Top 10 Worst Nursing Homes in Nebraska

Updated as of May 01, 2023

A list of the ten worst skilled nursing homes in Nebraska. Based on the Weighted Health Inspection Score developed by the Centers for Medicare and Medicaid Services.

Click here to see the best skilled nursing facilities in Nebraska.

Compare the Worst Nursing Homes in Nebraska

Every year, thousands of seniors, their families and friends have to make a decision involving a skilled nursing facility, either because someone is recupering after a hospital visit or for end-of-life care. This is usually an issue that arises suddenly, and the decision makers are not equipped with the right knowledge and information to make a good decision. Not knowing how to decide, they turn to others for recommendations. Word of mouth, along with geography, are constantly cited as the single most important factors in choosing a skilled nursing facility. This lack of understanding and lack of information can lead to significant problems because not all skilled nursing facilities are the same and the people that you trust to recommend a facility may not know enough about the facility and the alternatives to be a competent guide.

Providing the type of care that residents of skilled nursing facilities require is very difficult. The range of issues that are being treated is vast and the needs cover both people recuperating and recovering as well as those facing end-of-life issues. Residents require significant help with basic daily activities as well as supplemental needs like oxygen and 24/7 monitoring.

To help people who are facing this difficult situation, we have compiled a list of the both the best and the worst skilled nursing facilities in Nebraska. Additionally we have compiled the best and worst nursing homes by city for most cities in the United States. The lists are based on data compiled by The Centers for Medicare & Medicaid (“CMS”) and include information gathered from detailed annual inspections, monthly reporting, complaint histories, deficiency reports and much more.

The list below calls out the worst skilled nursing facilities in Nebraska. For the most part these facilities should be avoided. All of the facilities have issues with cleanliness and safety and a large number of the facilities have been flagged by CMS as locations where abuse has either occurred or is highly likely.

Avoiding these facilities may not always be an option either because of geographic, monetary, or occupancy constraints. However, being in a bad nursing home does not mean that the resident will not improve. If you have a loved one in one of these facilities, we encourage you to visit often and to ask that friends and other family visit too. It is well documented that positive outcomes for skilled nursing residents is highly correlated with the number and diversity of people visiting the resident. Being there, getting to know the staff, showing the staff that the resident has people that care about him or her is critical. There may not always be a better option, but your direct involvement can make a difference.

Nursing Home Rating
Emerald Nursing and Rehab Legacy Pointe
3110 SCOTT CIRCLE
OMAHA, NE 		415.50
Rating Not Available
Azria Health Montclair
2525 SOUTH 135TH AVENUE
OMAHA, NE 		367.83
Prestige Care Center of Nebraska City
1420 NORTH 10TH STREET
NEBRASKA CITY, NE 		251.00
Good Samaritan Society - St Luke's Village
2201 EAST 32ND STREET
KEARNEY, NE 		233.17
/
Good Samaritan Society - Hastings Village
926 EAST E STREET
HASTINGS, NE 		222.50
Monument Rehabilitation and Care Center
111 WEST 36TH STREET
SCOTTSBLUFF, NE 		216.33
Sunrise Country Manor
610 224TH STREET
MILFORD, NE 		202.00
Elms Health Care Center
410 BALL PARK ROAD
PONCA, NE 		201.83
/
Life Care Center of Elkhorn
20275 HOPPER STREET
ELKHORN, NE 		190.83
Arbor Care Centers-Ord, LLC
220 SOUTH 26TH STREET
ORD, NE 		183.50

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

How We Compile Nursing Home Ratings in Nebraska

Every month, we rank all of the skilled nursing facilities in Nebraska. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Nebraska is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Nebraska nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
  • Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Nebraska nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!

Skilled Nursing Home Abuse in Nebraska

Abuse is always going to be an issue with skilled nursing facilities. Skilled nursing facility residents need help with so many basic things and they are suffering, confused, and frustrated. If you are the friend or relative of a nursing home resident, we guarantee that you will be constantly fretting about whether your loved one is receiving proper and timely care. Abuse feels like a violation of your trust, but it happens. CMS actively monitors nursing homes not just for actual abuse but also for indicators that suggest that abuse might be occurring. Homes where abuse has either occurred or might be occurring are flagged. A very high percentage of the worst skilled nursing facilities in Nebraska have been flagged for abuse. We have marked these facilities both on the list of the worst skilled nursing facilities and on the detailed page for each of the facilities.

