Federal inspection record · CMS data as of October 1, 2026
Arbor Care Center-Valhaven, LLC
300 West Meigs Street, Valley, NE · (402) 359-2533
- Certified beds
- 66
- Residents per day
- 54
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1992
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Arbor Care Center-Valhaven, LLC carries 39 inspection points. That is fewer than 57% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- C
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Quality of Life and Care2E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Nursing and Physician Services2D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1F
- F
Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Inspection history
2025-08-12
9 health deficiencies · 10 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-07-23
6 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-07-25
2 health deficiencies · 11 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 22 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 69% of nursing staff and 77% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts better | 0.3 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts better | 94.1% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 2.9% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.4 pts better | 0.0% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts worse | 5.6% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4 pts better | 15.0% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.3 pts better | 15.4% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.9 pts worse | 21.7% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts better | 16.5% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.6% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts worse | 4.9% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts worse | 28.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 3.8% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse | 80.9% | 81.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Arbor Care Centers LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Klaasmeyer, Aaron | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Klaasmeyer, Aaron | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Klaasmeyer, Aaron | Adp Of The SNF · Individual | 0% | 3 facilities |
| Klaasmeyer, Jessica | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Klaasmeyer, Jessica | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Klaasmeyer, Jessica | Adp Of The SNF · Individual | 0% | 3 facilities |
| Klaasmeyer, Kenneth | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Klaasmeyer, Kenneth | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Klaasmeyer, Kenneth | Adp Of The SNF · Individual | 0% | 3 facilities |
| Klaasmeyer, Linda | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Klaasmeyer, Linda | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Klaasmeyer, Linda | Adp Of The SNF · Individual | 0% | 3 facilities |
| Mc Carville, Patrick | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mc Carville, Patrick | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mcwhorter, Everett | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Mcwhorter, Everett | Adp Of The SNF · Individual | 0% | 3 facilities |
| Muckey, Todd | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Muckey, Todd | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems7F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Meet requirements for the use and maintenance of medical gas equipment.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress2F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Meet other general requirements that are deficient.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
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Life Care Center of Elkhorn
Elkhorn, NE · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 40 min
- Fines
- $26,857
-
Brookestone Meadows Rehabilitation and Care Center
Elkhorn, NE · Vetter Senior Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 45 min
- Fines
- $0
-
The Lighthouse at Lakeside Village
Omaha, NE · Immanuel
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 23 min
- Fines
- $0