St. Joseph's Rehabilitation and Care Center — nursing home in Norfolk, NE

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 83 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: 60.3 CMS, MDS-derived
CMS Certification Number: 285160
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 1, 1995
Ownership type: For profit - Limited Liability company
Operator (legal business name): Ravenscroft Healthcare LLC
CMS chain: The Ensign Group 347 facilities
Phone: (402) 644-7375
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Aug 19, 2026

Citations

41

32 health · 9 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D20	E11	F9
Minimal	A·	B1	C·

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: 285160
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 83
First approved: Apr 1, 1995
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
Aug 19, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jul 14, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Apr 29, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Mar 3, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Mar 3, 2026	Health	Health Complaint, Health Standard	12	Potential harm	—	Open →
Dec 17, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Dec 17, 2024	Health	Health Standard	8	Potential harm	—	Open →
Nov 28, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Nov 28, 2023	Health	Health Complaint, Health Standard	9	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	D20	E11	F9
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 19, 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 Sep 11, 2026	Complaint
Jul 14, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Aug 3, 2026	Complaint
Apr 29, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 21, 2026	Complaint
Mar 3, 2026	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 31, 2026
Mar 3, 2026	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 31, 2026
Mar 3, 2026	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 31, 2026
Mar 3, 2026	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 31, 2026
Mar 3, 2026	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 31, 2026
Mar 3, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2026
Mar 3, 2026	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2026
Mar 3, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2026	Complaint
Mar 3, 2026	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 31, 2026
Mar 3, 2026	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Mar 31, 2026	Complaint
Mar 3, 2026	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 31, 2026	Complaint
Mar 3, 2026	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 Mar 31, 2026	Complaint
Mar 3, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 31, 2026	Complaint
Mar 3, 2026	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Mar 31, 2026	Complaint
Mar 3, 2026	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 31, 2026	Complaint
Mar 3, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Corrected Mar 31, 2026	Complaint
Dec 17, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2024
Dec 17, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 31, 2024
Dec 17, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 27, 2025
Dec 17, 2024	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 Jan 27, 2025
Dec 17, 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	E · Potential harm Pattern	Corrected Jan 27, 2025
Dec 17, 2024	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 27, 2025
Dec 17, 2024	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 Jan 27, 2025
Dec 17, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jan 27, 2025
Dec 17, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jan 27, 2025
Dec 17, 2024	F-0887	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jan 27, 2025
Nov 28, 2023	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 11, 2023
Nov 28, 2023	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 11, 2023
Nov 28, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 11, 2023
Nov 28, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 5, 2024	Complaint
Nov 28, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 5, 2024	Complaint
Nov 28, 2023	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 5, 2024
Nov 28, 2023	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 5, 2024
Nov 28, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 5, 2024
Nov 28, 2023	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 Jan 5, 2024
Nov 28, 2023	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 Jan 5, 2024
Nov 28, 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 Jan 5, 2024
Nov 28, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jan 5, 2024

“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 staffing3.99

State avg 4.12US avg 3.90

Registered nurse (RN)0.71

State avg 0.69US avg 0.69

Licensed practical nurse0.55

State avg 0.68US avg 0.86

Nurse aide2.73

State avg 2.75US avg 2.35

Weekend total nurse3.19

State avg 3.57US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.89 (case-mix index 1.43).

Staff turnover

Total nursing staff turnover57.4%

State avg 48.5%US avg 45.3%

Registered nurse turnover45.5%

State avg 43.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Mar 3, 2026
Cycle 1 health score: 96
Total weighted score: 90

Operating entity

Ravenscroft Healthcare LLC

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

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

11

Organizations

2

Individuals

9

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Gateway Healthcare LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jul 22, 2024
The Ensign Group Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jul 22, 2024

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
Gateway Healthcare LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jul 22, 2024
The Ensign Group Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jul 22, 2024
Soon Burnam	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 22, 2024
Tara Helenthal	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 22, 2024
David Jorgensen	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 22, 2024
Ami Sato	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 9, 2024
Blake Miller	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2024
Samuel Recob	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2024
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 22, 2024
Blake Miller	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 18, 2025
Samuel Recob	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2024

Same chain in Nebraska

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Falls City Nursing and Rehabilitation Center 1720 Burton Drive, Falls City, NE 68355 CCN 285055	63	May 7, 2026	271 harm	—
Beatrice Health and Rehabilitation 1800 Irving Street, Beatrice, NE 68310 CCN 285130	87	Jul 21, 2026	45	—
Wayne Countryview Care and Rehabilitation 811 East 14th Street, Wayne, NE 68787 CCN 285135	60	Jan 28, 2026	32	—
Colonial Manor of Randolph 811 South Main Street, Randolph, NE 68771 CCN 285183	45	Apr 14, 2026	30	—
Keystone Ridge Post Acute Nursing and Rehabilitati 7501 Keystone Drive, Omaha, NE 68134 CCN 285238	100	Apr 16, 2026	522 IJ	$70k
Omaha Nursing and Rehabilitation Center 4835 South 49th Street, Omaha, NE 68117 CCN 285240	70	Apr 1, 2026	591 IJ6 harm	$39k

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: 401 North 18th Street, Norfolk, NE 68701
ZIP: 68701
County: Madison County FIPS 31119
State: Nebraska
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Heritage of Bel Air 1203 North 13th Street, Norfolk, NE 68701 CCN 285089	1.1 km	112	Jul 31, 2025	171 harm	—
Stanton Health Center 301 17th Street, Stanton, NE 68779 CCN 285102	19.4 km	70	May 27, 2026	201 IJ1 harm	—
Accura Healthcare of Pierce 515 East Main Street, Pierce, NE 68767 CCN 285139	19.5 km	75	Apr 21, 2026	34	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	285160	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	285160	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 285160

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