Heartland Ridge Care Center

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

55.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 325 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 127 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 1.55 therapist hours per resident per day in 2026Q1 — more than 99% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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 47 beds and averages 24.3 residents a day — about 52% occupied, or roughly 23 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 5.12 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.06 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.78 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 4.71 hrs/resident/day on weekends vs 5.29 on weekdays — 11% thinner on weekends. RN hours go from 1.10 to 0.98 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 78% is well above the national median of 45%. 1 administrator has left in the past year.

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 more than at the previous inspection — worsening. 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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · Fcited before2025-05-22 · 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 175 NAC 12.006.11(E) Based on observation, interview, and record review, the facility failed to complete hand hygiene (the practice of keeping your hands clean) between glove changes and after hands were soiled while preparing food in the kitchen. The facility failed to wash dirty vegetables prior to use. The facility failed to ensure facial hair was completely covered. This had the potential to affect 30 of 30 residents that resided at the facility. The total facility census was 30. Findings are: A. A record review of Section 3-304.15 of the Nebraska Food Code dated 03/08/2012 revealed that If used, SINGLE-USE gloves shall be used for only one task such as working with READY-TO-EAT or with raw animal FOOD, used for no other purpose, and discarded when damaged or soiled, or when interruptions occur in the operations. Record review of the undated facility Hand Hygiene policy revealed that the use of gloves does not replace hand hygiene. If your task requires gloves, perform hand hygiene prior to donning gloves, and immediately after removing gloves. Record…

  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 · E2025-05-22 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 1-005.06(D) Based on observations, record reviews, and interviews, the facility failed to ensure that staff followed principles of infection control and prevention related to hand hygiene, use of personal protection equipment (PPE), and cleaning and storage of respiratory equipment. This affected 6 residents (Residents 13, 14, 20, 21, 129, and 136) of 9 sampled for infection control practices. The facility census was 30. Findings are: Review of the facility's policy for Hand Hygiene undated with copyright 2024 from the Compliance Store revealed that hand hygiene should be performed under the conditions listed in, but not limited to, the attached hand hygiene table. The policy further revealed that use of alcohol-based hand rub (ABHR) was preferred in most situations, but soap and water should be used if hands were visibly dirty, before eating, and after using the restroom. For hand hygiene using ABHR, staff should apply ABHR and rub hands together until they feel dry, which…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-22 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working 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 Licensure Reference Number 175 NAC 12.006.19(A)(i) Based on observation, interview, and record review the facility failed to ensure that the ventilation (the provision of fresh air to a room, building, etc.) systems were operational in 7 resident bathrooms (rooms 501, 502, 503, 507, 508, 509, and 510) of the occupied resident bathrooms. The facility census was 30. Findings are: An observation on 05/19/2025, 05/20/2025, 05/21/2025, and 05/22/2025 revealed foul odor in room [ROOM NUMBER]. An observation on 05/19/2025 between 9:36 AM-10:13 AM revealed bathroom vents were not operational in rooms 501, 502, 502, 507, 508, 509, and 510 when holding a tissue to the vent system. Record review of the undated facility Fresh Air Vents form revealed that the bathroom vents were checked on 300, 400, and 500 hallways and in good working order in March, April, and May 2025. No specific rooms were noted on the form. Record review of the facility Maintenance Checklist dated 09/4/2024, 11/19/2024, and 03/12/2025 showed that 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 interview and record review, the facility failed to ensure a notice of transfer was provided to 1 (Resident 27) of 1 sampled resident and the resident's representative in a language they could understand upon emergent transfer from the facility. The total facility census was 30. Findings are: A record review of the facility's Transfer and Discharge (including AMA (against medical advice) policy dated 01/2025 revealed the facility's transfer/discharge notice would be provided to the resident and resident's representative in a language and manner in which they could understand. The notice would include the specific reason and basis for transfer or discharge. The notice must be provided at least 30 days prior to a transfer or discharge of the resident except when an immediate transfer is required by the resident's urgent medical needs. In that case, the notice must be provided to the resident and the resident's representative as soon as practicable before the transfer or discharge. In an emergency transfer…

  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 · D2025-05-22 · 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(B)(iii) Based on observation, interview, and record review, the facility failed to ensure the Minimum Data Set (MDS)(a comprehensive assessment used to develop a resident's care plan) dated 05/06/2025 included 1 (Resident 6) of 1's documented behaviors. The total facility census was 30. Findings are: A record review of the Centers for Medicare and (&) Medicaid Services' Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, Version 1.18.11 dated October 2023, Section E: Behaviors revealed: The items in this section identify behavioral symptoms in the last seven days that may cause distress to the resident, or may be disruptive to facility residents, staff members or the care environment. E0200 Steps for Assessment included medical record review for the 7-day look back, interview staff, family and friends who had frequent contact with the resident and observe the resident in different situations for the 7-day lookback period. Coding…

