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Assisted Living Home

Heritage Crossings

Assisted Living Home

Heritage Crossings

501 NORTH 13TH STREET, GENEVA, NE 68361 View map
Overview of Heritage Crossings
Heritage Crossings is a senior living community in Geneva, Nebraska. It offers skilled nursing care, assisted living, and adult day care services. The facility is licensed for 68 nursing home residents and 24 assisted living residents.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5
Nebraska average: 2.8/5
Health Inspection Info 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.
5/5
Nebraska average: 2.8/5
Staffing Info 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.
4/5
Nebraska average: 3.1/5
Quality Measures Info 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.
3/5
Nebraska average: 2.8/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 28m per day

This home provides 4% more nursing time per resident than the Nebraska average.

Nebraska average: 4h 19m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 30

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in Nebraska
Occupancy rate 193.3%
Residents per day 58
Occupancy rate
193.3%
Residents per day
58

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

39% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

20% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Voluntary non-profit community
Home revenue
$7.0M
Operating deficit
-$529.0K
Voluntary non-profit community
Home revenue
$7,000,988.00
Operating deficit
$-528,953.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
34.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.1M
Total costs $7.5M
Bed community size
30-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy

Occupancy rate
193%
In line with Nebraska average
Occupied beds
58 / 30
Average residents 54 per day

License details

Facility type
Assisted Living Facilities
Status Active
County: FILLMORE

Additional licensing details

License number: ALF234
CMS Certification Number: 285230
Accreditations: Medicaid and Medicare certified

Ownership & operating entity

Heritage Crossings is administrated by SHERRI DUE, ADMINISTRATOR.

Owner name: VSL GENEVA, LLC

Safety & Compliance

Safety Features: Safe environment

Care Services

Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing

Contact Information

Fax: (402) 759-3140

Amenities & Lifestyle

Spacious private and companion rooms
deluxe private rooms
occupational
physical
speech therapies
pastoral services
all faith chapel
delicious meals
snacks
open dining times
regularly scheduled physician visits
transportation
wireless technology in common areas
beauty and barber shop
outdoor walking paths

Programs & Activities

Activities
Activities are scheduled seven days a week and also in the evenings.
Specific Programs
Independent Living, Assisted Living, Short-Term Rehab, Skilled Nursing, Adult Day Care Services, Therapies, Hospice
Religious Services
Yes

Dining & Nutrition

Food Description
Delicious meals, snacks and open dining times.
Contact Heritage Crossings

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.

Payment & Funding Options

Medicaid Medicare

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.

17 visits/inspections

5 visits/inspections triggered by complaints

1 routine inspections

2 life safety inspections

Results

11 with issues

6 without issues

Latest inspection

Date:March 23, 2023
Type:Renewal

61 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Health Inspection History

Inspections
Total health inspections 3

State average 4.3


Last Health inspection on Jun 2025

Total health citations 5

State average 18.2

Citations per inspection
1.67

State average 4.19


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

4 of 5 citations resulted from standard inspections; and 1 of 5 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than State average

State average: 0.2


Serious Health citations More info 0
100% better than State average

State average: 0.5

0 critical citations More info State average: 0.2

0 serious citations More info State average: 0.5

5 moderate citations More info State average: 17.2

0 minor citations More info State average: 0.2
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jun 16, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Dec 12, 2023
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Oct 27, 2022
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 27, 2022
Corrected

Compare Assisted Living around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

Cedarhurst of La Vista
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.

LA VISTA
156
No
-
Heritage Crossings
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.

GENEVA
68
No
-
Bailey Pointe Assisted Living at Plattsmouth
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.

Plattsmouth
45
Yes
43
Beaver City Manor
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.

Beaver City
30
No
35
Carl T Curtis Health Education Center Nursing Home
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.

Macy
-
No
12

Places of interest near Heritage Crossings

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Address 501 NORTH 13TH STREET, GENEVA, NE 68361

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 68
Employees 58
Contractors 10
Staff to resident ratio 1.51:1
30% worse than Nebraska average

Nebraska average ratio: 2.15:1

Avg staff/day 26
Average shift 7.3 hours
6% worse than Nebraska average

Nebraska average: 7.8 hours

Total staff hours (quarter) 17,284
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

5.7%

980 contractor hours this quarter

Physical Therapy Aide: 3 Respiratory Therapy Technician: 3 Qualified Social Worker: 2 Speech Language Pathologist: 1 Physical Therapy Assistant: 1
Staff by category
Medication Aide/Technician170174,99891100%7.6
Certified Nursing Assistant200204,76691100%7.4
Licensed Practical Nurse5051,4408998%9.6
Registered Nurse4041,1248492%8.2
Clinical Nurse Specialist2021,0267178%8.6
Other Dietary Services Staff6061,0117987%6.7
Administrator1015206571%8
Nurse Practitioner1015206571%8
Dental Services Staff1014605662%8.2
RN Director of Nursing1014385055%8.8
Physical Therapy Aide0333456369%5.3
Speech Language Pathologist0112595965%4.4
Physical Therapy Assistant0112465763%4.3
Respiratory Therapy Technician033772527%3.1
Qualified Social Worker022532527%2.1
17 Medication Aide/Technician
% of Days 100%
20 Certified Nursing Assistant
% of Days 100%
5 Licensed Practical Nurse
% of Days 98%
4 Registered Nurse
% of Days 92%
2 Clinical Nurse Specialist
% of Days 78%
6 Other Dietary Services Staff
% of Days 87%
1 Administrator
% of Days 71%
1 Nurse Practitioner
% of Days 71%
1 Dental Services Staff
% of Days 62%
1 RN Director of Nursing
% of Days 55%
3 Physical Therapy Aide
% of Days 69%
1 Speech Language Pathologist
% of Days 65%
1 Physical Therapy Assistant
% of Days 63%
3 Respiratory Therapy Technician
% of Days 27%
2 Qualified Social Worker
% of Days 27%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
45 residents
Residents by payment source
Medicaid
16 residents (35.6%)
Private pay or other
29 residents (64.4%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.1
19% better than Nebraska average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.1
14% better than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 17.1%
18% better than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.3%
35% better than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.9%
7% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.6%
41% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.5%
98% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.1%
43% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.8%
37% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 4.7%
76% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
In line with Nebraska average

Nebraska average: 96.1%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
24% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
30% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
27% better than Nebraska average

Nebraska average: 75.9%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Nebraska Seniors

Get financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled, Nebraska resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$4,000 (individual, higher than most states).

Higher asset limit; rural access focus.

Nebraska Respite Network

NE Respite Network

Caregiver of someone 60+, Nebraska resident.

No strict limit; prioritizes low-income.

Not applicable.

Lifespan respite focus; limited funding.

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus), Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).

~$1,255/month (100% FPL, individual); spenddown allowed.

$4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).

Family can be paid caregivers; statewide via DHHS.

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+, Nebraska resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$4,000 (individual), $6,000 (couple).

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled, Nebraska resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Senior Community Service Employment Program (SCSEP)

Nebraska SCSEP

Age 55+, unemployed, low-income, Nebraska resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Nebraska resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

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