Beatrice, NE

Beatrice Health and Rehabilitaion

3-star overall rating with 3-star inspections with 3 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

1800 Irving Street, Beatrice, NE

(402) 223-2311

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

87

Certified beds

Average residents

58

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1993-04-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

2.21

Nurse aide staffing · state 2.76 · national 2.35

Total nurse hours

3.52

All reported nurse hours · state 4.17 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.41 · national 1.54

Weekend hours

3.04

Weekend nurse staffing · state 3.61 · national 3.43

Weekend RN hours

0.42

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

3.09

CMS adjusted total nurse staffing hours

Case-mix index

1.56

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,296

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

27.22

Composite VBP score used to determine payment impact.

Payment multiplier

0.9845

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.06

Baseline 18.87% · Performance 20.48% · Measure score 2.06 · Achievement 2.06 · Improvement 0

Healthcare-associated infections

1.54

Baseline 6.73% · Performance 7.37% · Measure score 1.54 · Achievement 1.54 · Improvement 0

Total nurse turnover

6.57

Baseline 46.55% · Performance 36.84% · Measure score 6.57 · Achievement 6.57 · Improvement 3.97

Adjusted total nurse staffing

0.72

Baseline 3.86 hours · Performance 3.28 hours · Measure score 0.72 · Achievement 0.72 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 8.95%
10.72%
1.8 pts better
No Different than the National Rate · Eligible stays 82 · Observed rate 3.66% · Lower 95% interval 4.87%
Discharge to community 50.76%
50.57%
0.2 pts better
No Different than the National Rate · Eligible stays 76 · Observed rate 48.68% · Lower 95% interval 41.72%
Medicare spending per beneficiary 1.28
1.02
0.3 pts worse
Drug regimen review with follow-up 88.57%
95.27%
6.7 pts worse
Numerator 31 · Denominator 35
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 35
Discharge self-care score 57.14%
53.69%
3.5 pts better
Numerator 16 · Denominator 28
Discharge mobility score 35.71%
50.94%
15.2 pts worse
Numerator 10 · Denominator 28
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 35 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 7.37%
7.12%
0.2 pts worse
No Different than the National Rate · Eligible stays 52 · Observed rate 7.69% · Lower 95% interval 3.64%
Staff COVID-19 vaccination coverage 8.06%
8.2%
0.1 pts worse
Numerator 10 · Denominator 124
Staff flu vaccination coverage 42.04%
42%
About the same
Numerator 66 · Denominator 157
Discharge function score 64.29%
56.45%
7.8 pts better
Numerator 18 · Denominator 28
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 25 · Denominator 25
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
1.8
0.2 pts better
1.9
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.2 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.3
2.0
0.3 pts worse
1.8
0.5 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
92.8%
7.2 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.0%
96.1%
1.9 pts better
95.5%
2.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.5%
4.5%
4 pts better
3.3%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 23.7%
4.4%
19.3 pts worse
11.4%
12.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.5% · Q2 19.1% · Q3 24.5% · Q4 20.0% · 4Q avg 23.7%
Percentage of long-stay residents who lose too much weight 6.9%
5.3%
1.6 pts worse
5.4%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.7% · Q3 11.6% · Q4 6.7% · 4Q avg 6.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.7%
19.5%
2.2 pts worse
19.6%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 14.3% · Q3 18.2% · Q4 28.3% · 4Q avg 21.7%
Percentage of long-stay residents who received an antipsychotic medication 12.7%
21.6%
8.9 pts better
16.7%
4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 12.9% · Q3 15.2% · Q4 10.8% · 4Q avg 12.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.3%
0.3 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 15.0%
20.4%
5.4 pts better
16.3%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q3 4.6% · Q4 11.9% · 4Q avg 15.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 13.9%
19.9%
6 pts better
14.9%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 15.8% · Q3 5.0% · Q4 14.0% · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
1.6%
1 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.4% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.2%
2.9%
0.7 pts better
1.7%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.2% · Q3 0.0% · Q4 4.1% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.9%
26.6%
2.7 pts better
19.8%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 24.4% · Q3 20.2% · Q4 28.8% · 4Q avg 23.9%
Percentage of long-stay residents with pressure ulcers 1.6%
4.3%
2.7 pts better
5.1%
3.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 4.2% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
80.5%
19 pts better
81.7%
17.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of short-stay residents who had an outpatient emergency department visit 13.9%
11.6%
2.3 pts worse
12.0%
1.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 13.3% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.4%
2.4 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.2%
75.9%
14.3 pts better
79.7%
10.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.6%
20.9%
1.7 pts worse
23.9%
1.3 pts better
Short Stay · 20240701-20250630 · Adjusted 22.6% · Observed 20.0% · Expected 21.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-09 · Fire 2025-04-09

