Highland Park Care Center
Nursing Home, Adult Day Care, Memory Care, Respite Care & Skilled Nursing · Alliance, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Highland Park Care Center

Nursing Home, Adult Day Care, Memory Care, Respite Care & Skilled Nursing · Alliance, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Highland Park Care Center accepts Medicare, Medicaid, and private pay.

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.

Since 2011 · 15 years of data 87 deficiencies 21 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2011 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (67% above)
• Deficiencies per inspection (2% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 8752 This facility has 67% more total deficiencies than a typical Nebraska nursing home (87 vs. NE avg 52).↑ 67% worse
Deficiencies per inspection Info Average deficiencies per inspection. 4.14 This facility has 2% more deficiencies per inspection than a typical Nebraska nursing home (4.1 vs. NE avg 4).↑ 2% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNE Averagevs. NE Avg
Total inspections Info Combined count of all inspections conducted at this facility. 2113 This facility has had 62% more total inspections than the Nebraska average (21 vs. NE avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 62% more

Health Inspection History

Inspections since 2023
Total health inspections 3

State average 4.3


Last Health inspection on Aug 2025

Total health citations
9 Rank #25 / 123Health citations — State benchmarkedThis home is ranked 25th out of 123 homes in Nebraska for health citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 123 NE facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 18.2

Citations per inspection
3 Rank #26 / 123Citations per inspection — State benchmarkedThis home is ranked 26th out of 123 homes in Nebraska for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 123 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.19


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

All 9 citations resulted from standard inspections.

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

State average: 0.2


Serious health citations
0
100% better than State average

State average: 0.5

0 critical citations State average: 0.2

0 serious citations State average: 0.5

9 moderate citations State average: 17.2

0 minor citations State average: 0.2
Citations history (last 3 years)
Abuse/Neglect moderate citation Aug 06, 2025
Corrected

Infection Control moderate citation Aug 21, 2024
Corrected

Pharmacy moderate citation Aug 21, 2024
Corrected

Pharmacy moderate citation Aug 21, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 82
Employees 73
Contractors 9
Staff to resident ratio 1.58 : 1
22% fewer staff per resident than Nebraska average
Nebraska average ratio: 2.03 : 1 Nebraska average ratio: 2.03 : 1See full Nebraska ranking
Avg staff/day 35
Average shift 7.4 hours
5% worse than Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 23,882

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 9 LPN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 35 CNA Staff are full-time employees. No contractors work on this role. 35
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

3.7%

873 contractor hours this quarter

Speech Language Pathologist: 3 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3503511,50592100%7.5
Medication Aide/Technician120123,46792100%7.4
Licensed Practical Nurse9092,50492100%8
Registered Nurse8081,7489199%7.5
Other Dietary Services Staff3031,0809199%8
RN Director of Nursing2028786470%8.3
Administrator1015286672%8
Physical Therapy Assistant0225036267%7.9
Nurse Practitioner1015026368%8
Dental Services Staff1014605358%8.7
Clinical Nurse Specialist1013375054%6.7
Speech Language Pathologist0333004145%7.3
Respiratory Therapy Technician022354043%0.9
Qualified Social Worker011281617%1.7
Medical Director01172628%0.3
35 Certified Nursing Assistant
% of Days 100%
12 Medication Aide/Technician
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 99%
3 Other Dietary Services Staff
% of Days 99%
2 RN Director of Nursing
% of Days 70%
1 Administrator
% of Days 72%
2 Physical Therapy Assistant
% of Days 67%
1 Nurse Practitioner
% of Days 68%
1 Dental Services Staff
% of Days 58%
1 Clinical Nurse Specialist
% of Days 54%
3 Speech Language Pathologist
% of Days 45%
2 Respiratory Therapy Technician
% of Days 43%
1 Qualified Social Worker
% of Days 17%
1 Medical Director
% of Days 28%

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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. 9.0
21% 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. 20.4
13% better than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Significantly above average Nebraska avg: 2.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 13.6%
35% better than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.6%
12% 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 27.9%
In line with Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 7.3%
62% worse than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.1%
74% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.0%
35% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.4%
38% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.2%
54% 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 100.0%
In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.71
61% better than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.73
40% worse than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Average Nebraska avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.7%
19% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 91.7%
21% better than Nebraska average

Nebraska average: 75.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 47.5%
12% worse than Nebraska average

Nebraska average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 37.1%
27% worse than Nebraska average

Nebraska average: 50.6%

Breakdown by payment type

Medicare

55% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

21% of new residents, often for short stays.

Typical stay 11 - 12 months

Medicaid

25% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Facility Characteristics

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

Total residents 52
Medicare
2
3.8% of residents
Medicaid
25
48.1% of residents
Private pay or other
25
48.1% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$30.1K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.4M Rank #48 / 114Net patient revenue — State benchmarkedThis home is ranked 48th out of 114 homes in Nebraska. Shows this facility's net patient revenue compared to the Nebraska average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$30.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$10.0K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #37 / 114Payroll costs — State benchmarkedThis home is ranked 37th out of 114 homes in Nebraska. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Nebraska average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.
$4.5M 70.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #27 / 114Payroll % of net patient revenue — State benchmarkedThis home is ranked 27th out of 114 homes in Nebraska. Shows payroll as a percentage of net patient revenue versus the Nebraska average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.4M

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.

Most new residents arrive under Medicare (55% of admissions), and a typical Medicare stay runs around 29 days.

Admissions
130 total

Coverage residents most often arrive under.

Medicare 55%
Private pay 21%
Medicaid 25%
Discharges
139 total

Coverage residents most often leave under.

Medicare 16%
Private pay 45%
Medicaid 40%

Places of interest near Highland Park Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Alliance's city center to Highland Park Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Highland Park Care Center

Add your location

Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

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----285296

Frequently Asked Questions about Highland Park Care Center

Who is the owner of Highland Park Care Center?

Highland Park Care Center is legally operated by Vsl Alliance, LLC, and administered by Administrator Alice Smith.

Is Highland Park Care Center in a walkable area?

Highland Park Care Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Highland Park Care Center?

Highland Park Care Center's occupancy is 88%.

Are pets allowed at Highland Park Care Center?

No, Highland Park Care Center has a no-pet policy.

Does Highland Park Care Center operate as a for-profit or non-profit?

Highland Park Care Center is registered as a non-profit in NE.

Who is the administrator of Highland Park Care Center?

Administrator Alice Smith is the administrator of Highland Park Care Center.

How many beds does Highland Park Care Center have?

Highland Park Care Center has 60 beds.

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