Chimney Rock Villa

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.10 therapist hours per resident per day in 2026Q1 — more than 6% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 49 beds and averages 31.9 residents a day — about 65% occupied, or roughly 17 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.47 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.83 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.46 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.25 hrs/resident/day on weekends vs 3.56 on weekdays — 9% thinner on weekends. RN hours go from 0.92 to 0.59 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

30 citations, most serious first. The 14 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · J2024-02-05 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09D2a Based on record review and interviews; the facility staff 1) failed to assess residents for skin impairment, existing pressure ulcers (localized injury to the skin and/or underlying tissue over a bony prominence as a result of pressure, or pressure in a combination with shear and/or friction), or new pressure ulcers; 2) failed to implement interventions to treat and prevent the development of pressure ulcers; 3) failed to monitor residents' skin, 4) failed to follow provider orders to promote wound healing for 2 (Residents 2 and 1) of 4 sampled residents. The facility identified a facility census of 31 residents at the time of the survey. Findings are: A. A record review of Resident 2's admission Record with an admission date of 4/1/2019 and a printed date of 1/22/2024 revealed under Diagnosis Information, the resident had diagnoses of morbid (severe) obesity with unspecified complications. A record review of Resident 2's MDS dated [DATE] revealed Section…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Hcited before2025-03-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(I)(i)(1) Based on record reviews and interviews, the facility failed to develop and or implement appropriate interventions to prevent additional falls for 4 (Residents 2, 4, 6, and 7), which resulted in two residents (Resident 4 and 7) sustaining major injuries from subsequent falls. The facility identified a census of 24. Findings are: A record review of a facility policy, Assessing Falls and Their Causes, with a revised date of March 2018, revealed when a resident falls, an appropriate intervention taken to prevent future falls should be recorded in the resident's medical records. A. A record review of an undated facility policy, Abuse and Neglect Reporting defined neglect as a failure to provide care, treatment, goods or services necessary to avoid physical harm or mental anguish of a resident. The policy revealed an alleged case of neglect should be reported to the state agency within 24 hours and a completed internal investigation of the facility's conclusion and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-03-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(H)(iii)(2) Licensure Reference Number 175 NAC 12-006.09(H)(iii)(3) Based on record reviews and interviews, the facility failed to provide ongoing monitoring of an incision, follow physician's orders for care of the incision, and implement treatment and other interventions to promote healing and prevent infection for 1 (Resident 7) of 4 sampled residents. The facility identified a census of 24. Findings are: A record review of a facility policy, Wound Care, with a last revised date of October 2010, revealed the purpose of the policy was to provide guidelines for the care of wounds to promote healing. The policy revealed an assessment of the wound (including color, size, drainage, etc.) should be documented with wound care. Additionally, it revealed information should be reported in accordance with facility policy and professional standards of practice. A record review of a facility policy, Dressings, Dry/Clean, with a last revised date of September 2013, revealed a step of preparation is to verify that there is a physician's order for the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-02-05 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.07C Based on record reviews and interview, the facility failed to identify, monitor, and evaluate a system for pressure ulcers as part of the Quality Assurance and Performance Improvement (QAPI) committee's performance improvement activities. This