Federal inspection record · CMS data as of October 1, 2026
Nye Legacy Health & Rehabilitation Center
3210 N Clarkson, Fremont, NE · (402) 721-9300
- Certified beds
- 100
- Residents per day
- 89
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 10, 2008
1
How this home got 4 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Nye Legacy Health & Rehabilitation Center carries 22 inspection points. That is fewer than 74% 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
14 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
Pharmacy Service4D
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care3E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspection history
2025-04-22
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-05-14
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-06-21
4 health deficiencies · 15 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 19 min of nursing staff time a day, 1 h 3 min of it from a registered nurse.
This home
4 h 19 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 30% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days1.5 pts worse | 3.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.6 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine22.7 pts worse | 70.3% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better | 98.3% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 3.4% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 1.0% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts better | 3.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.4 pts worse | 24.4% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.1 pts better | 14.6% | 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 worsened5.4 pts worse | 22.2% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts worse | 20.6% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better | 0.0% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 3.1% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts worse | 28.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts worse | 5.4% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better | 85.3% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.5 pts worse | 17.3% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.8% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 83.1% | 73.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts worse | 23.3% | 21.1% | 23.4% |
·
Who owns and runs it
4 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 |
|---|---|---|---|
| Peterson, Jennifer | 5% Or Greater Direct Ownership Interest · Individual | 50% | 5 facilities |
| Peterson, Russell | 5% Or Greater Direct Ownership Interest · Individual | 50% | 3 facilities |
| Paragon Management Services Inc | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Sweeney, Daniel | W-2 Managing Employee · Individual | 0% | 2 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Install corridor and hallway doors that block smoke.
- D
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems5F
- E
Meet requirements for the use and maintenance of medical gas equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have proper medical gas storage and administration areas.
Miscellaneous4F
- E
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Provide a written emergency evacuation plan.
Egress2F
- F
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.
- F
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.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
Dunklau Gardens
Fremont, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0
-
Nye Pointe Health & Rehab Ctr
Fremont, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 38 min
- Fines
- $0
-
Arbor Care Center-Valhaven, LLC
Valley, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0