Fairmont, NE

Fairview Manor

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

255 F Street, Fairmont, NE

(402) 268-2271

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

36

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-02-01

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

0.67

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

1.02

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

2.78

Nurse aide staffing · state 2.76 · national 2.35

Total nurse hours

4.46

All reported nurse hours · state 4.17 · national 3.89

Licensed hours

1.69

RN + LPN hours · state 1.41 · national 1.54

Weekend hours

3.53

Weekend nurse staffing · state 3.61 · national 3.43

Weekend RN hours

0.56

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.70

CMS adjusted RN staffing hours

Adjusted total hours

4.64

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

19%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

173

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

Performance score

79.97

Composite VBP score used to determine payment impact.

Payment multiplier

1.0258

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

9.46

Baseline 19.56% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 0

Adjusted total nurse staffing

6.53

Baseline 4.49 hours · Performance 4.94 hours · Measure score 6.53 · Achievement 6.53 · Improvement 2.93

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.89%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 30 · Observed rate 3.33% · Lower 95% interval 6.15%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.64	1.02 0.4 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 21 · Denominator 21
Falls with major injury	4.76%	0.77% 4 pts worse	Numerator 1 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 21 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	5.69%	8.2% 2.5 pts worse	Numerator 7 · Denominator 123
Staff flu vaccination coverage	22.05%	42% 19.9 pts worse	Numerator 28 · Denominator 127
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · 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 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 12 · 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	1.4	2.0 0.6 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · 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	100.0%	96.1% 3.9 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.4%	4.5% 1.9 pts worse	3.3% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.9% · Q3 8.3% · Q4 6.1% · 4Q avg 6.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	10.2%	4.4% 5.8 pts worse	11.4% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.9% · Q3 18.2% · Q4 12.1% · 4Q avg 10.2%
Percentage of long-stay residents who lose too much weight	0.9%	5.3% 4.4 pts better	5.4% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.0%	19.5% 3.5 pts better	19.6% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 20.7% · Q3 12.0% · Q4 13.6% · 4Q avg 16.0%
Percentage of long-stay residents who received an antipsychotic medication	13.6%	21.6% 8 pts better	16.7% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 26.9% · 4Q avg 13.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	2.9%	0.3% 2.6 pts worse	0.1% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.9% · Q3 2.8% · Q4 3.0% · 4Q avg 2.9%
Percentage of long-stay residents whose ability to walk independently worsened	22.4%	20.4% 2 pts worse	16.3% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 22.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.8%	19.9% 4.1 pts better	14.9% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 11.5% · Q3 4.5% · Q4 30.0% · 4Q avg 15.8% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	7.1%	2.9% 4.2 pts worse	1.7% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 5.9% · Q3 8.3% · Q4 12.1% · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.9%	26.6% 1.7 pts better	19.8% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 16.9% · Q3 28.2% · Q4 30.8% · 4Q avg 24.9%
Percentage of long-stay residents with pressure ulcers	0.0%	4.3% 4.3 pts better	5.1% 5.1 pts better	Long 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 assessed and appropriately given the pneumococcal vaccine	94.9%	80.5% 14.4 pts better	81.7% 13.2 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 94.9%
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 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-03 · Fire 2024-10-03

3 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-11-30 · Fire 2023-11-30

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2022-08-25 · Fire 2022-08-25

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-03

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-11-17

F · Potential for more than minimal harm 2024-10-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-11-17

E · Potential for more than minimal harm 2024-10-03

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-11-17

E · Potential for more than minimal harm 2024-10-03

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 2024-11-17

F · Potential for more than minimal harm 2023-11-30

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-01-13

F · Potential for more than minimal harm 2023-11-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-01-13

F · Potential for more than minimal harm 2023-11-30

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-01-13

F · Potential for more than minimal harm 2022-08-25

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 2022-10-07

F · Potential for more than minimal harm 2022-08-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-07

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-10-03

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 2024-11-17

D · Potential for more than minimal harm 2024-10-03

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-17

D · Potential for more than minimal harm 2024-10-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-17

F · Potential for more than minimal harm 2022-08-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-07

E · Potential for more than minimal harm 2022-08-25

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-10-07

D · Potential for more than minimal harm 2022-08-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-10-07

D · Potential for more than minimal harm 2022-08-25

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-10-07

D · Potential for more than minimal harm 2022-08-25

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 2022-10-07

Penalties and ownership

What sits behind the stars

Ownership

City Of Fairmont Nebraska - Fairview Manor

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2009-10-28

Beckman, Alanna