Tiffany Square — nursing home in Grand Island, NE

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 103 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 90.6 CMS, MDS-derived
CMS Certification Number: 285087
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 20, 1989
Ownership type: Non profit - Other
Operator (legal business name): Vsl Grand Island LLC
CMS chain: Vetter Senior Living 22 facilities
Phone: (308) 384-2333
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Mar 4, 2026

Citations

29

18 health · 11 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E9	F8
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 285087
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 103
First approved: Mar 20, 1989
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Nebraska.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 4, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Dec 4, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Dec 4, 2025	Health	Health Standard	3	Potential harm	—	Open →
Jan 13, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Oct 16, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Oct 16, 2024	Health	Health Standard	6	Potential harm	—	Open →
Feb 14, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Oct 5, 2023	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Oct 5, 2023	Health	Health Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E9	F8
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 4, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 13, 2026	Complaint
Dec 4, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 31, 2025
Dec 4, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 31, 2025
Dec 4, 2025	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 31, 2025
Dec 4, 2025	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 31, 2025
Dec 4, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Dec 31, 2025
Jan 13, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 17, 2025	Complaint
Jan 13, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 17, 2025	Complaint
Oct 16, 2024	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Nov 20, 2024
Oct 16, 2024	K-0754	Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 20, 2024
Oct 16, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 20, 2024
Oct 16, 2024	F-0661	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 20, 2024
Oct 16, 2024	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Nov 20, 2024
Oct 16, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 20, 2024
Oct 16, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 20, 2024
Oct 16, 2024	F-0803	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Nov 20, 2024
Oct 16, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Nov 20, 2024
Feb 14, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 20, 2024	Complaint
Oct 5, 2023	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Nov 17, 2023
Oct 5, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 17, 2023
Oct 5, 2023	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 17, 2023
Oct 5, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 17, 2023
Oct 5, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 17, 2023
Oct 5, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 17, 2023
Oct 5, 2023	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 17, 2023
Oct 5, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Nov 17, 2023
Oct 5, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 17, 2023
Oct 5, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	C · Minimal Widespread	Corrected Nov 17, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.9

Health inspectionsstate 2.8

Staffingstate 3.3

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.45

State avg 4.12US avg 3.90

Registered nurse (RN)0.41

State avg 0.69US avg 0.69

Licensed practical nurse0.67

State avg 0.68US avg 0.86

Nurse aide3.37

State avg 2.75US avg 2.35

Weekend total nurse3.64

State avg 3.57US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.06 (case-mix index 1.53).

Staff turnover

Total nursing staff turnover32.4%

State avg 48.5%US avg 45.3%

Registered nurse turnover33.3%

State avg 43.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 4, 2025
Cycle 1 health score: 24
Total weighted score: 30

Operating entity

Vsl Grand Island LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Vetter Senior Living

22 facilities in 2 states. CMS chain ID 547.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4.1

Ownership disclosures

Disclosures

19

Organizations

2

Individuals

16

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Vetter Senior Living	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 23, 2016

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Vetter Senior Living	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 23, 2016
Vetter Senior Living	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 23, 2016
Vsl Vetter Health Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2017
Richard Fruehling	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2017
Stephanie Olson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 22, 2021
Brian Stuhr	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2017
Glenn Vanekeren	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2017
Eldora Vetter	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2017
Jack Vetter	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2017
Brian Stuhr	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 15, 2017
Glenn Vanekeren	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 15, 2017
Eldora Vetter	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 15, 2017
Jack Vetter	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 15, 2017
Richard Fruehling	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Jul 1, 2017
Stephanie Olson	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Sep 22, 2021
Brian Stuhr	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Jul 1, 2017
Glenn Vanekeren	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Jul 1, 2017
Eldora Vetter	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Jul 1, 2017
Jack Vetter	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Jul 1, 2017

Same chain in Nebraska

All 21 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Sumner Place 1750 South 20th Street, Lincoln, NE 68502 CCN 285002	104	Aug 18, 2026	33	—
Highland Park Care Center 1633 Sweetwater, Alliance, NE 69301 CCN 285063	60	Aug 19, 2026	154 open	—
Heritage Estates 2325 Lodge Drive, Gering, NE 69341 CCN 285071	102	Aug 4, 2026	171 harm	$14k
Brookestone of David City 260 South 10th Street, David City, NE 68632 CCN 285074	86	Jun 3, 2026	18	—
Linden Court 4000 West Philip Avenue, North Platte, NE 69101 CCN 285083	135	Apr 16, 2026	271 IJ	$14k
Heritage of Bel Air 1203 North 13th Street, Norfolk, NE 68701 CCN 285089	112	Jul 31, 2025	171 harm	—
Cloverlodge Care Center 301 North 13th Street, St Edward, NE 68660 CCN 285201	47	Jul 16, 2026	23	—
Southlake Village Rehabilitation & Care Center 9401 Andermatt Drive, Lincoln, NE 68526 CCN 285219	126	Nov 25, 2025	23	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 3119 West Faidley Avenue, Grand Island, NE 68803
ZIP: 68803
County: Hall County FIPS 31079
State: Nebraska
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Good Samaritan Society - Grand Island Village 4061 & 4055 Timberline Street & 2912 Good Samarita, Grand Island, NE 68803 CCN 285285	0.3 km	67	Jun 1, 2026	431 harm	$10k
Chi Health St. Francis 2116 West Faidley Avenue, Grand Island, NE 68803 CCN 285081	1 km	36	Mar 20, 2025	13	—
Adept Nursing & Rehab of Grand Island 800 Stoeger Drive, Grand Island, NE 68803 CCN 285221SFF Candidate	1 km	76	Aug 27, 2026	691 IJ25 open	$17k
Eventide Prairie Commons Care Center 3490 Ewoldt Street, Grand Island, NE 68803 CCN 285307	4.2 km	36	Jun 3, 2026	231 IJ1 harm	$25k
Emerald Nursing & Rehab Lakeview 1405 West Hwy 34, Grand Island, NE 68801 CCN 285106	4.6 km	95	Jan 29, 2026	431 IJ	$13k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	285087	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	285087	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 285087

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction