16 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Sutherland, NE
1-star overall rating with 1-star inspections with $50,025 in total fines with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
333 Maple Street, Sutherland, NE
(308) 386-4393
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
40
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avid Healthcare Group
Operator or chain grouping
Approved since
1994-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 2 overall / 2 health / 3 staffing / 2 quality stars
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
0.62
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
2.74
Nurse aide staffing · state 2.76 · national 2.35
Total nurse hours
4.08
All reported nurse hours · state 4.17 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.41 · national 1.54
Weekend hours
3.35
Weekend nurse staffing · state 3.61 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
4.23
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
77%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
12,636
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.32
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.03
Baseline 22.28% · Performance 20.43% · Measure score 3.03 · Achievement 2.17 · Improvement 3.03
Healthcare-associated infections
1.50
Baseline 8.07% · Performance 7.45% · Measure score 1.50 · Achievement 1.27 · Improvement 1.50
Total nurse turnover
0
Baseline 69.05% · Performance 85.97% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.74 hours · Performance 2.92 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.7% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 76 · Observed rate 11.84% · Lower 95% interval 7.53% |
| Discharge to community | 29.36% |
50.57%
21.2 pts worse
|
Worse than the National Rate · Eligible stays 91 · Observed rate 20.88% · Lower 95% interval 23.27% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 49 · Denominator 49 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 49 |
| Discharge self-care score | 74.29% |
53.69%
20.6 pts better
|
Numerator 26 · Denominator 35 |
| Discharge mobility score | 65.71% |
50.94%
14.8 pts better
|
Numerator 23 · Denominator 35 |
| Pressure ulcers or injuries, new or worsened | 2.04% |
2.29%
0.2 pts better
|
Numerator 1 · Denominator 49 · Adjusted rate 2.9% |
| Healthcare-associated infections requiring hospitalization | 7.45% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 8.7% · Lower 95% interval 4.48% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 52 |
| Staff flu vaccination coverage | 5.77% |
42%
36.2 pts worse
|
Numerator 3 · Denominator 52 |
| Discharge function score | 71.43% |
56.45%
15 pts better
|
Numerator 25 · Denominator 35 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 25% |
25.2%
0.2 pts worse
|
Numerator 7 · Denominator 28 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
1.8
1 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 5.3 · Expected 3.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.0
0.4 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 4.1 · Expected 2.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.1% |
92.8%
0.3 pts better
|
93.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 91.9% · Q3 90.5% · Q4 97.4% · 4Q avg 93.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.6% |
96.1%
7.5 pts worse
|
95.5%
6.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 10.6% |
4.5%
6.1 pts worse
|
3.3%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 13.5% · Q3 11.9% · Q4 10.3% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.3% |
4.4%
3.9 pts worse
|
11.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 8.3% · Q3 12.1% · Q4 8.1% · 4Q avg 8.3% |
| Percentage of long-stay residents who lose too much weight | 7.6% |
5.3%
2.3 pts worse
|
5.4%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 0.0% · Q3 7.7% · Q4 11.8% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.6% |
19.5%
4.9 pts better
|
19.6%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 18.9% · Q3 12.2% · Q4 10.5% · 4Q avg 14.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 41.2% |
21.6%
19.6 pts worse
|
16.7%
24.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.4% · Q2 40.0% · Q3 40.7% · Q4 42.9% · 4Q avg 41.2% · 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 | 25.4% |
20.4%
5 pts worse
|
16.3%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.7% · 4Q avg 25.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.2% |
19.9%
2.3 pts worse
|
14.9%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 36.4% · Q3 21.1% · Q4 25.0% · 4Q avg 22.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.4% |
1.6%
1.8 pts worse
|
1.0%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.7% · Q3 2.3% · Q4 6.0% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.4% |
2.9%
0.5 pts worse
|
1.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.1% · Q3 2.5% · Q4 5.7% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.0% |
26.6%
1.4 pts worse
|
19.8%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 22.0% · Q3 33.9% · Q4 26.5% · 4Q avg 28.0% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
4.3%
0.4 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.9% · Q3 5.9% · Q4 2.3% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.6% |
80.5%
8.1 pts better
|
81.7%
6.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.0% · Q2 93.3% · Q3 100.0% · Q4 70.8% · 4Q avg 88.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
11.6%
1.9 pts worse
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 15.4% · Expected 12.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.4%
2.4 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.0% |
75.9%
4.9 pts worse
|
79.7%
8.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.0% |
20.9%
0.9 pts better
|
23.9%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 19.2% · Expected 22.9% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (7 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-15
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-01-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-15
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-01-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-12-31
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-10-16
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2022-10-16
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-10-16
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2022-10-16
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-22
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-10-22
Health
Respond appropriately to all alleged violations.
Corrected 2025-10-22
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-16
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-15
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 2025-05-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-15
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-02-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-02-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-15
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 2025-02-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-02-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-02-15
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-29
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 2024-03-29
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-03-29
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-29
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-12-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-31
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-31
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-12-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-31
Health
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.
Corrected 2023-12-31
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-12-31
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-31
Health
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.
Corrected 2023-08-31
Health
Dispose of garbage and refuse properly.
Corrected 2022-10-16
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-16
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-10-16
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2022-10-16
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-10-16
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-10-16
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-10-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-10-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-16
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-10-16
Penalties and ownership
Fine · fine $50,025
Fine
Payment Denial · denial start 2025-05-02 · 45 days
45 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
North Platte, NE
1-star overall rating with 1-star inspections with $14,017 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
North Platte, NE
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
North Platte, NE
1-star overall rating with 2-star inspections with $43,971 in total fines with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Jump out