Rock Springs

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Apr 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

• CMS gives no overall star rating: what this means: “Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.”
• CMS publishes no patient survey results for it.

• Medicare-certified psychiatric hospital since Jun 25, 2014.
• Ownership: proprietary.
• It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
• No condition-level: what this means deficiency on record in the last three years.
• Proprietary.

• CMS doesn’t publish fines or other penalties for hospitals.
• CMS’s HAC Reduction Program file has no result for it: the program covers general acute care hospitals Medicare pays under its inpatient prospective payment system.
• 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.

• CMS doesn’t publish staffing levels for hospitals.

• Springstone Health Opco, LLC owns 100% directly since Feb 4, 2014.
• Lifepoint Behavioral Health Services, LLC runs it.
• 8 owners or officers are people: Martin F. Mann (corporate officer, 0%); Nicoletta B Tessler (corporate officer, 0%); Christopher J Jagoditz (corporate officer, 0%); Marcus B Poppell (other role (CMS gives no detail), 0%); Charlotte E Lawrence (corporate officer, 0%); Elliott Brown (corporate officer); Erin Basalay (managing employee (on the payroll), 0%); Christopher J Monte (corporate officer, 0%).
• CMS’s Provider of Services file records no change of ownership.
• No private-equity firm among the owners CMS lists.
• No real-estate investment trust among the owners CMS lists.

• Of the 9 hospitals CMS lists in Williamson County, 4 have an overall star rating from CMS: 2 rated 4 of 5, 2 rated 3 of 5.
• CMS gives this hospital no overall star rating to compare.

• CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
• Only complaints that led to a citation appear; complaints that didn’t aren’t published.
• Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
• QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
• CMS doesn’t publish staffing levels for hospitals.

• Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).

  Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.

  Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).

  Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).

  Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).

  Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).

  Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).

  Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).

  Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).

  Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).

  Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).

  Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).

  Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.