8 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Miscellaneous (4 deficiencies)
Bellevue, NE
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
1702 Hillcrest Drive, Bellevue, NE
(402) 291-8500
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
151
Certified beds
Average residents
119
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-08-02
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
RN hours / resident day
0.78
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
3.13
Nurse aide staffing · state 2.76 · national 2.35
Total nurse hours
4.49
All reported nurse hours · state 4.17 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.41 · national 1.54
Weekend hours
4.09
Weekend nurse staffing · state 3.61 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
4.49
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
13%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
2,264
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.61
Composite VBP score used to determine payment impact.
Payment multiplier
1.0048
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.87% · Performance 21.22% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
9.13
Baseline 4.08% · Performance 5.11% · Measure score 9.13 · Achievement 9.13 · Improvement 0
Total nurse turnover
7.18
Baseline 85.71% · Performance 38.96% · Measure score 7.18 · Achievement 6.05 · Improvement 7.18
Adjusted total nurse staffing
3.94
Baseline 4.38 hours · Performance 4.20 hours · Measure score 3.94 · Achievement 3.94 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.78% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 884 · Observed rate 9.39% · Lower 95% interval 8.08% |
| Discharge to community | 65.68% |
50.57%
15.1 pts better
|
Better than the National Rate · Eligible stays 896 · Observed rate 60.38% · Lower 95% interval 61.11% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.67% |
95.27%
4.4 pts better
|
Numerator 606 · Denominator 608 |
| Falls with major injury | 0.49% |
0.77%
0.3 pts better
|
Numerator 3 · Denominator 608 |
| Discharge self-care score | 56.64% |
53.69%
3 pts better
|
Numerator 273 · Denominator 482 |
| Discharge mobility score | 64.11% |
50.94%
13.2 pts better
|
Numerator 309 · Denominator 482 |
| Pressure ulcers or injuries, new or worsened | 1.15% |
2.29%
1.1 pts better
|
Numerator 7 · Denominator 608 · Adjusted rate 1.37% |
| Healthcare-associated infections requiring hospitalization | 5.11% |
7.12%
2 pts better
|
Better than the National Rate · Eligible stays 532 · Observed rate 4.14% · Lower 95% interval 3.47% |
| Staff COVID-19 vaccination coverage | 13.02% |
8.2%
4.8 pts better
|
Numerator 28 · Denominator 215 |
| Staff flu vaccination coverage | 78.71% |
42%
36.7 pts better
|
Numerator 159 · Denominator 202 |
| Discharge function score | 61.41% |
56.45%
5 pts better
|
Numerator 296 · Denominator 482 |
| Transfer of health information to provider | 98.68% |
95.95%
2.7 pts better
|
Numerator 149 · Denominator 151 |
| Transfer of health information to patient | 99.5% |
96.28%
3.2 pts better
|
Numerator 400 · Denominator 402 |
| Resident COVID-19 vaccinations up to date | 23.4% |
25.2%
1.8 pts worse
|
Numerator 77 · Denominator 329 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.8 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
2.0
0.7 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 1.9 · 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 | 98.4% |
96.1%
2.3 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.3% |
4.5%
1.8 pts worse
|
3.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 6.9% · Q3 6.6% · Q4 8.5% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.8% |
4.4%
2.6 pts better
|
11.4%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 7.5% · 4Q avg 1.8% |
| Percentage of long-stay residents who lose too much weight | 3.9% |
5.3%
1.4 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.8% · Q3 3.9% · Q4 0.0% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.7% |
19.5%
3.2 pts worse
|
19.6%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 21.6% · Q3 24.1% · Q4 25.5% · 4Q avg 22.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.3% |
21.6%
0.7 pts worse
|
16.7%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 18.6% · Q3 25.0% · Q4 25.6% · 4Q avg 22.3% · 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 | 38.2% |
20.4%
17.8 pts worse
|
16.3%
21.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.6% · Q2 38.8% · Q3 34.6% · Q4 36.9% · 4Q avg 38.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.3% |
19.9%
11.4 pts worse
|
14.9%
16.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 31.2% · Q3 28.0% · Q4 32.7% · 4Q avg 31.3% · 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 | 1.3% |
2.9%
1.6 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 1.7% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.2% |
26.6%
1.6 pts worse
|
19.8%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 31.4% · Q3 27.7% · Q4 26.4% · 4Q avg 28.2% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
4.3%
1.7 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.8% · Q3 8.1% · Q4 8.2% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.9% |
80.5%
13.4 pts better
|
81.7%
12.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.4% · Q2 91.9% · Q3 94.0% · Q4 98.0% · 4Q avg 93.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.1% |
11.6%
3.5 pts worse
|
12.0%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 14.4% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
2.4%
1.6 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.1% · Q3 0.5% · Q4 0.8% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.5% |
75.9%
4.6 pts better
|
79.7%
0.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.4% |
20.9%
5.5 pts worse
|
23.9%
2.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.4% · Observed 23.5% · Expected 21.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Miscellaneous (4 deficiencies)
Top issue: Environmental (1 deficiency)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Top issue: Infection Control (4 deficiencies)
17 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-01-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-01-30
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-01-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-01-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-30
Fire Safety
Install proper backup exit lighting.
Corrected 2025-01-30
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 2025-01-30
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-01-30
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-01-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-01-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-28
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-11-28
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 2023-11-28
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 2023-11-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-28
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-10-19
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-10-19
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-10-19
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-10-19
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-10-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-19
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-10-19
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 2022-10-19
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 2022-10-19
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-10-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-19
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-10-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-10-19
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-10-19
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-10-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-10-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-10-19
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-28
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Not marked corrected
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-21
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 2025-01-30
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-01-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-28
Health
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected 2023-11-28
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-11-28
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 2023-04-26
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-26
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-19
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-10-19
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-10-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-10-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-19
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-10-19
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Nearby options
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