Occupancy rate
50%
In line with Nebraska averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Sandhills Care Center
Nursing Home in Nebraska
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Sandhills Care Center
Nursing Home in Nebraska
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Sandhills Care Center is a skilled nursing facility located in Ainsworth, NE. It offers compassionate, person-centered care and a variety of services tailored to the needs of the elderly community. The center is community-owned and provides a welcoming environment for residents and their families.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 96th out of 129 homes in Nebraska.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 96th out of 129 homes in Nebraska.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 40m per day
vs Nebraska avg
-16%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
46
Avg. Length of Stay
506 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
39% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
48% of new residents, often for short stays.
Typical stay
1 years
Medicaid
13% of new residents, often for long-term daily care.
Typical stay
4 years
Finances and operations
Governmental community
Operated by a subsidized facility district.
Home revenue
$3.2M
Surplus of revenue
$79.3K
Governmental community
Operated by a subsidized facility district.
Home revenue
$3.2M
Surplus of revenue
$79.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.1M
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Nebraska averageOccupied beds
23 / 46
Average residents
54 per day
Facility TypeNursing Home
CountyBrown
CMS Certification Number285298
Certification TypeCertification
CertificationsMedicare and Medicaid certifications
Sandhills Care Center is administrated by Penny Jacobs, Administrator.
Owner NameAINSWORTH BROWN COUNTY CARE
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Doctor on Staff
Skilled Nursing
Fax(402) 382-3536
Religious ServicesYes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
9 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
February 4, 2025
30 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
Inspection Report Summary for Sandhills Care Center
The most recent inspection-related document from February 4, 2025, confirmed that Sandhills Care Center is licensed and meets statutory requirements for occupancy with a capacity of 46 beds, with no deficiencies noted. Earlier inspections showed multiple deficiencies primarily related to resident care, including wound and fall prevention, infection control, and fire safety issues such as obstructed exit corridors and inadequate fire drill frequency. A complaint investigation in October 2018 substantiated a failure to implement fall prevention interventions for one resident, but other complaints were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows some recurring issues in care and safety, but the absence of deficiencies in the most recent licensing renewal suggests some improvement over time.
Health Inspection History
Inspections
Total health inspections
4
Nebraska average 4.3
Last Health inspection on Jun 2025
Total health citations
22
Nebraska average 18.2
Citations per inspection
5.5
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 22 citations resulted from standard inspections; 1 of 22 resulted from complaint investigations; and 3 of 22 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
0
0
100% better than Nebraska averageNebraska average: 0.5
0 critical citations
0 serious citations
21 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 17, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 17, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 17, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 17, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 17, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 17, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 17, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 17, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Filter by care type
| Accura HealthCare of Hartington |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Hartington (Precinct 9) | 67 | 63.6% | -10% | 4.13 | -7% | -7% | 0 | 7 | 2.3 | 0 | 31 | - | - | Klaasmeyer, Kenneth | $3.7M | $2.1M | 57.9% | 285088 | ||||
| Accura HealthCare of Tekamah |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Tekamah | 46 | 72.0% | +2% | 3.83 | +19% | -14% | 0 | 12 | 4.0 | 0 | 30 | - | - | Geis, Heather | $3.1M | $2.1M | 66.4% | 285118 | ||||
| Arbor Care Center-Valhaven, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Valley (Platte Valley Precinct) | 66 | 72.4% | +3% | 4.08 | -2% | -8% | 0 | 18 | 4.5 | 1 | 50 | A+ | - | - | $5.0M | $3.2M | 64% | 285117 | ||||
| Sandhills Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Ainsworth | 46 | 57.3% | -19% | 3.67 | +107% | -18% | 0 | 22 | 5.5 | 0 | 30 | - | - | Ainsworth Brown County Care Center | $3.0M | $2.0M | 66.8% | 285298 | ||||
| Arbor Care Centers – Ord, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Ord | 60 | 51.8% | -26% | 3.76 | +15% | -16% | 0 | 29 | 7.3 | 1 | 35 | - | - | Luth, Kurt | $2.9M | $1.5M | 52.9% | 285294 |
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Places of interest near Sandhills Care Center
0.0 miles from city center
Estimated distance in miles from AINSWORTH's city center to Sandhills Care Center's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
50
Employees
50
Contractors
0
Staff to resident ratio
1.72:1
20% worse than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
15
Average shift
9.1 hours
17% better than Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
12,370
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 29 | 0 | 29 | 7,164 | 91 | 100% | 9.3 |
| Licensed Practical Nurse | 6 | 0 | 6 | 1,297 | 83 | 91% | 9.5 |
| Registered Nurse | 10 | 0 | 10 | 1,137 | 85 | 93% | 8.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 874 | 72 | 79% | 8.5 |
| Administrator | 1 | 0 | 1 | 723 | 73 | 80% | 9.9 |
| Nurse Practitioner | 1 | 0 | 1 | 674 | 72 | 79% | 9.4 |
| Dental Services Staff | 1 | 0 | 1 | 501 | 60 | 66% | 8.3 |
29 Certified Nursing Assistant
% of Days
100%
6 Licensed Practical Nurse
% of Days
91%
10 Registered Nurse
% of Days
93%
2 Other Dietary Services Staff
% of Days
79%
1 Administrator
% of Days
80%
1 Nurse Practitioner
% of Days
79%
1 Dental Services Staff
% of Days
66%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
29
Medicare
1
3.4% of residents
Medicaid
13
44.8% of residents
Private pay or other
15
51.7% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.5
37% worse than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.5
31% worse than Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
38.1%
Percent of long-stay residents whose need for help with daily activities has increased
38.1%
83% worse than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.3%
Percent of long-stay residents whose ability to move independently worsened
27.3%
24% worse than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
In line with Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
42% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.6%
Percent of long-stay high risk residents with pressure ulcers
1.6%
63% better than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.7%
Percent of long-stay residents with a urinary tract infection
2.7%
13% better than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.7%
Percent of long-stay residents who lose too much weight
7.7%
41% worse than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
23.6%
Percent of long-stay residents who have depressive symptoms
23.6%
433% worse than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.6%
Percent of long-stay residents who received an antipsychotic medication
11.6%
42% better than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
In line with Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
65.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
65.4%
19% worse than Nebraska averageNebraska average: 80.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Sandhills Care Center based on CMS SNF Cost Reports.
Occupancy Rate
57.3%
↑ 7.2pp vs 2023
Net Income
$79.3K
↑ ~$206.9K vs 2023
Total Payroll
$2.3M
↑ ~$158.2K vs 2023
Profit Margin
2.6%
↑ 7.7pp vs 2023
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