Skilled Nursing Homes in Nebraska Compared to Nationwide

We have compared Nebraska nursing homes to the nationwide average on several metrics. Nebraska performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies 7.40 Lower
Cycle 1 Total Number Of Fire Safety Deficiencies 6.80 Higher
Cycle 2 Total Number Of Health Deficiencies 6.20 Lower
Cycle 2 Total Number Of Fire Safety Deficiencies 4.60 Higher
Cycle 3 Total Number Of Health Deficiencies 8.60 Higher
Cycle 3 Total Number Of Fire Safety Deficiencies 6.20 Higher
Average Number Of Residents Per Day 51.90 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.52 Higher
Reported Lpn Staffing Hours Per Resident Per Day 0.68 Lower
Reported Rn Staffing Hours Per Resident Per Day 0.71 Higher
Reported Licensed Staffing Hours Per Resident Per Day 1.39 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 3.91 Higher
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 3.37 Higher
Registered Nurse Hours Per Resident Per Day On The Weekend 0.48 Higher
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.05 Lower
Total Nursing Staff Turnover 56.40 Higher
Registered Nurse Turnover 48.10 Lower
Number Of Administrators Who Have Left The Nursing Home 0.70 Lower
Case-mix Rn Staffing Hours Per Resident Per Day 0.33 Lower
Case-mix Total Nurse Staffing Hours Per Resident Per Day 3.01 Lower
Number Of Fines 2.10 Lower
Fine Amount In Dollars 20,251.00 Lower
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 14.72 Lower
Percentage Of Long Stay Residents Who Lose Too Much Weight 5.78 Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 48.48 Higher
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 2.36 Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection 3.82 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 4.04 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.20 Higher
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 4.70 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 91.26 Lower
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 18.69 Higher
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 78.18 Lower
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.89 Higher
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 15.90 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 19.63 Higher
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 6.31 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 95.77 Higher
Percentage Of Short Stay Residents Who Made Improvements In Function 79.29 Higher
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 72.49 Lower
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 20.16 Lower
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 10.81 Lower
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.58 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.03 Lower

FAQs About Nursing Homes in Nebraska

How Many Nursing Homes in Nebraska

There are 185 skilled nursing facilities registered with CMS in Nebraska with a total of 14,066 beds. Average occupancy was 67.95% in May 2023.

Nebraska has 40 homes that are rated as having one star on the CMS 5-Star Rating System. Approximately 25.53 percent of the total number of available skilled nursing beds in Nebraska are in one-star facilities. In Nebraska, occupancy is higher in skilled nursing facilities where the CMS 5-Star Raing is higher than one-star.

There are 3 skilled nursing facilities in Nebraska that are not rated.

How to Report a Nursing Homes in Nebraska

If you run into an issue at a Nebraska nursing home, there are a few steps you can take to make sure the issue is reported. First, speak with the immediate staff. If the problem is not solved, speak with a director or administrator, doctor, or any other employee of a high level.

As required by Medicare and Medicaid, reports and complaints must go through a grievance procedure. Per the Center for Medicare & Medicaid Services, a grievance is “an expression of dissatisfaction (other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested”. All grievances must be filed in writing or verbally within 60 days of the event prompting the grievance.

To report a Nebraska nursing home for quality of care, go through a grievance procedure through your Medicare or Medicaid plan. You can also go through the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO). These groups serve to help with complaints made regarding the quality of care by Medicare providers. You can also choose to go through both Medicare and a BFCC-QIO.

Worst Nursing Homes in the Largest Nebraska Cities

All of the following nursing homes have been given a Weighted Health Inspection Score by the Centers for Medicare and Medicaid Services. Every year, nursing homes in Nebraska go through an unannounced inspection performed by independent state examiners. These examiners look at factors such as cleanliness, hazards, and safety to perform the inspection. Points are given to nursing homes based on their deficiency in a certain category. Thus, a higher Weighted All Cycles Score means more problems and lower quality of care.

The list below ranks the homes with the highest (worst) weighted scores. The score is shown next to the facility name. The list also shows the two most recent deficiencies for each of the nursing homes.

