Bertrand, NE

Bertrand Nursing Home

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

100 Minor Avenue, Bertrand, NE

(308) 472-3341

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

26

Certified beds

Average residents

19

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2005-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

1.10

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

0.53

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

2.07

Nurse aide staffing · state 2.76 · national 2.35

Total nurse hours

3.70

All reported nurse hours · state 4.17 · national 3.89

Licensed hours

1.63

RN + LPN hours · state 1.41 · national 1.54

Weekend hours

3.47

Weekend nurse staffing · state 3.61 · national 3.43

Weekend RN hours

0.92

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.23

CMS adjusted RN staffing hours

Adjusted total hours

4.13

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

65%

Annual nurse turnover · state 49% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 11 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	4.35%	8.2% 3.8 pts worse	Numerator 1 · Denominator 23
Staff flu vaccination coverage	35%	42% 7 pts worse	Numerator 7 · Denominator 20
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	4.5% 1.3 pts better	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.4% 4.4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	0.0%	5.3% 5.3 pts better	5.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.9%	19.5% 11.6 pts better	19.6% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.9%
Percentage of long-stay residents who received an antipsychotic medication	10.2%	21.6% 11.4 pts better	16.7% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 10.2% · 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 · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	19.6%	19.9% 0.3 pts better	14.9% 4.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 19.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.6% 1.6 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.2%	2.9% 0.3 pts worse	1.7% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.4%	26.6% 6.2 pts better	19.8% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 20.4%
Percentage of long-stay residents with pressure ulcers	5.5%	4.3% 1.2 pts worse	5.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	87.0%	80.5% 6.5 pts better	81.7% 5.3 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 87.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-01 · Fire 2025-05-01

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-04-11 · Fire 2024-04-11

1 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-04-20 · Fire 2023-04-20

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-01

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-05-30

F · Potential for more than minimal harm 2025-05-01

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 2025-05-30

F · Potential for more than minimal harm 2025-05-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-30

F · Potential for more than minimal harm 2025-05-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-05-30

F · Potential for more than minimal harm 2024-04-11

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-05-08

F · Potential for more than minimal harm 2024-04-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-05-08

E · Potential for more than minimal harm 2024-04-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-08

F · Potential for more than minimal harm 2023-04-20

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-04-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-04-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-04-20

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-05-31

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-01

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 2025-05-30

F · Potential for more than minimal harm 2024-04-11

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-04-30

F · Potential for more than minimal harm 2023-04-20

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 2023-05-12

Penalties and ownership

What sits behind the stars

Ownership

Village Of Bertrand

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1990-01-01

Evans, Lucas