data for the Skilled Nursing Facility Quality Reporting Program.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on June 8, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 20, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 11, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on September 11, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Sandhills Care Center Ainsworth, 15.9 mi · 3 of 5 stars · 22 citations
- Parkside Manor Stuart, 20.2 mi · 5 of 5 stars · 8 citations
Nebraska contacts for a concern about a nursing home
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Nebraska Department of Health and Human Services, Licensure Unit, Long Term Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Nebraska Long-Term Care Ombudsman Program, (800) 942-7830. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Rock County Hospital Long Term Care's Medicare star rating?
- CMS rates Rock County Hospital Long Term Care 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Rock County Hospital Long Term Care get at its last inspection?
- 4 health deficiencies at the standard inspection on September 11, 2025. The Nebraska average is 7.4.
- Has Rock County Hospital Long Term Care been fined?
- CMS lists no fines in the last three years.
- Does Rock County Hospital Long Term Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Rock County Hospital Long Term Care?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.