Worst Nursing Homes in Omaha

  • Emerald Nursing and Rehab Legacy Pointe (415.5)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2022-12-19)
    • Meet other general requirements. (2022-12-19)
  • Azria Health Montclair (367.833)
    • Have stairways and smokeproof enclosures used as exits that meet safety requirements. (2023-05-12)
    • Implement emergency and standby power systems. (2023-05-12)
  • Emerald Nursing and Rehabilitation Mercy (178.167)
    • Use approved construction type or materials. (2023-04-11)
    • 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. (2023-03-31)
  • Omaha Nursing and Rehabilitation Center (149)
    • Provide and implement an infection prevention and control program. (2023-01-20)
    • Develop and implement policies and procedures for flu and pneumonia vaccinations. (2023-01-20)
  • Azria Health Midtown (130.667)
    • Ensure medication error rates are not 5 percent or greater. (2023-02-01)
    • Provide activities to meet all resident's needs. (2023-02-01)
  • Emerald Nursing and Rehab Omaha (110.667)
    • Install corridor and hallway doors that block smoke. (2022-09-23)
    • Implement emergency and standby power systems. (2022-09-23)
  • Life Care Center of Omaha (103.333)
    • Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (2023-03-15)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-03-15)
  • Douglas County Health Center (68.667)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2022-12-31)
    • Ensure that residents are free from significant medication errors. (2022-05-20)
  • Florence Home (58.667)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2022-05-31)
    • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2022-05-31)
  • St. Joseph Villa Nursing Center (55.333)
    • 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. (2022-07-07)
    • Assess the resident when there is a significant change in condition (2022-07-07)

Worst Nursing Homes in Lincoln

  • Emerald Nursing and Rehab Lancaster (132)
    • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2023-04-14)
    • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. (2023-04-14)
  • Lincoln Haven Nursing and Rehab Community (128.333)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-04-07)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-04-07)
  • Lincoln Meadows Care Center (119.333)
    • Prepare residents for a safe transfer or discharge from the nursing home. (2023-04-06)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-03-24)
  • Lincoln Village Healthcare (113.333)
    • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (2022-10-18)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2022-10-10)
  • Emerald Nursing and Rehab Brookside (111.333)
    • Ensure proper usage of power strips and extension cords. (2022-11-23)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2022-11-13)
  • Holmes Lake Rehabilitation and Care Center (108)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2022-12-31)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2022-12-31)
  • St Clara's Rehab and Senior Care (92.833)
    • Reasonably accommodate the needs and preferences of each resident. (2023-02-23)
    • Conduct testing and exercise requirements. (2023-01-04)
  • Tabitha Nursing Home (79.333)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-03-19)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-03-19)
  • Christian Nursing Home (69.333)
    • Have approved installation, maintenance and testing program for fire alarm systems. (2023-02-16)
    • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2023-02-16)
  • Old Cheney Rehabilitation (64)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-01-06)
    • Ensure each resident receives an accurate assessment. (2022-05-11)

Worst Nursing Homes in Bellevue

  • Mission Healthcare at Bellevue (94.667)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2021-10-30)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2021-10-15)
  • The Springs at Pacific Regent (86.667)
    • Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2023-01-11)
    • Establish policies and procedures for medical documentation. (2023-01-11)
  • The Cove of Cascadia (59.333)
    • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (2021-03-15)
    • Honor the resident's right to organize and participate in resident/family groups in the facility. (2021-03-15)
  • Hillcrest Health and Rehab (38)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2022-10-19)
    • Ensure each resident?s drug regimen must be free from unnecessary drugs. (2022-10-19)
  • Mill Valley Care Center (32.5)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2022-02-14)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2022-02-14)
  • Willows at Bellevue (25.333)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2023-03-03)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-03-03)
  • Bellevue Care Center (8)
    • Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2022-06-10)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2022-06-10)

Worst Nursing Homes in Grand Island

  • Good Samaritan Society - Grand Island Village (153.5)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-01-05)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2023-01-05)
  • Emerald Nursing and Rehab Lakeview (130)
    • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (2022-11-10)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2022-11-10)
  • Azria Health Broadwell (111.333)
    • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2022-04-21)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2022-04-21)
  • Chi Health St Francis (59.667)
    • Ensure that testing and maintenance of electrical equipment is performed. (2023-04-20)
    • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2023-04-20)
  • Tiffany Square (52)
    • Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (2022-08-26)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2022-08-26)
  • Elderwood at Grand Island (13.333)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-01-20)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2021-12-24)

Worst Nursing Homes in Kearney

  • Good Samaritan Society - St Luke's Village (233.167)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-01-20)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2023-01-20)
  • Good Samaritan Society - St Johns (81.333)
    • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2022-12-31)
    • Implement emergency and standby power systems. (2022-12-31)
  • Brookestone Gardens (45.333)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2022-10-20)
    • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2022-10-20)
  • Mother Hull Home (34)
    • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2023-02-28)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-02-28)
  • Mt Carmel Home- Keens Memorial (20.667)
    • Have corridors or aisles that are unobstructed and are at least 8 feet in width. (2022-11-16)
    • Implement emergency and standby power systems. (2022-11-16)

Worst Skilled Nursing Homes in Other States

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