2 health deficiencies
Top issue: Infection Control (1 deficiency)
24 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Columbus, NE
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 24 fire-safety deficiencies in the latest cycle
2855 40th Avenue, Columbus, NE
(402) 564-8014
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
145
Certified beds
Average residents
83
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Emerald Healthcare
Operator or chain grouping
Approved since
1989-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 2 overall / 2 health / 2 staffing / 2 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
RN hours / resident day
0.30
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.76
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
2.80
Nurse aide staffing · state 2.76 · national 2.35
Total nurse hours
3.86
All reported nurse hours · state 4.17 · national 3.89
Licensed hours
1.06
RN + LPN hours · state 1.41 · national 1.54
Weekend hours
3.37
Weekend nurse staffing · state 3.61 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
4.00
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
74%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
11,096
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.04
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.76
Baseline 17.90% · Performance 20.62% · Measure score 1.76 · Achievement 1.76 · Improvement 0
Healthcare-associated infections
3.24
Baseline 5.67% · Performance 6.87% · Measure score 3.24 · Achievement 3.24 · Improvement 0
Total nurse turnover
0
Baseline 37.80% · Performance 68.00% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.21
Baseline 3.98 hours · Performance 3.71 hours · Measure score 2.21 · Achievement 2.21 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.71% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 130 · Observed rate 6.92% · Lower 95% interval 6.69% |
| Discharge to community | 44.97% |
50.57%
5.6 pts worse
|
No Different than the National Rate · Eligible stays 106 · Observed rate 41.51% · Lower 95% interval 36.77% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 85 · Denominator 85 |
| Falls with major injury | 1.18% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 85 |
| Discharge self-care score | 28.13% |
53.69%
25.6 pts worse
|
Numerator 18 · Denominator 64 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 32 · Denominator 64 |
| Pressure ulcers or injuries, new or worsened | 4.71% |
2.29%
2.4 pts worse
|
Numerator 4 · Denominator 85 · Adjusted rate 5.21% |
| Healthcare-associated infections requiring hospitalization | 6.87% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 80 · Observed rate 5% · Lower 95% interval 3.64% |
| Staff COVID-19 vaccination coverage | 6.62% |
8.2%
1.6 pts worse
|
Numerator 9 · Denominator 136 |
| Staff flu vaccination coverage | 25.93% |
42%
16.1 pts worse
|
Numerator 35 · Denominator 135 |
| Discharge function score | 56.25% |
56.45%
0.2 pts worse
|
Numerator 36 · Denominator 64 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 97.37% |
96.28%
1.1 pts better
|
Numerator 37 · Denominator 38 |
| Resident COVID-19 vaccinations up to date | 37.78% |
25.2%
12.6 pts better
|
Numerator 17 · Denominator 45 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.8
0.2 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.4 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.0
0.4 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.7 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.2% |
92.8%
8.6 pts worse
|
93.4%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.9% · Q2 84.1% · Q3 80.7% · Q4 85.7% · 4Q avg 84.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.9% |
96.1%
3.2 pts worse
|
95.5%
2.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
4.5%
About the same
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 1.6% · Q3 5.3% · Q4 6.3% · 4Q avg 4.5% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 7.6% |
5.3%
2.3 pts worse
|
5.4%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 8.9% · Q3 10.9% · Q4 7.1% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.1% |
19.5%
3.6 pts worse
|
19.6%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 20.4% · Q3 26.0% · Q4 22.4% · 4Q avg 23.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.3% |
21.6%
2.7 pts worse
|
16.7%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 23.1% · Q3 22.0% · Q4 26.5% · 4Q avg 24.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 2.4% |
0.3%
2.1 pts worse
|
0.1%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.2% · Q3 1.8% · Q4 1.6% · 4Q avg 2.4% |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.8% |
20.4%
8.6 pts better
|
16.3%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 16.2% · Q3 3.9% · Q4 12.3% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.3% |
19.9%
11.6 pts better
|
14.9%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 13.3% · Q3 6.5% · Q4 9.3% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
1.6%
About the same
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.3% |
2.9%
1.4 pts worse
|
1.7%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 8.6% · Q3 1.9% · Q4 1.6% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.3% |
26.6%
2.7 pts worse
|
19.8%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.1% · Q2 30.8% · Q3 28.8% · Q4 32.4% · 4Q avg 29.3% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
4.3%
1.9 pts worse
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.7% · Q3 4.9% · Q4 7.9% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.7% |
80.5%
14.8 pts worse
|
81.7%
16 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 68.7% · Q2 64.2% · Q3 68.8% · Q4 62.1% · 4Q avg 65.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.5% |
11.6%
7.9 pts worse
|
12.0%
7.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 19.4% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.8% |
2.4%
1.4 pts worse
|
1.6%
2.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.5% · Q3 6.5% · Q4 3.4% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.6% |
75.9%
1.7 pts better
|
79.7%
2.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.1% |
20.9%
2.8 pts better
|
23.9%
5.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 14.8% · Expected 19.5% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
24 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-10-03
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2025-12-09
Fire Safety
Install proper backup exit lighting.
Corrected 2025-10-03
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-12-09
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 2025-12-12
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-12-12
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-12-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-12
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-10-03
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-10-03
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-12-12
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-10-03
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-03
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-10-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-10-03
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-10-03
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-10-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-12
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-10-03
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-12-12
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-10-03
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-12-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-10-03
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-12-11
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-12-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-11
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-08-30
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-08-30
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-08-30
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-08-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-30
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 2024-08-30
Fire Safety
Construct fire resistant interior walls.
Corrected 2024-08-30
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-08-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-20
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-20
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 2023-09-20
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-20
Inspection history
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 2025-10-15
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-30
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 2024-08-30
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 2024-08-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-30
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-08-30
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-08-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-21
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-06-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-10
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-08
Penalties and ownership
Payment Denial · denial start 2025-11-21 · 21 days
21 day denial
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
Contracted Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Nearby options
Columbus, NE
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
David City, NE
1-star overall rating with 2-star inspections with $27,115 in total fines with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Genoa, NE
2-star overall rating with 3-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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