South Sioux City, NE

The Palm at Regency Square

1-star overall rating with 2-star inspections with $33,784 in total fines with 6 recent health deficiencies

3501 Dakota Avenue, South Sioux City, NE

(402) 494-4273

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Avid Healthcare Group

Operator or chain grouping

Approved since

1986-07-01

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

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.76

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

2.11

Nurse aide staffing · state 2.76 · national 2.35

Total nurse hours

3.71

All reported nurse hours · state 4.17 · national 3.89

Licensed hours

1.60

RN + LPN hours · state 1.41 · national 1.54

Weekend hours

3.27

Weekend nurse staffing · state 3.61 · national 3.43

Weekend RN hours

0.67

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

0.81

CMS adjusted RN staffing hours

Adjusted total hours

3.96

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

56%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,631

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.07

Composite VBP score used to determine payment impact.

Payment multiplier

0.9831

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.12

Baseline 21.71% · Performance 20.02% · Measure score 3.12 · Achievement 3.05 · Improvement 3.12

Healthcare-associated infections

5.04

Baseline 7.99% · Performance 6.33% · Measure score 5.04 · Achievement 5.03 · Improvement 5.04

Total nurse turnover

1.07

Baseline 71.21% · Performance 63.93% · Measure score 1.07 · Achievement 0 · Improvement 1.07

Adjusted total nurse staffing

Baseline 4.68 hours · Performance 3.14 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.07%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 58 · Observed rate 13.79% · Lower 95% interval 8.23%
Discharge to community	37.01%	50.57% 13.6 pts worse	Worse than the National Rate · Eligible stays 41 · Observed rate 24.39% · Lower 95% interval 25.16%
Medicare spending per beneficiary	0.83	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 60 · Denominator 60
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 60
Discharge self-care score	27.91%	53.69% 25.8 pts worse	Numerator 12 · Denominator 43
Discharge mobility score	37.21%	50.94% 13.7 pts worse	Numerator 16 · Denominator 43
Pressure ulcers or injuries, new or worsened	5%	2.29% 2.7 pts worse	Numerator 3 · Denominator 60 · Adjusted rate 4.56%
Healthcare-associated infections requiring hospitalization	6.33%	7.12% 0.8 pts better	No Different than the National Rate · Eligible stays 38 · Observed rate 2.63% · Lower 95% interval 3.59%
Staff COVID-19 vaccination coverage	1.98%	8.2% 6.2 pts worse	Numerator 2 · Denominator 101
Staff flu vaccination coverage	6.67%	42% 35.3 pts worse	Numerator 7 · Denominator 105
Discharge function score	48.84%	56.45% 7.6 pts worse	Numerator 21 · Denominator 43
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	41.18%	25.2% 16 pts better	Numerator 14 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.8 0.2 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.0 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.0	2.0 1 pts worse	1.8 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.8 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.3%	92.8% 2.5 pts better	93.4% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 100.0% · Q3 97.4% · Q4 97.5% · 4Q avg 95.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.0%	96.1% 4.1 pts worse	95.5% 3.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.0%
Percentage of long-stay residents experiencing one or more falls with major injury	7.6%	4.5% 3.1 pts worse	3.3% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.5% · Q3 10.5% · Q4 10.0% · 4Q avg 7.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.7%	4.4% 1.7 pts better	11.4% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 2.7%
Percentage of long-stay residents who lose too much weight	8.7%	5.3% 3.4 pts worse	5.4% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 11.1% · Q3 9.7% · Q4 9.7% · 4Q avg 8.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.9%	19.5% 8.6 pts better	19.6% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 10.8% · Q3 8.6% · Q4 12.1% · 4Q avg 10.9%
Percentage of long-stay residents who received an antipsychotic medication	32.2%	21.6% 10.6 pts worse	16.7% 15.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 35.5% · Q3 24.0% · Q4 31.0% · 4Q avg 32.2% · 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	39.7%	20.4% 19.3 pts worse	16.3% 23.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 56.1% · 4Q avg 39.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.8%	19.9% 0.9 pts worse	14.9% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 16.2% · Q3 34.3% · Q4 9.7% · 4Q avg 20.8% · 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% · Q2 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	3.7%	2.9% 0.8 pts worse	1.7% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 2.2% · Q3 0.0% · Q4 5.3% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.7%	26.6% 0.1 pts worse	19.8% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 24.6% · Q3 28.4% · Q4 24.7% · 4Q avg 26.7%
Percentage of long-stay residents with pressure ulcers	1.8%	4.3% 2.5 pts better	5.1% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	71.8%	80.5% 8.7 pts worse	81.7% 9.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 78.9% · Q2 66.7% · Q3 71.1% · Q4 71.0% · 4Q avg 71.8%
Percentage of short-stay residents who had an outpatient emergency department visit	14.4%	11.6% 2.8 pts worse	12.0% 2.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 13.5% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	2.4% 1.4 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 5.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	62.8%	75.9% 13.1 pts worse	79.7% 16.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 62.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.9%	20.9% 5 pts worse	23.9% 2 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 25.0% · Expected 23.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-20 · Fire 2025-08-20

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-06-27 · Fire 2024-06-27

14 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-05-11 · Fire 2023-05-11

13 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-06-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-31

E · Potential for more than minimal harm 2024-06-27

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2024-07-31

F · Potential for more than minimal harm 2023-05-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-05-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-05-11

K321 · Smoke Deficiencies

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 2023-06-30

E · Potential for more than minimal harm 2023-05-11

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2023-06-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-06

E · Potential for more than minimal harm 2025-08-20

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-08-20

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-20

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-20

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-01

D · Potential for more than minimal harm 2024-11-12

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-11-26

F · Potential for more than minimal harm 2024-09-24

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-09-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-08

F · Potential for more than minimal harm 2024-06-27

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-08-11

E · Potential for more than minimal harm 2024-06-27

F584 · Resident Rights Deficiencies

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 2024-08-11

E · Potential for more than minimal harm 2024-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-11

D · Potential for more than minimal harm 2024-06-27

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-08-11

D · Potential for more than minimal harm 2024-06-27

F625 · Resident Rights Deficiencies

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 2024-08-11

D · Potential for more than minimal harm 2024-06-27

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-08-11

D · Potential for more than minimal harm 2024-06-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-11

D · Potential for more than minimal harm 2024-06-27

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-08-11

D · Potential for more than minimal harm 2024-06-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-11

D · Potential for more than minimal harm 2024-06-27

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-08-11

D · Potential for more than minimal harm 2024-06-27

F758 · Pharmacy Service Deficiencies

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 2024-08-11

E · Potential for more than minimal harm 2024-02-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-03-15

J · Immediate jeopardy 2023-11-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-11-28

D · Potential for more than minimal harm 2023-11-01

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-11-28

D · Potential for more than minimal harm 2023-11-01

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-28

E · Potential for more than minimal harm 2023-05-11

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-05-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-05-11

F726 · Nursing and Physician Services Deficiencies

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 2023-06-30

E · Potential for more than minimal harm 2023-05-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-11

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-11

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-11

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2023-06-30

Penalties and ownership

What sits behind the stars

$33,784 2023-11-01

Fine

Fine · fine $33,784

Fine

Ownership

Ne 11 Holdings Opco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2023-08-02

Brass Ne Trust