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A+
Excellent

ROCKY KNOLL HEALTH CARE

N7135 ROCKY KNOLL PARKWAY · PLYMOUTH, WI 53073

9208936441 · Government - County

149 beds140.9 residents296 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ROCKY KNOLL HEALTH CARE receives an overall staffing grade of A+ (Excellent). With 5.1905 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.29 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 10.18% compared to weekdays. The facility relies heavily on temporary agency staff (39.35% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️39.35% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
5.1905hrs/resident/day▲ 1.29
CMS benchmark: 3.48
RN HPRD
1.0621hrs/resident/day▲ 0.38
Recommended: 0.75
Weekend Drop-off
10.18%
5.3443 weekday → 4.8003 weekend
Agency Staff
39.35%
39.51% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.5437hrs/resident/day
Direct care aides
LPN HPRD
0.5661hrs/resident/day
Licensed practical nurses
Consistency
0.445std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Sheboygan County Average+1.41 HPRD
3.78
05.19 HPRD
vs. Wisconsin State Average+0.99 HPRD
4.20
05.19 HPRD
vs. National Average+1.29 HPRD
3.90
05.19 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ROCKY KNOLL HEALTH CARE ★
PLYMOUTH · This facility
—
A+
5.19051.0621★★★☆☆
WILLOWDALE HEALTH SERVICES
NEW HOLSTEIN
11.2 mi
C
3.39691.0041★★★★☆
HOMESTEAD HEALTH SERVICES
NEW HOLSTEIN
11.7 mi
B
3.67971.0863★☆☆☆☆
SHEBOYGAN HEALTH SERVICES
SHEBOYGAN
11.9 mi
C
3.18750.8989★★★☆☆
SHEBOYGAN PROGRESSIVE HEALTH SERVICES
SHEBOYGAN
13.3 mi
C
3.33570.8978★★★☆☆
EDENBROOK OF FOND DU LAC
FOND DU LAC
22.1 mi
B
3.60750.9374★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
27
Total Deficiencies
$0
Fines Assessed
Jul 11, 2025Health
1 deficiency cited
▼
Mar 6, 2025Health
11 deficiencies cited
▼
Jul 3, 2024Health
3 deficiencies cited
▼
Feb 14, 2024Health
7 deficiencies cited
▼
Nov 30, 2022Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.