Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Copper Rock Healthcare during CMS and state inspections, most recent first.
The facility allowed its administrator to continue performing job duties for 20 days after the expiration of their state license, due to incomplete renewal paperwork and insufficient CEUs. The administrator's license was not confirmed as renewed, and the facility did not ensure compliance with its policy requiring a current administrator license.
Two residents who were dependent on staff for all ADLs, including personal hygiene, experienced significant lapses in receiving scheduled showers, with one going up to 17 days and another up to 13 days without bathing. Staff failed to document missed showers, refusals, or interventions as required by facility policy, and care plans did not address shower preferences or refusal patterns. Interviews revealed inconsistent practices and communication among CNAs, LPNs, and the DON, with family members also reporting difficulties in ensuring regular hygiene care.
A resident admitted with multiple stage 2 pressure ulcers and a surgical incision with a wound vac did not receive timely wound care or physician orders for treatment. Staff failed to document or initiate wound care interventions, and the care plan did not address the wounds. Despite the resident reporting pain and notifying staff, no treatments were started until several days after admission, contrary to facility policy.
A resident with chronic pain did not receive scheduled fentanyl patches as ordered due to staff failing to maintain an adequate supply, improper use of the emergency kit, and inaccurate documentation of medication administration and patch monitoring. Nursing staff documented administration of patches that were not applied and did not notify the physician or follow facility policy when medication was unavailable.
Two residents were hospitalized due to significant medication errors at a facility. One resident received another's medication, causing a drop in blood pressure, while another did not receive insulin as ordered, leading to high blood sugar levels. Staff failed to verify identities and notify physicians of discrepancies, and no investigations were conducted.
Administrator Served Without Valid License
Penalty
Summary
The facility failed to ensure that its administrator maintained an active and valid administrator's license, resulting in the administrator performing normal job duties for a period of 20 days without proper licensure. The administrator's license expired on 06/30/25 due to failure to complete the necessary paperwork and education for timely renewal. The administrator submitted the renewal application online on the expiration date but did not mail the required fee on time, and the renewal was further delayed due to insufficient continuing education units (CEUs). The facility did not confirm the renewal status and allowed the administrator to continue in the role during this period. The deficiency was identified when the facility's corporation became aware of the expired license on 07/21/25. During this time, the administrator continued to manage the facility, which had a census of 77, without the legally required credentials. The facility's governing body did not ensure compliance with its own policy, which mandates that the administrator must possess and maintain a current state license to operate the facility.
Failure to Provide Timely Showers and Document Care for Dependent Residents
Penalty
Summary
The facility failed to ensure that residents who were dependent on staff for activities of daily living, specifically grooming and personal hygiene, received baths or showers in a timely manner. Two residents with significant medical conditions, including cerebral infarction, osteoarthritis, and paralysis, were identified as being dependent on staff for all ADLs except eating and were frequently incontinent of bowel and bladder. Both residents were scheduled to receive showers twice weekly, but documentation showed significant lapses, with one resident going up to 17 days and another up to 13 days without a shower. There was no documentation of showers being offered or completed on other days, nor was there documentation regarding missed showers or extended periods without bathing. The facility's policy required staff to document the date, time, and details of showers or baths, including refusals and interventions taken, and to notify supervisors and physicians as appropriate. However, the care plans for both residents did not address shower frequency preferences or patterns of refusal, and staff failed to document refusals or missed showers as required. Interviews with staff revealed inconsistent awareness and practices regarding shower refusals, documentation, and notification of nursing staff or families. Some staff were unaware of recent refusals, and others indicated that nurses were not informed about which residents received showers or refused them. Further interviews with nursing and administrative staff confirmed that there were designated shower aides, but coverage was limited, and sometimes residents did not receive even one shower per week. The Director of Nursing and Administrator both stated that residents should receive two showers per week unless refused, and refusals should be documented. However, neither was aware of residents going more than 10 days without a shower, and documentation did not support that refusals were consistently recorded. Family members also reported having to request showers and being asked to provide them themselves, indicating a lack of consistent care and communication.
