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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E8 | F30 |
| Minimal | A· | B· | 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.
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 | |
|---|---|---|---|---|---|---|
| Mar 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 7, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Apr 7, 2025 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Apr 15, 2024 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Apr 15, 2024 | Health | Health Standard | 5 | Immediate jeopardy | — | Open → |
| Apr 11, 2023 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Apr 11, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 15, 2024 | Civil money penalty (fine) | $41,980 | — | 285263|Fine|85947 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E8 | F30 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 4, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 8, 2026 | Complaint |
| Apr 7, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 26, 2025 | |
| Apr 7, 2025 |
“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 |
|---|---|---|---|---|---|
| Kauffman Investments LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Mrs Enterprises LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Ochsner Jjj LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Quality Care Solutions LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Douglas Anderson | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Lance Hermansen | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Duane Keller | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Stephen Krajicek | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Sam Moyer | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Cory Ohlson | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Gene Uden | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| James Vanderheiden | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kauffman Investments LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Mrs Enterprises LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Ochsner Jjj LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Quality Care Solutions LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Memorial Community Care 1423 Seventh Street, Aurora, NE 68818 CCN 28E191 | 0.7 km | 48 | Feb 2, 2026 | 18 | — | |
| Legacy Square 1621 Front Street, Henderson, NE 68371 CCN 28E173 | 20 km | 40 | Jan 15, 2026 | 181 IJ | $14k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285263 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285263 | 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
| K-0291 |
| Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected May 26, 2025 |
| Apr 7, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 26, 2025 |
| Apr 7, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 26, 2025 |
| Apr 7, 2025 | 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 May 26, 2025 |
| Apr 7, 2025 | 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 May 26, 2025 |
| Apr 7, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 26, 2025 |
| Apr 7, 2025 | 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 | D · Potential harm Isolated | Corrected May 26, 2025 |
| Apr 7, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 26, 2025 |
| Apr 7, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 26, 2025 |
| Apr 7, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 26, 2025 |
| Apr 7, 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 May 26, 2025 |
| Apr 7, 2025 | F-0801 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 26, 2025 |
| Apr 7, 2025 | 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 May 26, 2025 |
| Apr 7, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 26, 2025 |
| Apr 7, 2025 | 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 May 26, 2025 |
| Apr 7, 2025 | F-0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected May 26, 2025 | Complaint |
| Apr 7, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected May 26, 2025 |
| Apr 15, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected May 8, 2024 |
| Apr 15, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2024 |
| Apr 15, 2024 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 15, 2024 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2024 |
| Apr 15, 2024 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2024 |
| Apr 15, 2024 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 10, 2024 |
| Apr 15, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 10, 2024 |
| Apr 15, 2024 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 10, 2024 |
| Apr 15, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 10, 2024 |
| Apr 15, 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 May 10, 2024 |
| Apr 15, 2024 | 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 May 10, 2024 |
| Apr 15, 2024 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected May 8, 2024 |
| Apr 15, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 10, 2024 |
| Apr 15, 2024 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected May 8, 2024 |
| Apr 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected May 8, 2024 |
| Apr 11, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 4, 2023 |
| Apr 11, 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 | F · Potential harm Widespread | Corrected May 4, 2023 |
| Apr 11, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 4, 2023 |
| Apr 11, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 4, 2023 |
| Apr 11, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 4, 2023 |
| Apr 11, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 4, 2023 |
| Apr 11, 2023 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 4, 2023 |
| Apr 11, 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 May 4, 2023 |
| Apr 11, 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 May 4, 2023 |
| Apr 11, 2023 | 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 May 26, 2023 |
| Apr 11, 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 May 26, 2023 |
| Apr 11, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 26, 2023 |
| Apr 11, 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 May 26, 2023 |
| Apr 11, 2023 | F-0885 | Report COVID19 data to residents and families. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected May 26, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.16 (case-mix index 1.23).
| not provided |
| Jan 1, 2018 |
| Douglas Anderson | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Lance Hermansen | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Duane Keller | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Stephen Krajicek | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Sam Moyer | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Cory Ohlson | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Gene Uden | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| James Vanderheiden | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2018 |
| Heritage Bank | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2018 |
| Timothy Groshans | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| Kirk Penner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2018 |
| Hayley Groshans | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 1, 2018 |
| Heritage Bank | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jan 1, 2018 |