affected 2 (Residents 1 & 2) of 4 sampled residents. The facility census was 34. The Findings are: A record review of the facility's QA (Quality Assurance) binder on 2/5/24 revealed there were no QAPI meeting minutes for January 2024. A record review of the QAPI meeting minutes from 12/18/23 revealed no evidence of pressure ulcers/injuries being identified as a potential concern within the facility. A record review of the QAPI meeting minutes from 11/20/23 revealed no evidence of pressure ulcers/injuries being identified as a potential concern within the facility. A record review of the QAPI meeting minutes from 10/16/23 revealed no evidence of pressure ulcers/injuries being identified as a potential concern within the facility. A record review of the QAPI meeting minutes from 9/18/23 revealed no…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-24 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to maintain a safe, sanitary, homelike bathing environment. This affected 6 (Resident 2,3,4,5,6, and 7) of 6 sampled residents. The facility identified a census of 32. LICENSURE REFERENCE NUMBER 175 NAC 12-006.19(A) A record review of Resident 2's facesheet revealed they were admitted to the facility on [DATE] and had diagnoses of type 1 diabetes mellitus, substance abuse, and respiratory failure.A record review of Resident 3's facesheet revealed they were admitted to the facility on [DATE] and had diagnoses of dementia, urinary tract infection, depression, and anxiety.A record review of Resident 4's facesheet revealed they were admitted to the facility on [DATE] and had diagnoses of dementia, back pain, and hypertension.A record review of Resident 5's facesheet revealed they were admitted to the facility on [DATE] and had diagnoses of dementia, osteoporosis, chronic kidney disease, and anxiety.A record review of Resident 6's facesheet…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-07-30 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.04(D)(i)Nebraska Revised Statute 71-6018.02 Based on record review and interview, the facility failed to designate a full-time Director of Nursing (DON) from 12/24/2024 through 2/10/2024 as required. This had the potential to affect all residents who reside within the facility. The facility identified a census of 35.Findings are: A record review of the facility's Facility Assessment Tool (dated 4/22/2025) identified sufficient staffing to meet the needs of the residents included one full-time DON. A record review of the facility's staffing documentation revealed no evidence of a designated DON from 12/24/2024 - 2/10/2024. An interview on 7/23/2025 at 8:30 AM with the Nursing Home Administrator (NHA) revealed Registered Nurse (RN) - A was interim DON during 12/10/2024-2/10/2025, but there was no official title change as RN-A did not want to be stuck in the DON position. An interview on 7/23/2025 at 3:15 PM with RN-A revealed they were assisting the NHA with DON duties but could not confirm who the designated DON from 12/24/2024-2/10/2025 and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-07-30 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  LICENSURE REFERENCE NUMBER NAC 175 12-006.11(E) Based on observations, interviews, and record review, the facility failed to store, prepare, and serve food in a manner that prevented the potential for foodborne illness. The facility failed to label items for consumption with date and contents and prevent the potential for cross-contamination by storing uncooked meat above ready-to-eat food items. The facility also failed to ensure that dishes were being sanitized in a manner to prevent the potential for foodborne illness. This had the potential to affect all 35 residents that resided in the facility. Findings are:A.Observations on the initial tour of the kitchen on 7/23/25 at 8:02 AM revealed the following: -In the upright freezer, two half-gallon sized pitchers, both with unfrozen yellow liquid - In the kitchen refrigerator, 1 gallon-sized pitcher partially filled with yellow liquid, without label to indicate date prepared or contents, and 1 gallon-sized pitcher partially filled with brown liquid, without label to indicate date prepared or contents - In the walk-in cooler on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-07-30 · tag F0882 — widespread
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — the official record, unedited, may be distressing

