Genoa, NE

Genoa Community Hospital/LTC

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

606 Ewing Avenue, Genoa, NE

(402) 993-2283

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

43

Certified beds

Average residents

39

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1989-01-24

CMS approved date

Coverage

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

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.62

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

0.32

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

2.48

Nurse aide staffing · state 2.76 · national 2.35

Total nurse hours

3.42

All reported nurse hours · state 4.17 · national 3.89

Licensed hours

0.94

RN + LPN hours · state 1.41 · national 1.54

Weekend hours

3.03

Weekend nurse staffing · state 3.61 · national 3.43

Weekend RN hours

0.31

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

0.70

CMS adjusted RN staffing hours

Adjusted total hours

3.85

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

26%

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 Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary	Not Available	1.02	This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	1.8 0.3 pts worse	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.4 · Expected 1.2 · 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	90.5%	92.8% 2.3 pts worse	93.4% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 76.5% · Q2 94.7% · Q3 94.9% · Q4 94.4% · 4Q avg 90.5%
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	5.4%	4.5% 0.9 pts worse	3.3% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 2.6% · Q3 5.1% · Q4 5.6% · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.3%	4.4% 2.1 pts better	11.4% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 2.3%
Percentage of long-stay residents who lose too much weight	4.4%	5.3% 0.9 pts better	5.4% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 7.7% · Q3 0.0% · Q4 0.0% · 4Q avg 4.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.4%	19.5% 4.1 pts better	19.6% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 15.4% · Q3 18.2% · Q4 10.0% · 4Q avg 15.4%
Percentage of long-stay residents who received an antipsychotic medication	54.2%	21.6% 32.6 pts worse	16.7% 37.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 54.2% · 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 · 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	40.9%	20.4% 20.5 pts worse	16.3% 24.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 63.7% · Q3 25.7% · 4Q avg 40.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	40.0%	19.9% 20.1 pts worse	14.9% 25.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 60.0% · Q3 27.3% · Q4 35.0% · 4Q avg 40.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.3%	1.6% 0.3 pts better	1.0% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 2.7% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.1%	2.9% 1.2 pts worse	1.7% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 5.3% · Q3 5.1% · Q4 0.0% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	34.6%	26.6% 8 pts worse	19.8% 14.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.5% · Q2 40.8% · Q3 29.4% · Q4 29.7% · 4Q avg 34.6%
Percentage of long-stay residents with pressure ulcers	3.0%	4.3% 1.3 pts better	5.1% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 4.5% · Q3 1.8% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	77.1%	80.5% 3.4 pts worse	81.7% 4.6 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 77.1%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-28 · Fire 2025-05-28

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Cycle 2 Health 2024-05-14 · Fire 2024-05-14

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2023-04-12 · Fire 2023-04-12

1 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

5 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-05-28

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-05-28

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-05-28

K524 · Services Deficiencies

Fire Safety

Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.

Corrected 2025-06-19

F · Potential for more than minimal harm 2024-05-14

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-06-26

F · Potential for more than minimal harm 2024-05-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-26

F · Potential for more than minimal harm 2024-05-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-06-26

F · Potential for more than minimal harm 2024-05-14

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-06-26

F · Potential for more than minimal harm 2024-05-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-06-26

E · Potential for more than minimal harm 2024-05-14

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 2024-06-26

E · Potential for more than minimal harm 2024-05-14

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-26

F · Potential for more than minimal harm 2023-04-12

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-04-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-04-12

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-04-12

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 2023-05-31

D · Potential for more than minimal harm 2023-04-12

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-05-31

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-15

D · Potential for more than minimal harm 2025-05-28

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-07-15

D · Potential for more than minimal harm 2025-05-28

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 2025-07-15

D · Potential for more than minimal harm 2025-05-28

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-07-15

F · Potential for more than minimal harm 2024-05-14

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 2024-06-14

D · Potential for more than minimal harm 2024-05-14

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-05-14

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-05-14

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-05-14

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 2024-06-14

D · Potential for more than minimal harm 2023-04-12