Fairbury, NE

Heritage Care Center

3-star overall rating with 3-star inspections with 5 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

909 17th Street, Fairbury, NE

(402) 729-2289

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

47

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Vetter Senior Living

Operator or chain grouping

Approved since

2004-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

22 facilities

Chain averages 4 overall / 4 health / 4 staffing / 4 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

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

1.06

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

1.61

Nurse aide staffing · state 2.76 · national 2.35

Total nurse hours

3.19

All reported nurse hours · state 4.17 · national 3.89

Licensed hours

1.58

RN + LPN hours · state 1.41 · national 1.54

Weekend hours

2.27

Weekend nurse staffing · state 3.61 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

3.91

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,134

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

Performance score

27.69

Composite VBP score used to determine payment impact.

Payment multiplier

0.9847

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

0

Baseline 30.95% · Performance 70.15% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

5.54

Baseline 4.25 hours · Performance 4.65 hours · Measure score 5.54 · Achievement 5.54 · Improvement 2.13

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 21 · 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 16 · 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 17 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 17 · 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 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 11.43%
8.2%
3.2 pts better
Numerator 8 · Denominator 70
Staff flu vaccination coverage 92.59%
42%
50.6 pts better
Numerator 75 · Denominator 81
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
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 4.3%
4.5%
0.2 pts better
3.3%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.5% · Q3 4.3% · Q4 2.1% · 4Q avg 4.3% · 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 0.0%
5.3%
5.3 pts better
5.4%
5.4 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 received an antianxiety or hypnotic medication 8.6%
19.5%
10.9 pts better
19.6%
11 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.9% · Q3 14.3% · Q4 10.3% · 4Q avg 8.6%
Percentage of long-stay residents who received an antipsychotic medication 2.9%
21.6%
18.7 pts better
16.7%
13.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.7% · Q3 0.0% · Q4 0.0% · 4Q avg 2.9% · 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 16.1%
20.4%
4.3 pts better
16.3%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 24.6% · Q3 7.9% · Q4 20.3% · 4Q avg 16.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 18.2%
19.9%
1.7 pts better
14.9%
3.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 12.5% · Q3 14.6% · Q4 31.6% · 4Q avg 18.2% · 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 2.2%
2.9%
0.7 pts better
1.7%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 2.1% · Q4 4.3% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.6%
26.6%
5 pts better
19.8%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 20.4% · Q3 15.8% · Q4 28.5% · 4Q avg 21.6%
Percentage of long-stay residents with pressure ulcers 1.3%
4.3%
3 pts better
5.1%
3.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 2.2% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
80.5%
17.8 pts better
81.7%
16.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 98.3%
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 2025-06-17 · Fire 2025-06-17

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-05-02 · Fire 2024-05-02

4 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-06-16 · Fire 2023-06-16

2 health deficiencies

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

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-07-25

F · Potential for more than minimal harm 2025-06-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-25

F · Potential for more than minimal harm 2025-06-17

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-07-25

F · Potential for more than minimal harm 2025-06-17

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-07-25

F · Potential for more than minimal harm 2025-06-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-07-25

F · Potential for more than minimal harm 2025-06-17

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2025-07-25

E · Potential for more than minimal harm 2025-06-17

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 2025-07-25

E · Potential for more than minimal harm 2025-06-17

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-07-25

E · Potential for more than minimal harm 2025-06-17

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 2025-07-25

E · Potential for more than minimal harm 2025-06-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-07-25

E · Potential for more than minimal harm 2025-06-17

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-07-25

E · Potential for more than minimal harm 2025-06-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-07-25

E · Potential for more than minimal harm 2025-06-17

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2025-07-25

F · Potential for more than minimal harm 2024-05-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-09

E · Potential for more than minimal harm 2024-05-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-07-09

F · Potential for more than minimal harm 2023-06-16

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-08-01

F · Potential for more than minimal harm 2023-06-16

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-08-01

F · Potential for more than minimal harm 2023-06-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-01

F · Potential for more than minimal harm 2023-06-16

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-08-01

F · Potential for more than minimal harm 2023-06-16

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-01

F · Potential for more than minimal harm 2023-06-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-08-01

F · Potential for more than minimal harm 2023-06-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-01

E · Potential for more than minimal harm 2023-06-16

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 2023-08-01

E · Potential for more than minimal harm 2023-06-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-01

E · Potential for more than minimal harm 2023-06-16

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2023-08-01

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-29

F · Potential for more than minimal harm 2025-06-17

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 2025-07-25

F · Potential for more than minimal harm 2025-06-17

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-17

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-07-25

E · Potential for more than minimal harm 2025-02-19

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-02-19

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-03-07

D · Potential for more than minimal harm 2024-05-02

F826 · Quality of Life and Care Deficiencies

Health

Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-05-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-24

D · Potential for more than minimal harm 2023-06-16

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-07-17

D · Potential for more than minimal harm 2023-06-16

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-07-17

Penalties and ownership

What sits behind the stars

Ownership

Vetter Senior Living

5% Or Greater Direct Ownership Interest · Organization

100% 22 facilities 2016-12-23
Sloane, Martina

Operational/Managerial Control · Individual

0% 1 facilities 2017-08-21
Sloane, Martina

Contracted Managing Employee · Individual

0% 1 facilities 2017-08-21
Stroklund, Rebecca

Operational/Managerial Control · Individual

0% 2 facilities 2021-08-20
Stroklund, Rebecca

Contracted Managing Employee · Individual

0% 2 facilities 2021-08-20
Stuhr, Brian

Operational/Managerial Control · Individual

0% 23 facilities 2017-07-01
Stuhr, Brian

Corporate Officer · Individual

0% 23 facilities 2017-06-15
Stuhr, Brian

Contracted Managing Employee · Individual

0% 23 facilities 2017-07-01
Vanekeren, Glenn

Operational/Managerial Control · Individual

0% 22 facilities 2017-07-01
Vanekeren, Glenn

Corporate Officer · Individual

0% 22 facilities 2017-06-15
Vanekeren, Glenn

Contracted Managing Employee · Individual

0% 22 facilities 2017-07-01
Vetter Senior Living

Operational/Managerial Control · Organization

0% 22 facilities 2016-12-23
Vetter, Eldora

Operational/Managerial Control · Individual

0% 23 facilities 2017-07-01
Vetter, Eldora

Corporate Officer · Individual

0% 23 facilities 2017-06-15
Vetter, Eldora

Contracted Managing Employee · Individual

0% 23 facilities 2017-07-01
Vetter, Jack

Operational/Managerial Control · Individual

0% 23 facilities 2017-07-01
Vetter, Jack

Corporate Officer · Individual

0% 23 facilities 2017-06-15
Vetter, Jack

Contracted Managing Employee · Individual

0% 23 facilities 2017-07-01
Vsl Vetter Health Services LLC

Operational/Managerial Control · Organization

0% 22 facilities 2017-07-01

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