Failure to Provide Timely Pressure Ulcer Care and Obtain Physician Orders
Penalty
Summary
Facility staff failed to provide care in accordance with professional standards for pressure ulcers for one resident. Upon admission, the resident had multiple stage 2 pressure ulcers on the buttocks and coccyx, as well as a surgical incision with a wound vac. The facility's own policies required prompt risk assessment, documentation, physician notification, and establishment of wound care interventions. However, staff did not obtain physician orders for wound treatments or the wound vac, nor did they document or initiate any wound care for the identified pressure ulcers. The baseline care plan did not address care or treatment for the wounds, and there were no specific wound care instructions from the discharging hospital. Review of the resident's records showed that the wounds were present on admission, but staff failed to document wound treatments or obtain orders for several days. Progress notes and treatment administration records lacked any documentation of wound care or interventions for the pressure ulcers or the wound vac. Multiple staff interviews confirmed that while some were aware of the wounds, no treatments had been initiated, and there was confusion regarding documentation and responsibility for obtaining orders. The DON and Administrator both stated that they expected staff to assess, document, and initiate treatment for wounds upon admission, but this did not occur. The resident reported ongoing pain from the wounds and stated that staff had been informed of the wounds since admission, but no action was taken. Observations confirmed the presence of untreated wounds with partial thickness skin loss and slough tissue. It was only after several days that a physician order for topical zinc oxide was obtained. The facility failed to follow its own policies for wound assessment, documentation, and timely intervention, resulting in a lack of appropriate care for the resident's pressure ulcers.
Failure to Ensure Accurate Pain Management and Medication Documentation
Penalty
Summary
Facility staff failed to ensure an effective and accurate pain management program for a resident requiring scheduled opioid pain management. Staff did not maintain an adequate supply of fentanyl transdermal patches, resulting in multiple instances where the resident did not receive the prescribed medication as ordered. Documentation showed that staff recorded administration of fentanyl patches even when no patches were available or applied, and failed to accurately document the location and status of the patches on the resident. There were also discrepancies between the Medication Administration Record (MAR), Controlled Drug Receipt Records, and progress notes, with staff documenting the presence of patches that were not actually in place. The resident involved had diagnoses including cerebral infarction, osteoarthritis, and unspecified pain, and was on a scheduled pain medication regimen. Despite clear physician orders and care plan instructions for pain management, staff did not reorder fentanyl patches in a timely manner, leading to gaps in administration. When patches were unavailable, staff did not consistently utilize the facility's emergency kit or notify the physician about missed doses or the presence of an outdated patch. Staff also failed to follow facility policy regarding the destruction of narcotic patches and did not document follow-up actions related to drug interaction alerts. Interviews with nursing staff and facility leadership confirmed that staff were aware of the lack of available fentanyl patches and the presence of an expired patch on the resident, but did not take appropriate steps to resolve the issue or ensure accurate documentation. The Director of Nursing and other staff acknowledged that policies for medication administration, documentation, and reordering were not followed. These failures resulted in the resident not receiving prescribed pain management and inaccurate medical records.
Medication Errors Lead to Hospitalization of Two Residents
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors, resulting in two residents being hospitalized. In the first incident, a Certified Medication Tech (CMT) mistakenly administered another resident's medication to a resident, leading to a dangerous drop in blood pressure and subsequent hospitalization. The error occurred when the CMT, who was behind schedule, handed the wrong medication to the resident without verifying their identity. The facility did not conduct an investigation into this medication error. In the second incident, the facility failed to administer insulin as ordered to a resident with diabetes, leading to elevated blood sugar levels and hospitalization. The insulin was unavailable, and staff did not notify the physician about the missing medication. The resident's blood sugar levels remained high, and the resident exhibited a decline in mental status, prompting a transfer to the emergency department. The facility did not investigate this medication error either. Interviews with staff revealed a lack of adherence to medication administration protocols, including verifying resident identity and notifying physicians of medication discrepancies. The facility's policies on medication administration and insulin administration were not followed, contributing to the errors. The Director of Nursing and other staff were aware of the errors, but no root cause analysis or investigation was conducted to address the deficiencies.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 146 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Rogersville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| James River Nursing And Rehabilitation | 5.3 mi | ★★★★★ | 1 | 0 |
| Glendale Gardens Nursing & Rehab | 5.9 mi | ★★★★★ | 15 | 0 |
| Ozark Care & Rehab Center | 7.2 mi | ★★★★★ | 5 | 0 |
| Sunterra Springs Springfield | 7.7 mi | ★★★★★ | 0 | 0 |
| Spring Valley Health & Rehabilitation Center | 7.8 mi | ★★★★★ | 33 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.