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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
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.
This home is ranked 63rd out of 117 homes in Nebraska.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 33m per day | ▼ 23% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 16m per day | ▼ 63% State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 26m per day | ▼ 12% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 13m per day | ▼ 11% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 33% State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 19m per day | ▼ 34% State avg: 29m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
33% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
13% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #50 / 120Payroll — state benchmarkedThis home is ranked 50th out of 120 homes in Nebraska.Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Nebraska average: 70.3%Arbor Care Center-Valhaven, LLC is administrated by Administrator Todd Muckey.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 114 | 52 | This facility has 119% more total deficiencies than a typical Nebraska nursing home (114 vs. NE avg 52).↑ 119% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 7.6 | 3.5 | This facility has 117% more deficiencies per year than a typical Nebraska nursing home (7.6 vs. NE avg 3.5).↑ 117% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection report from March 19, 2025, related to licensure renewal, showed no deficiencies. Earlier inspections, including those from 2016 through 2022, documented various deficiencies primarily involving resident care issues such as pressure sore prevention, medication management, and infection control, as well as life safety code violations related to fire safety and environmental maintenance. Complaint investigations over the years found some substantiated issues, particularly around pressure ulcer care and fall prevention, but many complaints were unsubstantiated. There were enforcement actions including probation periods in 2014 and 2015 due to pressure sore management and fall prevention deficiencies, but no fines or license suspensions were listed in the available reports. The facility’s inspection history shows improvement over time, with recent renewal inspections free of deficiencies following earlier periods of cited issues.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Aug 2025
Nebraska average 18.2
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 18 citations resulted from standard inspections; and 1 of 18 resulted from complaint investigations.
100% better than Nebraska averageNebraska average: 0.2
1
100% worse than Nebraska averageNebraska average: 0.5
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 12, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 12, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 12, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 12, 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.
Arbor Care Center-Valhaven, LLC is located in VALLEY, Nebraska.
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0.0 miles from city center
Estimated distance in miles from Valley's city center to Arbor Care Center-Valhaven, LLC's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
30% better than Nebraska averageNebraska average ratio: 2.15:1
12% better than Nebraska averageNebraska average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.9 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Total hours from contractors
3,263 contractor hours this quarter
| Certified Nursing Assistant | 21 | 41 | 62 | 6,779 | 91 | 100% | 8.7 |
| Medication Aide/Technician | 19 | 20 | 39 | 5,656 | 91 | 100% | 9.3 |
| Registered Nurse | 8 | 6 | 14 | 1,715 | 91 | 100% | 9.6 |
| Licensed Practical Nurse | 4 | 12 | 16 | 1,397 | 82 | 90% | 10.9 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 469 | 62 | 68% | 7.6 |
| Dietitian | 1 | 0 | 1 | 461 | 61 | 67% | 7.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 371 | 58 | 64% | 6.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 359 | 62 | 68% | 5.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 337 | 74 | 81% | 4.6 |
| Nurse Practitioner | 2 | 0 | 2 | 82 | 12 | 13% | 6.8 |
| Qualified Social Worker | 0 | 2 | 2 | 62 | 20 | 22% | 3.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 56 | 7 | 8% | 7.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
| Physical Therapy Aide | 0 | 1 | 1 | 7 | 2 | 2% | 3.5 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
53Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
12% better than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.2
8% worse than Nebraska averageNebraska average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
20.6%
In line with Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
21.2%
In line with Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.7%
25% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
19% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
2.3%
47% better than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
1.9%
37% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
2.2%
59% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
2.0%
55% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
11.6%
42% better than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.0%
In line with Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
1.42
21% better than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.69
65% better than Nebraska averageNebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.1%
29% worse than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
28% worse than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.7%
22% better than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.5%
40% better than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.2%
12% better than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
37.5%
30% worse than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.0%
9% worse than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
100% lower than Nebraska averageNebraska average: $33K
100% fewer fines than Nebraska averageNebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
38% more payment denials than Nebraska averageNebraska average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 5, 2023 · 56 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 5, 2023Last updated: Jan 2026
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| 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) | 47 | 63.6% | -10% | 4.13 | -7% | -7% | 0 | 7 | 2.3 | - | 31 | - | 52 | Kenneth Klaasmeyer | $4.5M | $2.1M | 47.1% | 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 | - | 30 | - | 59 | Heather Geis | $3.1M | $2.1M | 66.3% | 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+ | 43 | - | $5.0M | $3.2M | 63.9% | 285117 | ||||
| Arbor Care Centers-Countryside 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. | Madison | 70 | 53.5% | -24% | - | +26% | - | 0 | 23 | 4.6 | 1 | 36 | - | 38 | Joseph Kezzar | $3.9M | $2.3M | 59.8% | 285207 | ||||
| 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 | - | 62 | Kurt Luth | $2.9M | $1.5M | 52.8% | 285294 |
Historical financial and operational data for Arbor Care Center-Valhaven, LLC based on CMS SNF Cost Reports.
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Arbor Care Center-Valhaven, LLC is in the Platte Valley Precinct neighborhood of VALLEY.
Arbor Care Center-Valhaven, LLC has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Arbor Care Center-Valhaven, LLC's occupancy is 65%.
Administrator Todd Muckey is the administrator of Arbor Care Center-Valhaven, LLC.
Arbor Care Center-Valhaven, LLC has 66 beds.
Yes — there are 7 photos of Arbor Care Center-Valhaven, LLC in the photo gallery on this page.
Arbor Care Center-Valhaven, LLC is located at 300 West Meigs Street.
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