Federal inspection record · CMS data as of October 1, 2026
Elwood Care Center
607 Smith Avenue, Elwood, NE · (308) 785-3302
- CMS high-performer trophy
- Certified beds
- 43
- Residents per day
- 32
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1997
1
How this home got 5 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
★★★★★+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.
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Quality measures
★★★★★no change (already 5)
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Elwood Care Center carries 18 inspection points. That is fewer than 80% 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
8 health citations on record since 2024. 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 Planning3E
- E
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control2F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
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
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Rights1D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Inspection history
2026-05-06
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-02-11
0 health deficiencies · 2 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-03-12
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 1 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
4 h 1 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 20% 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 days0.5 pts better | 1.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.8 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 100.0% | 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 injury0.2 pts better | 4.3% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.8 pts worse | 6.2% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts better | 2.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.8 pts better | 13.2% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.8 pts worse | 22.5% | 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 worsened3.3 pts better | 13.5% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts worse | 22.1% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 1.0% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.7 pts better | 0.0% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence22.5 pts better | 2.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 2.4% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.7 pts better | 100.0% | 81.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
·
Who owns and runs it
14 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 |
|---|---|---|---|
| The Village Of Elwood, Nebraska | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Holl, Kent | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Koenig, Betty | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Martin, Thomas | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Martin, Thomas | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Nelson, Mary | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Rath, Steven | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Reiners, Kate | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Reiners, Kate | Adp Of The SNF · Individual | 0% | 1 facilities |
| Scoville, Kim | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Smith, Shane | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Smith, Shane | Adp Of The SNF · Individual | 0% | 6 facilities |
| The Village Of Elwood, Nebraska | Operational/Managerial Control · Organization | 0% | 1 facilities |
| The Village Of Elwood, Nebraska | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- D
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure proper usage of power strips and extension cords.
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Other homes nearby
-
Bertrand Nursing Home
Bertrand, NE · Rural Health Development
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 9 min
- Fines
- $0
-
Emerald Nursing & Rehab Cozad
Cozad, NE · Emerald Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0
-
Christian Homes Health Care Center
Holdrege, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 45 min
- Fines
- $0