Federal inspection record · CMS data as of October 1, 2026
Arbor Care Centers-Countryside LLC
703 North Main Street, Madison, NE · (402) 454-3373
- Certified beds
- 70
- Residents per day
- 32
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1997
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Arbor Care Centers-Countryside LLC carries 71 inspection points. That is fewer than 29% 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
29 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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Resident Rights6E
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care6E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control5E
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
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.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- C
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Pharmacy Service3E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nursing and Physician Services2E
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- C
Post nurse staffing information every day.
Resident Assessment and Care Planning1D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Administration1E
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspection history
2025-12-18
13 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-12-05
8 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-11-14
8 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5
Fines and payment denials
$17,388 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-24 | Fine | $8,278 |
| 2026-03-24 | Fine | $9,110 |
6
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 days0.6 pts better | 1.1 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 1.0 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.7 pts worse | 83.3% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts worse | 94.4% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 3.2% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts better | 0.9% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.2 pts better | 0.9% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.4 pts better | 15.6% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.6 pts better | 14.1% | 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 worsened0.2 pts better | 16.6% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.1 pts better | 13.9% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 1.6% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 1.6% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.5 pts worse | 31.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 4.1% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine42.4 pts worse | 38.9% | 81.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.8% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.3 pts worse | 51.6% | 73.9% | 80.1% |
·
Who owns and runs it
16 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 | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Arbor Care Centers LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Klaasmeyer, Aaron | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Klaasmeyer, Aaron | Adp Of The SNF · 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 | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Klaasmeyer, Kenneth | Adp Of The SNF · Individual | 0% | 3 facilities |
| Klaasmeyer, Linda | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Klaasmeyer, Linda | Adp Of The SNF · Individual | 0% | 3 facilities |
| Mcneill, Trishtian | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Mcneill, Trishtian | Adp Of The SNF · Individual | 0% | 2 facilities |
| Mcwhorter, Everett | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Mcwhorter, Everett | Adp Of The SNF · Individual | 0% | 3 facilities |
| Spanel, Alan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Spanel, Alan | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5F
- F
Meet requirements for the use and maintenance of medical gas equipment.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have power receptacles that are properly grounded.
Smoke4F
- F
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness3F
- F
Establish policies and procedures including evacuation.
- F
Provide family notifications of emergency plan.
- F
Conduct testing and exercise requirements.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of highly flammable decorations.
Egress2D
- D
Have properly located and lighted "Exit" signs.
- D
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.
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Other homes nearby
-
Community Pride Care Center
Battle Creek, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 17 min
- Fines
- $0
-
Stanton Health Center
Stanton, NE
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 53 min
- Fines
- $0
-
St. Joseph's Rehabilitation and Care Center
Norfolk, NE · The Ensign Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 59 min
- Fines
- $0