Federal inspection record · CMS data as of October 1, 2026
Westfield Quality Care of Aurora
1313 1st Street, Aurora, NE · (402) 694-2128
- Certified beds
- 64
- Residents per day
- 52
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 2005
1
How this home got 1 star
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Westfield Quality Care of Aurora carries 116.75 inspection points. That is fewer than 10% of Nebraska's 178 rated homes.
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
22 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (1)
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Nutrition and Dietary5F
- F
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.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights5F
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- F
Honor the resident's right to manage his or her financial affairs.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Report COVID19 data to residents and families.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration2F
- F
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
Pharmacy Service2E
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Assessment and Care Planning2D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure each resident receives an accurate assessment.
Inspection history
2025-04-07
11 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2024-04-15
6 health deficiencies · 10 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
2023-04-11
5 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
3 h 39 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$41,980 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-15 | Fine | $41,980 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.7 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 100.0% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 5.0% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.1 pts better | 2.3% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 5.3% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12 pts worse | 31.0% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.7 pts worse | 32.4% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.2 pts better | 9.6% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.2 pts better | 9.8% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better | 0.0% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.9 pts worse | 7.6% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts worse | 25.2% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 3.9% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.8 pts better | 96.1% | 81.3% | 82.3% |
·
Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Anderson, Douglas | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Groshans, Hayley | W-2 Managing Employee · Individual | 0% | 3 facilities |
| Groshans, Timothy | Corporate Director · Individual | 0% | 2 facilities |
| Heritage Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Heritage Bank | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Hermansen, Lance | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Kauffman Investments LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Keller, Duane | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Krajicek, Stephen | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Moyer, Sam | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Mrs Enterprises LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Ochsner Jjj LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Ohlson, Cory | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Penner, Kirk | Corporate Officer · Individual | 0% | 1 facilities |
| Quality Care Solutions LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Uden, Gene | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Vanderheiden, James | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
·
Fire safety
26 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness8F
- F
Implement emergency and standby power systems.
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for volunteers.
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems7F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of portable space heaters.
Smoke3F
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
Egress3F
- D
Install emergency lighting that can last at least 1 1/2 hours.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Services1E
- E
Meet other general requirements that are deficient.
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Other homes nearby
-
Memorial Community Care
Aurora, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 18 min
- Fines
- $0
-
Legacy Square
Henderson, NE
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 59 min
- Fines
- $14,069
-
Adept Nursing & Rehab of Central City
Central City, NE · Avid Healthcare Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0