3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Rushville, NE
4-star overall rating with 3-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
7835 Elders Drive, State Highway 87, Rushville, NE
(308) 862-4020
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
72
Certified beds
Average residents
44
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2016-11-11
CMS approved date
Coverage
Medicaid
Participation flags
Staffing
RN hours / resident day
1.40
Registered nurse staffing
LPN hours / resident day
0.57
Licensed practical nurse staffing
Aide hours / resident day
3.83
Nurse aide staffing
Weekend hours
5.15
Weekend nurse staffing
RN turnover
35%
Annual RN turnover
Total nurse turnover
39%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.8
0.6 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.0
0.9 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.6% |
92.8%
0.2 pts worse
|
93.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
4.5%
3.4 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 15.5% |
4.4%
11.1 pts worse
|
11.4%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 8.2% |
5.3%
2.9 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.0% |
19.5%
14.5 pts better
|
19.6%
14.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 15.0% |
21.6%
6.6 pts better
|
16.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.6% |
0.3%
0.3 pts worse
|
0.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 32.0% |
20.4%
11.6 pts worse
|
16.3%
15.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.5% |
19.9%
10.6 pts worse
|
14.9%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
2.9%
1.8 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.4% |
26.6%
6.2 pts better
|
19.8%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 7.6% |
4.3%
3.3 pts worse
|
5.1%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-01-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-01-07
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2026-01-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-07
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 2026-01-07
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2026-01-07
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-10-03
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-03
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-03
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-03
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-16
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-16
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-16
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-09-16
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 2023-09-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-16
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2023-09-16
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-08
Health
Respond appropriately to all alleged violations.
Corrected 2026-01-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-01-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-19
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-03
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-03
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-03
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-03
Health
Assess the resident when there is a significant change in condition
Corrected 2024-10-03
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-10-03
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-03
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-03
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 2024-10-03
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-16
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-09-16
Penalties and ownership
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