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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E1 | F18 |
| 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 | |
|---|---|---|---|---|---|---|
| Jun 24, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 18, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Dec 18, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Sep 12, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 12, 2024 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Sep 14, 2023 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Sep 14, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E1 | F18 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 24, 2026 | 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 Jul 16, 2026 | Complaint |
| Dec 18, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 29, 2026 | |
“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 |
|---|---|---|---|---|---|
| Sutton Community Home, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 27, 1998 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sutton Community Home, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 27, 1998 |
| Sutton Community Home, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 18, 2020 |
| Douglas Althouse | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 14, 2019 |
| Sophia Carlson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 12, 2024 |
| Keenan Friesen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Legacy Square 1621 Front Street, Henderson, NE 68371 CCN 28E173 | 19.1 km | 40 | Jan 15, 2026 | 181 IJ | $14k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285277 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285277 | 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-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 Jan 29, 2026 |
| Dec 18, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 29, 2026 |
| Dec 18, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 29, 2026 |
| Dec 18, 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 Jan 29, 2026 |
| Dec 18, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 29, 2026 |
| Dec 18, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jan 29, 2026 |
| Dec 18, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 29, 2026 |
| Dec 18, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jan 29, 2026 |
| Sep 12, 2024 | 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 Oct 3, 2024 |
| Sep 12, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 3, 2024 |
| Sep 12, 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 Sep 27, 2024 | Complaint |
| Sep 12, 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 Sep 27, 2024 |
| Sep 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Sep 14, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 27, 2023 |
| Sep 14, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 27, 2023 |
| Sep 14, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 27, 2023 |
| Sep 14, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 27, 2023 |
| Sep 14, 2023 | K-0754 | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 27, 2023 |
| Sep 14, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 27, 2023 |
| Sep 14, 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 Oct 27, 2023 |
| Sep 14, 2023 | 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 Oct 27, 2023 |
| Sep 14, 2023 | 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 Oct 27, 2023 |
| Sep 14, 2023 | 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 Oct 27, 2023 |
| Sep 14, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 27, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.45 (case-mix index 1.09).
| Sep 13, 2021 |
| Ashley Gemar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 15, 2024 |
| Carl Gobelman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 14, 2020 |
| Jennifer Griess | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 12, 2022 |
| Jan Mckenzie | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 13, 2023 |
| Ardean Nunnenkamp | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 13, 2023 |
| Amy Schelkopf | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 3, 2023 |
| Katie Vanderley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 13, 2021 |
| Martha Vinge-Sheridan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 10, 2018 |
| Donna Yost | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 9, 2024 |
| Douglas Althouse | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 14, 2019 |
| Sophia Carlson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 12, 2024 |
| Keenan Friesen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 13, 2021 |
| Ashley Gemar | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 15, 2024 |
| Carl Gobelman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 14, 2020 |
| Jennifer Griess | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 12, 2022 |
| Jan Mckenzie | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 13, 2023 |
| Ardean Nunnenkamp | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 13, 2023 |
| Amy Schelkopf | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 3, 2023 |
| Katie Vanderley | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 13, 2021 |
| Martha Vinge-Sheridan | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 10, 2018 |
| Donna Yost | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 9, 2024 |
| Sutton Community Home, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 27, 1998 |
| Douglas Althouse | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 14, 2019 |
| Sophia Carlson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 12, 2024 |
| Keenan Friesen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 13, 2021 |
| Ashley Gemar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2024 |
| Carl Gobelman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 14, 2020 |
| Jennifer Griess | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2022 |
| Jan Mckenzie | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 13, 2023 |
| Ardean Nunnenkamp | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 13, 2023 |
| Amy Schelkopf | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 3, 2023 |
| Katie Vanderley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 13, 2021 |
| Martha Vinge-Sheridan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 10, 2018 |
| Donna Yost | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 9, 2024 |