  LICENSURE REFERENCE NUMBER 175-12 005.06(H0)Based on interview and record review the facility failed to designate the role and duties of the Infection Preventionist to a qualified staff member that did not function as the facility Director of Nursing (DON).Findings:A review of a DON job description revealed under Safety and Sanitation that the DON will develop, implement and maintain a program for monitoring communicable and/or infectious diseases among residents and personnel. The facility identified a census of 35.On 07/28/2025 at 10:00 AM an interview with the DON confirmed the DON is also working in the role of the Infection Preventionist, while working forty hours a week as the DON. The DON confirmed there was no documented evidence of the number of hours spent in the infection control preventionist role.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-30 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(H)(iv)Based on record review and interview, the facility failed to follow their bowel protocol to prevent constipation for 3 (Residents 3, 5, and 7) of 5 sampled residents. The facility census was 35.Findings Are: A record review of the facility's undated Bowel Elimination guidelines revealed a goal stating, To promote resident health and comfort through proper functioning. The policy statement was, Bowel elimination patterns will be monitored every shift and timely intervention will be provided as needed to ensure resident health and comfort. The procedure section stated the facility staff was to monitor bowel elimination every shift, taking into consideration the resident's individual elimination pattern. If after 3 days there is no bowel movement administer prune juice, if after 4 days give milk of mag, if no results contact MD. A.A record review of Resident 7's Task: B&B- Bowel Elimination documentation from 5/1/2025 through 7/28/2025 revealed documentation that the resident had No Bowel Movement for the following dates: -From 5/10/25…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-30 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(D)Based on record review and interview, the facility failed to ensure the Minimum Data Sets (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) were coded correctly related to hypoglycemic (medication used to lower blood glucose levels in people with type 2 Diabetes Mellitus) medication usage for 1 (Resident 5) of 5 sampled residents. The facility census was 35. Findings Are:A record review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual (RAI Manual, a document published by the Centers for Medicare & Medicaid Services (CMS) to facilitate accurate and effective resident assessment practices in long-term care facilities) dated October 2023 revealed in the High-Risk Drug Classes: Use and Indication section that the hypoglycemic box should be checked if a hypoglycemic medication was taken by the resident at any time during the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-30 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 12.006.09(H)(v)Based on observations, record review, and interviews. The facility failed to identify a contracture and implement treatment to prevent potential worsening of the contracture for Resident 12. The facility identified a census of 35. Findings are:A record review of Resident 12's Minimum Data Set (MDS- an assessment tool required for long term care facilities) dated 7-7-25 revealed in Section C that Resident 12 had a Brief Interview for Mental Status (BIMS- an assessment used to determine any cognitive impairment) score of 13/15- indicating that Resident 12 had mild cognitive impairment.Section GG revealed Resident 12 had functional limitation in range of motion on both sides of the body in addition to upper and lower body limitations. Resident 12 uses a wheelchair for ambulation and requires substantial to maximum assistance with dressing, undressing, hygiene, bathing, toileting, and eating.Section I identified a diagnosis of Corticobasal Degeneration (a brain disorder that causes nerve cell damage in specific areas of the brain, leading to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-03-25 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.07 Based on record reviews and interviews, the facility failed to ensure the Quality Assurance Performance Improvement Program [QAPIP, a facility process that identifies problems in the facility and works to correct the concerns] identified ongoing issues relevant to F689 and implement plans of action to identify and correct the deficient practice. This had the potential to affect all residents that reside within the facility. The facility identified a census of 24. Findings are: A record review of a facility policy, Quality Assurance and Performance Improvement Program with a revised date of February 2020, revealed the objectives of the QAPIP are to: 1) Provide a means to measure current and potential indicators for outcomes of care and quality of life, 2) provide a means to establish and implement performance improvement projects to correct identified negative or problematic indicators, 3) reinforce and build upon effective systems and processes related to the delivery of quality care and services, and 4) establish systems through which to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-25 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.02(H) Based on record reviews and interview, the facility failed to report to the State Agency a fall with major injury as a potential allegation of abuse/neglect within 2 hours and submit a complete investigation within five working days of the incident as required for 1 (Resident 7) of 2 sampled residents. The facility identified a census of 24. Findings are: A record review of an undated facility policy, Abuse and Neglect Reporting defined neglect as a failure to provide care, treatment, goods or services necessary to avoid physical harm or mental anguish of a resident. The policy revealed an alleged case of neglect should be reported to the state agency within 24 hours and a completed internal investigation of the facility's conclusion and follow-through within five days to the state agency. There was no evidence of the requirement to report serious bodily injury to the State Agency within two hours as required. A record review of an admission Record revealed the facility admitted Resident 7 on 9/27/2024 with diagnoses of: dementia [a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-07-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference 175 NAC 12-006.11(D) Licensure Reference 175 NAC 12-006.11(E) Licensure Reference 175 NAC 12-006.18(B) Based on observations, interviews, and record review; the facility failed to ensure food products were disposed of or used before expirations dates, failed to ensure foods were not stored on the floor of the freezer in according to manufacturer's recommendations, failed to ensure the steam table food temperatures were held at safe temperatures and implement hand hygiene after the changing of gloves in order to prevent the potential for foodborne illness. This had the potential to affect all resident who resided within the facility. The facility census was 31. Findings are: A. A record review of the facility's policy Food Storage with a date of 10/2021 revealed food should not be stored on the floor. B. Record review of 2017 Nebraska Food Code, under section 3-501.17 revealed food should be clearly marked to indicate the date or day by which food should be consumed or discarded. C. An…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$110,988 in federal fines across 2 penalties.

• $31,135 — penalty dated 2025-03-25
• $79,853 — penalty dated 2024-02-05

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 27 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE