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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E3 | 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 31, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 31, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Nov 13, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Nov 13, 2024 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Apr 1, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 2, 2023 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Nov 2, 2023 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E3 | F8 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 31, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 23, 2026 | |
| Dec 31, 2025 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 21, 2026 | |
| Dec 31, 2025 | K-0923 |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| City of Battle Creek | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 1989 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| City of Battle Creek | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 1989 |
| Tammi Barry | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2022 |
| John Bomar | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Layne Bussey | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 11, 2023 |
| Michael Fleer | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2017 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Arbor Care Centers-Countryside LLC 703 North Main Street, Madison, NE 68748 CCN 285207 | 21 km | 70 | Jun 15, 2026 | 451 harm | $17k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285208 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285208 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jan 21, 2026 |
| Dec 31, 2025 | K-0925 | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 21, 2026 |
| Dec 31, 2025 | 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 Jan 23, 2026 |
| Dec 31, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 23, 2026 |
| Dec 31, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 21, 2026 |
| Nov 13, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 26, 2024 |
| Nov 13, 2024 | K-0922 | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 26, 2024 |
| Nov 13, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 27, 2024 |
| Apr 1, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 6, 2024 | Complaint |
| Apr 1, 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 May 6, 2024 | Complaint |
| Nov 2, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 13, 2023 |
| Nov 2, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 13, 2023 |
| Nov 2, 2023 | K-0222 | 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2023 |
| Nov 2, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Nov 2, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Nov 2, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2023 |
| Nov 2, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2023 |
| Nov 2, 2023 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 13, 2023 | Complaint |
| Nov 2, 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 Dec 13, 2023 |
| Nov 2, 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 | E · Potential harm Pattern | Corrected Dec 13, 2023 |
| Nov 2, 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 | C · Minimal Widespread | Corrected Dec 5, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.02 (case-mix index 1.14).
| Barb Hrabanek | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 11, 2023 |
| John Hrbanek | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2021 |
| Eric Kraft | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2017 |
| Shelley Mcintosh | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 10, 2024 |
| Heath Mettler | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2022 |
| Allan Murphy | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 14, 2023 |
| Brent Nygren | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Kelsey Schnoor | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 11, 2023 |
| City of Battle Creek | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 1989 |
| Tanya Bode | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 11, 2024 |
| Bryon Hirschman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2010 |
| Shelley Mcintosh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 10, 2024 |
| City of Battle Creek | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 1989 |
| Tammi Barry | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Tanya Bode | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 11, 2024 |
| John Bomar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Layne Bussey | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 11, 2023 |
| Michael Fleer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2017 |
| Bryon Hirschman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2010 |
| Barb Hrabanek | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 11, 2023 |
| John Hrbanek | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2021 |
| Eric Kraft | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2017 |
| Shelley Mcintosh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 10, 2024 |
| Heath Mettler | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Allan Murphy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 14, 2023 |
| Brent Nygren | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Kelsey Schnoor | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 11, 2023 |