  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 · D2025-05-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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(H)(vi)(3)(g) Based on observation, interview, and record review, the facility failed to ensure 2 (Residents 129 and 13) of 2 sampled residents had a valid non-invasive ventilator (a machine used to deliver positive pressure to the airway) provider order. The total facility census was 30. Findings are: A record review of the Sleep Foundation's article Do You Need a Prescription For a Continuous Positive Airway Pressure (CPAP)(a machine used to treat sleep apnea) Machine? dated 12/28/2022 revealed, the Food and Drug Administration classified a CPAP machine as a Class II medical device and requires a prescription. The prescription should indicate the type of unit and pressure setting. https://www.sleepfoundation.org/cpap/do-you-need-a-prescription-for-a-cpap-machine A record review of ResMed's Diagnosed with sleep apnea? Getting Started on Continuous Positive Airway Pressure dated 02/26/2020 revealed that before starting a CPAP the resident would receive a prescription…

  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 · D2025-05-22 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  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(H) Based on observation, interview, and record review, the facility failed to assess the resident's fistula (A port used for dialysis -a process of filtering the blood), and obtain vital signs following dialysis for 2 (Resident 7 and 9) of 2 sampled residents. The total facility census was 30. Findings are: A record review on 05/21/25 at 12:45 PM of the policy Hemodialysis with date implemented on 04/2022 and reviewed/revised on 01/2025 revealed: This facility will provide the necessary care and treatment, consistent with professional standards of practice, physician orders, the comprehensive person-centered care plan, and the residents' goals and preferences to meet the special medical, nursing, mental, and psychosocial needs of residents receiving hemodialysis. Purpose: The facility will ensure that each resident has ongoing assessment and oversight which included monitoring of the resident's condition during and after treatments received at a certified dialysis…

  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 · D2025-05-22 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 12-006.10 (D) Based on observation, record review and interviews, the facility failed to ensure they had a medication error rate of less than 5%. Observations of 36 medications administrations revealed 3 errors, for a medication error rate of 8.33%. This affected 2 residents (Resident 20 and Resident 13) of 5 residents sampled. The facility census was 30. Findings are: A. A record review of Resident 20's admission Record printed 05/21/2025 revealed the resident had been admitted to the facility on [DATE] and had diagnoses of a fractured pelvis, falls, pain, an irregular heartbeat, high blood pressure, and prostate cancer. A record review of Resident 20's admission Minimum Data Set (MDS-a comprehensive assessment of each resident's functional capabilities) dated 05/21/2025 revealed it was not completed, but Section C Cognitive Patterns was complete and showed a Brief Interview for Mental Status (BIMS- a test used to get a quick snapshot of a resident's cognitive function, scored…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-06-13 · tag F0726 — failed to have competent, trained nursing staff — widespread
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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 12-006.04(B)(ii) Based on record review and interviews, the facility failed to ensure 3 nurse aides (NA) and 1 medication aide (MA)(NA-C, NA-E, NA-F, MA-D) of 6 sampled have the competencies required to care for residents' needs. The facility census was 34. Findings are: Record review of 3 NA's personnel files revealed competencies were not compeleted this past year. The 3 NA's without competencies with their hire date are: -NA-C was hired on 11/18/2022, -NA-E was hired on 10/26/2018, -NA-F was hired on 04/26/2023, -MA-D was hired on 06/21/23. In an interview with the Administrator on 6/12/24 at 3:00 PM revealed that the facility does not have current policy or recent plan on when staff should complete their Relias education. In an interview with the Administrator on 6/13/24 at 7:15 AM revealed that MA-D and NA-C did not attend the Old [NAME] Rehabilitation fair that was held in December 2023. In an interview with the Administrative Assistant on 6/13/24 at 11:05 AM revealed…

  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 · F2024-06-13 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  175 NAC 12-006.04(H)(ii)(1) Based on record review and interview, the facility failed to ensure the Dietary Manager (DM) had the required credentials. This had the potential to affect 33 of 34 residents who ate food prepared in the kitchen. The facility census was 34. Findings are: During an initial tour of the kitchen on 06/10/2024 from 7:15 AM to 7:33 AM, the DM revealed that [gender] had not completed the requirements to be a Certified Dietary Manager (CDM), but were enrolled in the course. An interview on 06/11/2024 at 12:15 PM with the DM revealed the facility had a consulting dietitian who worked for the facility part-time. The DM revealed they had a ServSafe certification for Food Protection Manager. A review of the ServSafe Certification provided by the DM revealed an examination date of 07/11/2023 and an expiration date of 07/11/2028. Review of the ServSafe website revealed the ServSafe Manager certification course was 8-10 hours long. https://www.servsafe.com/Administrators/Online-Course-Best-Practices An interview on 06/13/2024 at 10:34 AM with the DM confirmed 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

“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

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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.

This home reported $157K paid to related parties (affiliated landlords or management companies) in its most recent 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