Harvard, NE

Harvard Rest Haven

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

400 East 7th Street, Harvard, NE

(402) 772-7591

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

30

Certified beds

Average residents

19

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2006-05-01

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

0.77

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

0.96

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

3.33

Nurse aide staffing · state 2.76 · national 2.35

Total nurse hours

5.06

All reported nurse hours · state 4.17 · national 3.89

Licensed hours

1.73

RN + LPN hours · state 1.41 · national 1.54

Weekend hours

4.34

Weekend nurse staffing · state 3.61 · national 3.43

Weekend RN hours

0.59

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

0.86

CMS adjusted RN staffing hours

Adjusted total hours

5.69

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

44%

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 15 · 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 9 · 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 9 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 9 · 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 9 · 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 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 4.55%
8.2%
3.6 pts worse
Numerator 2 · Denominator 44
Staff flu vaccination coverage 69.77%
42%
27.8 pts better
Numerator 30 · Denominator 43
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 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 3 · 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 1.8
1.8
About the same
1.9
0.1 pts better
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.1 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
2.0
1.3 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.2 · 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% · 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 0.0%
4.5%
4.5 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.4%
4.4%
3 pts better
11.4%
10 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.4%
Percentage of long-stay residents who lose too much weight 3.4%
5.3%
1.9 pts better
5.4%
2 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.9%
19.5%
8.4 pts worse
19.6%
8.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.9%
Percentage of long-stay residents who received an antipsychotic medication 36.2%
21.6%
14.6 pts worse
16.7%
19.5 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.2% · 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% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 7.0%
20.4%
13.4 pts better
16.3%
9.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 5.0%
19.9%
14.9 pts better
14.9%
9.9 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.0%
1.6%
3.4 pts worse
1.0%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.6% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 7.7%
2.9%
4.8 pts worse
1.7%
6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.8% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.0%
26.6%
2.4 pts worse
19.8%
9.2 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.0%
Percentage of long-stay residents with pressure ulcers 6.1%
4.3%
1.8 pts worse
5.1%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 4.9% · 4Q avg 6.1% · 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 2025-02-27 · Fire 2025-02-27

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-02-15 · Fire 2024-02-15

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-01-10 · Fire 2023-01-10

6 health deficiencies

Top issue: Infection Control (3 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-02-27

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-03-20

E · Potential for more than minimal harm 2025-02-27

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 2025-03-10

E · Potential for more than minimal harm 2025-02-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-03-10

F · Potential for more than minimal harm 2024-02-15

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-03-21

F · Potential for more than minimal harm 2024-02-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-21

F · Potential for more than minimal harm 2024-02-15

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-03-21

F · Potential for more than minimal harm 2023-01-10

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-10

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-10

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-10

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-10

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-02-24

E · Potential for more than minimal harm 2023-01-10

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-02-24

E · Potential for more than minimal harm 2023-01-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-02-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-02-27

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 2025-03-20

D · Potential for more than minimal harm 2025-02-27

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 2025-03-20

D · Potential for more than minimal harm 2024-02-15

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-03-11

F · Potential for more than minimal harm 2023-01-10

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 2023-02-24

F · Potential for more than minimal harm 2023-01-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-10

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-10

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2023-02-24

D · Potential for more than minimal harm 2023-01-10

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 2023-02-24

D · Potential for more than minimal harm 2023-01-10

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-02-24

Penalties and ownership

What sits behind the stars

Ownership

City Of Harvard

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2015-03-10
Becker, Glen

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2015-08-15
Becker, Glen

Operational/Managerial Control · Individual

0% 1 facilities 2015-08-15
Becker, Glen

Corporate Director · Individual

0% 1 facilities 2015-03-10
Becker, Glen

5% Or Greater Security Interest · Individual

0% 1 facilities 2015-08-15
Juhl, Regina

Corporate Director · Individual

0% 1 facilities 2022-03-01
Juhl, Regina

W-2 Managing Employee · Individual

0% 1 facilities 2022-03-01
Ljunggren, Susan

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2015-08-15
Ljunggren, Susan

Operational/Managerial Control · Individual

0% 1 facilities 2015-08-15
Ljunggren, Susan

Corporate Officer · Individual

0% 1 facilities 2022-05-02
Ljunggren, Susan

5% Or Greater Security Interest · Individual

0% 1 facilities 2015-08-15
Ryan, Sharon

W-2 Managing Employee · Individual

0% 1 facilities 2022-03-30
Schulte, Jodi

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2015-08-15
Schulte, Jodi

Operational/Managerial Control · Individual

0% 1 facilities 2015-08-15
Schulte, Jodi

Corporate Director · Individual

0% 1 facilities 2015-03-10
Schulte, Jodi

5% Or Greater Security Interest · Individual

0% 1 facilities 2015-08-15
Sedersten, Kristi

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2022-05-02
Sedersten, Kristi

Operational/Managerial Control · Individual

0% 1 facilities 2022-05-02
Sedersten, Kristi

Corporate Officer · Individual

0% 1 facilities 2022-05-02
Sedersten, Kristi

W-2 Managing Employee · Individual

0% 1 facilities 2021-03-25
Sedersten, Kristi

5% Or Greater Security Interest · Individual

0% 1 facilities 2022-05-02
Vancampen, Luana

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2022-08-15
Vancampen, Luana

Operational/Managerial Control · Individual

0% 1 facilities 2015-08-15
Vancampen, Luana

Corporate Officer · Individual

0% 1 facilities 2015-08-15
Vancampen, Luana

5% Or Greater Security Interest · Individual

0% 1 facilities 2015-08-15

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Health
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Staffing
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2-star overall rating with 2-star inspections with $39,704 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
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Health
2 / 5
Staffing
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Fines
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#3

Westfield Quality Care of Aurora

Aurora, NE

1-star overall rating with 1-star inspections with $54,629 in total fines with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
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