Federal inspection record · CMS data as of October 1, 2026
Heritage of Webster County
636 North Locust Street, Red Cloud, NE · (402) 746-2296
- Certified beds
- 43
- Residents per day
- 33
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1998
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Heritage of Webster County carries 87 inspection points. That is fewer than 22% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
20 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation4F
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care4E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services2F
- F
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
- E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Pharmacy Service2E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning2E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Rights2D
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Administration1D
- D
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Inspection history
2025-08-14
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-06-27
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-06-29
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 35 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 57% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-14 | Payment Denial · 17 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.0 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.8 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine32.6 pts worse | 60.4% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts worse | 91.7% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 4.0% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.4 pts better | 0.0% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.5 pts worse | 9.6% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.5 pts worse | 26.5% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.9 pts worse | 30.6% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.5 pts better | 12.3% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.2 pts better | 13.8% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.7% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 2.0% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts worse | 28.7% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts better | 3.5% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine51 pts worse | 30.3% | 81.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts worse | 4.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine40.6 pts worse | 33.3% | 73.9% | 80.1% |
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Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Benge, Danny | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cook, Lamont | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Daniels, Bethany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Daniels, Bethany | Adp Of The SNF · Individual | 0% | 1 facilities |
| Durr, Michele | Adp Of The SNF · Individual | 0% | 1 facilities |
| Elliott, Bill | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Garwood, Dave | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hitchler, Linda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ord, Wendell | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Tietjen, Lana | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- D
Have proper medical gas storage and administration areas.
Smoke3E
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- E
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Construction1F
- F
Meet other general requirements.
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Accura Healthcare of Franklin
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