Federal inspection record · CMS data as of October 1, 2026

SRMC Long Term Care, LLC dba Pole Creek Estates

1855 Greenwood Rd, Sidney, NE · (308) 254-7303

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
63
Residents per day
59
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicaid
Certified since
March 18, 2022

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Nebraska homes

SRMC Long Term Care, LLC dba Pole Creek Estates carries 37 inspection points. That is fewer than 60% of Nebraska's 178 rated homes.

5★4★3★2★1★+6 homes above 174.505102550100inspection points → fewer is better on the leftThis home · 37 pts · 3★

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

12 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 1 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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

Quality of Life and Care3D
  1. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    July 17, 2025 · Standard · F688 · Corrected August 31, 2025

  2. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    July 17, 2025 · Standard · F744 · Corrected August 31, 2025

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 29, 2024 · Standard · F684 · Corrected July 13, 2024

Pharmacy Service3D
  1. D

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

    May 29, 2024 · Standard · F757 · Corrected July 13, 2024

  2. D

    Ensure medication error rates are not 5 percent or greater.

    May 29, 2024 · Standard · F759 · Corrected July 13, 2024

  3. 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.

    April 19, 2023 · Standard · F758 · Corrected June 3, 2023

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 17, 2025 · Standard · F812 · Corrected August 31, 2025

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 29, 2024 · Standard · F812 · Corrected July 13, 2024

Resident Assessment and Care Planning2E
  1. D

    Assess the resident when there is a significant change in condition

    July 17, 2025 · Standard · F637 · Corrected August 31, 2025

  2. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 29, 2024 · Standard · F656 · Corrected July 13, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    July 17, 2025 · Standard · F605 · Corrected August 31, 2025

Infection Control1F
  1. F

    Provide and implement an infection prevention and control program.

    May 29, 2024 · Standard · F880 · Corrected July 13, 2024

Inspection history

  1. 2025-07-17

    5 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-05-29

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  3. 2023-04-19

    1 health deficiencies · 1 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 52 min of nursing staff time a day, 39 min of it from a registered nurse.

This home

4 h 52 min

Nebraska average

4 h 7 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 51% of nursing staff and 20% 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

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts worse2.51.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days2.5 pts worse4.41.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better96.6%93.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better100.0%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse6.8%4.5%3.2%
Percentage of long-stay residents who have depressive symptoms3.4 pts better1.0%4.4%13.5%
Percentage of long-stay residents who lose too much weight1.3 pts worse6.4%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.7 pts better12.3%19.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.9 pts better10.8%20.7%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.8 pts better9.0%16.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.7 pts better9.3%19.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.8%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.9 pts better0.8%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence15 pts better10.0%25.0%18.3%
Percentage of long-stay residents with pressure ulcers0.9 pts better3.1%4.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts worse74.2%81.3%82.3%

·

Fire safety

4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Services1F
  1. F

    Have properly installed electrical wiring and gas equipment.

    July 17, 2025 · K511 · Corrected August 31, 2025

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    July 17, 2025 · K712 · Corrected August 31, 2025

Smoke1F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 29, 2024 · K353 · Corrected July 13, 2024

Gas, Vacuum, and Electrical Systems1E
  1. E

    Ensure that testing and maintenance of electrical equipment is performed.

    April 19, 2023 · K921 · Corrected June 3, 2023

·

Other homes nearby

  1. Worst citation, 3 yrs
    G
    Nursing / resident / day
    4 h 20 min
    Fines
    $0
  2. Devonshire Care Center

    Sterling, CO · Long Peak Operating Company

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 15 min
    Fines
    $9,980
  3. Worst citation, 3 yrs
    G
    Nursing / resident / day
    4 h 38 min
    Fines
    $0