3 health deficiencies

Top issue: Infection Control (1 deficiency)

15 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 2 Health 2024-04-23 · Fire 2024-04-23

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

13 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (6 deficiencies)

Cycle 3 Health 2023-05-03 · Fire 2023-05-03

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

17 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-09

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-05-06

F · Potential for more than minimal harm 2025-04-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-06

F · Potential for more than minimal harm 2025-04-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-21

F · Potential for more than minimal harm 2025-04-09

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-05-21

F · Potential for more than minimal harm 2025-04-09

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-05-06

F · Potential for more than minimal harm 2025-04-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-05-21

E · Potential for more than minimal harm 2025-04-09

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-05-06

E · Potential for more than minimal harm 2025-04-09

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2025-05-06

E · Potential for more than minimal harm 2025-04-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-05-21

E · Potential for more than minimal harm 2025-04-09

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2025-05-21

E · Potential for more than minimal harm 2025-04-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-21

E · Potential for more than minimal harm 2025-04-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-06

E · Potential for more than minimal harm 2025-04-09

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-05-06

E · Potential for more than minimal harm 2025-04-09

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-05-06

E · Potential for more than minimal harm 2025-04-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-06

F · Potential for more than minimal harm 2024-04-23

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-04-23

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-04-23

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-04-23

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-04-23

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-04-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-04-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-04-23

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-04-23

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-04-23

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-23

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-23

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-06-07

F · Potential for more than minimal harm 2023-05-03

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-03

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-03

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-03

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-05-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-03

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-03

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-03

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-03

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-03

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-06-16

E · Potential for more than minimal harm 2023-05-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-16

E · Potential for more than minimal harm 2023-05-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-06-16

E · Potential for more than minimal harm 2023-05-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-16

E · Potential for more than minimal harm 2023-05-03

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2023-06-16

E · Potential for more than minimal harm 2023-05-03

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-06-16

D · Potential for more than minimal harm 2023-05-03

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2023-06-16

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-06

D · Potential for more than minimal harm 2025-04-09

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-05-06

D · Potential for more than minimal harm 2025-04-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-06

E · Potential for more than minimal harm 2024-04-23

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-23

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-23

F923 · Environmental Deficiencies

Health

Have enough outside ventilation via a window or mechanical ventilation, or both.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-23

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-23

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-07

D · Potential for more than minimal harm 2023-06-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-05-03

F801 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2023-05-25

F · Potential for more than minimal harm 2023-05-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-05-03

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-05-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-05-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-25

Penalties and ownership

What sits behind the stars

Ownership

Gateway Healthcare LLC

5% Or Greater Direct Ownership Interest · Organization

100% 24 facilities 2011-07-18
The Ensign Group Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 209 facilities 2011-07-18
Burnam, Soon

Corporate Officer · Individual

0% 323 facilities 2011-07-18
Dayton, Elizabeth

Operational/Managerial Control · Individual

0% 2 facilities 2019-05-31
Helenthal, Tara

Corporate Officer · Individual

0% 7 facilities 2021-08-01
Jorgensen, David

Corporate Director · Individual

0% 41 facilities 2024-01-01
Keetch, Chad

Corporate Officer · Individual

0% 176 facilities 2011-03-01
Morris, Spencer

Operational/Managerial Control · Individual

0% 3 facilities 2016-01-22
Sato, Ami

Corporate Officer · Individual

0% 101 facilities 2024-09-09

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#3

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3-star overall rating with 3-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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