Lincoln, NE
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
6120 South 34th Street, Lincoln, NE
(402) 486-8919
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
50
Certified beds
Average residents
29
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2014-05-02
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
1.37
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.24
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
3.76
Nurse aide staffing · state 2.76 · national 2.35
Total nurse hours
5.37
All reported nurse hours · state 4.17 · national 3.89
Licensed hours
1.61
RN + LPN hours · state 1.41 · national 1.54
Weekend hours
4.76
Weekend nurse staffing · state 3.61 · national 3.43
Weekend RN hours
0.84
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.49
CMS adjusted RN staffing hours
Adjusted total hours
5.83
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
2,647
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.55
Composite VBP score used to determine payment impact.
Payment multiplier
1.0023
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.63
Baseline 17.43% · Performance 18.82% · Measure score 5.63 · Achievement 5.63 · Improvement 0
Healthcare-associated infections
5.29
Baseline 5.25% · Performance 6.25% · Measure score 5.29 · Achievement 5.29 · Improvement 0
Total nurse turnover
1.25
Baseline 76.92% · Performance 67.80% · Measure score 1.25 · Achievement 0 · Improvement 1.25
Adjusted total nurse staffing
7.24
Baseline 4.37 hours · Performance 5.14 hours · Measure score 7.24 · Achievement 7.24 · Improvement 4.96
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.94% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 49 · Observed rate 4.08% · Lower 95% interval 6.46% |
| Discharge to community | 41.83% |
50.57%
8.7 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 36.96% · Lower 95% interval 30.62% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 54.72% |
95.27%
40.5 pts worse
|
Numerator 29 · Denominator 53 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 53 |
| Discharge self-care score | 46.67% |
53.69%
7 pts worse
|
Numerator 21 · Denominator 45 |
| Discharge mobility score | 48.89% |
50.94%
2 pts worse
|
Numerator 22 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 1.89% |
2.29%
0.4 pts better
|
Numerator 1 · Denominator 53 · Adjusted rate 1.86% |
| Healthcare-associated infections requiring hospitalization | 6.25% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 0% · Lower 95% interval 2.5% |
| Staff COVID-19 vaccination coverage | 2.99% |
8.2%
5.2 pts worse
|
Numerator 2 · Denominator 67 |
| Staff flu vaccination coverage | 40.74% |
42%
1.3 pts worse
|
Numerator 33 · Denominator 81 |
| Discharge function score | 60% |
56.45%
3.5 pts better
|
Numerator 27 · Denominator 45 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 21 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 39.39% |
25.2%
14.2 pts better
|
Numerator 13 · Denominator 33 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.8
0.6 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.8 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0 |
2.0
2 pts better
|
1.8
1.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0 · Observed 0 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 67.0% |
92.8%
25.8 pts worse
|
93.4%
26.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 65.4% · Q2 43.5% · Q3 73.9% · Q4 84.0% · 4Q avg 67.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.2% |
96.1%
0.1 pts better
|
95.5%
0.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 10.3% |
4.5%
5.8 pts worse
|
3.3%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 8.7% · Q3 8.7% · Q4 12.0% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
4.4%
3.2 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 1.2% |
5.3%
4.1 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.5% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% |
19.5%
1.6 pts better
|
19.6%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 14.3% · Q3 22.7% · Q4 20.0% · 4Q avg 17.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.1% |
21.6%
12.5 pts better
|
16.7%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.1% · 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 | 27.6% |
20.4%
7.2 pts worse
|
16.3%
11.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.2% |
19.9%
3.3 pts worse
|
14.9%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 30.0% · Q3 27.3% · Q4 20.0% · 4Q avg 23.2% · 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% · 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 | 1.1% |
2.9%
1.8 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.0% |
26.6%
4.6 pts better
|
19.8%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 30.1% · Q3 23.2% · Q4 27.8% · 4Q avg 22.0% |
| Percentage of long-stay residents with pressure ulcers | 0.8% |
4.3%
3.5 pts better
|
5.1%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 32.6% |
80.5%
47.9 pts worse
|
81.7%
49.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 37.0% · Q3 30.2% · Q4 29.3% · 4Q avg 32.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.2% |
11.6%
9.4 pts better
|
12.0%
9.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.2% · Observed 1.9% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.6% |
2.4%
2.2 pts worse
|
1.6%
3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.6% · Q3 3.4% · Q4 7.1% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.3% |
75.9%
3.6 pts worse
|
79.7%
7.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.0% |
20.9%
7.9 pts better
|
23.9%
10.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 9.4% · Expected 17.4% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-01-18
Fire Safety
Meet other general requirements that are deficient.
Corrected 2026-01-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-01-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-18
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-01-18
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2026-01-18
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2026-01-18
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 2026-01-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-05
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-05
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-05
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2025-01-05
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-01-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-05
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 2024-01-25
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-18
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-08-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-14
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-05
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-09
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Contracted Managing Employee · Individual
Nearby options
Lincoln, NE
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Lincoln, NE
1-star overall rating with 1-star inspections with $53,267 in total fines with 15 recent health deficiencies with 27 fire-safety deficiencies in the latest cycle
Lincoln, NE
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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