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Nursing Home in Nebraska

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.

Wauneta Care and Therapy Center

Nursing Home in Nebraska

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.

Wauneta Care and Therapy Center

427 Legion Street, WAUNETA, NE 69045 View map
Overview of Wauneta Care and Therapy Center
Wauneta Care and Therapy Center is a long-term care facility that provides a range of services including nursing care, therapy, and adult day care. The center offers a homelike setting with a focus on individualized care and a variety of amenities. It is Medicare and Medicaid certified and has been serving the community since 1970.
(308) 394-5738

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.
1/5
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.
2/5
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.
1/5
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.
2/5
Nebraska average: 2.7/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 36

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Nebraska average
Occupancy rate 77.8%
Residents per day (avg) 31
Occupancy rate
77.8%
Residents per day (avg)
31

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

38% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

31% of new residents, often for short stays.

Typical stay 2 - 3 years

Medicaid

31% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Finances and operations

Governmental community
Operated by a subsidized facility district.
Home revenue
$3.3M
Operating deficit
-$321.9K
Governmental community Operated by a subsidized facility district.
Home revenue
$3,267,876.00
Operating deficit
$-321,914.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.8M
56.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.8M
Total costs $3.6M
Bed community size
36-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy

Occupancy rate
78%
In line with Nebraska average
Occupied beds
28 / 36
Average residents 54 per day

License Details

Facility TypeNursing Home
CountyCHASE

Additional Licensing Details

CMS Certification Number285220
Certification TypeCertification

Ownership & Operating Entity

Wauneta Care and Therapy Center is administrated by RANAE RICHARDSON, Administrator.

Owner NameVILLAGE OF WAUNETA

Safety & Compliance

Emergency Systems24-hour security and fire safety systems

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax(308) 394-5733

Additional Policies & Features

Pets Allowed
HousekeepingYes
Linen ServiceYes

Amenities & Lifestyle

22 amenities
24-Hour Security And Fire Safety Systems
Beauty Salon And Barber Shop
Bedside And Bathroom Call Lights
Certified Dietitian
Wireless Internet
Daily Activity Schedule
Family/Resident Councils
Fine Dining Program
Flexible Visiting Hours
Full-Time
Certified Activity Director
Homelike Setting
Housekeeping And Laundry Services
Landscaped Grounds And Courtyards
Non-Smoking Facility
Pet Visitors Allowed
Private And Semiprivate Rooms
Private Bathrooms
Religious Services
Patient/Family Education Program
Telephone And Cable Television Hookups
Transportation Services
Specific ProgramsLong Term Care, Short Term Care, Adult Day Care, Inpatient and Outpatient Therapy
Religious ServicesYes

Pricing & Financial Information

Dining & Nutrition

Food DescriptionThree delicious meals each day with a choice of entrée and snacks available throughout the day.
Meals IncludedYes
Meals Per Day3
Contact Wauneta Care and Therapy Center

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 Long-term care insurance

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.

13 visits/inspections

2 visits/inspections triggered by complaints

1 routine inspections

Results

8 with issues

5 without issues

Latest inspection

Date March 13, 2025
Renewal

87 deficiencies

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

Nebraska average: 52 deficiencies

Health Inspection History

Inspections
Total health inspections 4

Nebraska average 4.3


Last Health inspection on May 2025

Total health citations 14

Nebraska average 18.2

Citations per inspection
3.5

Nebraska average 4.19


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

12 of 14 citations resulted from standard inspections; 1 of 14 resulted from complaint investigations; and 1 of 14 came from combined inspections (standard and complaint).

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

Nebraska average: 0.2


Serious Health citations More info 1
100% worse than Nebraska average

Nebraska average: 0.5

0 critical citations More info Nebraska average: 0.2

1 serious citation More info Nebraska average: 0.5

13 moderate citations More info Nebraska average: 17.2

0 minor citations More info Nebraska average: 0.2
Citations history (last 3 years)
Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. May 13, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. May 13, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. May 13, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. May 13, 2025
Corrected

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

5 facilities compared · CMS & NE Dept. of Health data · Updated Apr 2026

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
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
66
72.4%
+3%
4.08
-2%
-8%
0
18
4.5
1
50
A+
-
$5.0M
$3.2M
64%
285117
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
Wauneta Care and Therapy 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.

WAUNETA
36
89.6%
+27%
-
-39%
-
0
14
3.5
1
31
-
Village Of Wauneta
$3.1M
$1.8M
59.2%
285220

Places of interest near Wauneta Care and Therapy Center

Address 0.0 miles from city center

Address 427 Legion Street, WAUNETA, NE 69045

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Address

Staffing Data (Q2 2025)

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

Total staff 68
Employees 42
Contractors 26
Staff to resident ratio 2.27:1
5% better than Nebraska average

Nebraska average ratio: 2.15:1

Avg staff/day 19
Average shift 7.4 hours
5% worse than Nebraska average

Nebraska average: 7.8 hours

Total staff hours (quarter) 12,785
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. 7.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

8.2%

1,051 contractor hours this quarter

Certified Nursing Assistant: 11 Licensed Practical Nurse: 6 Physical Therapy Assistant: 3 Speech Language Pathologist: 2 Registered Nurse: 1 Respiratory Therapy Technician: 1 Occupational Therapy Assistant: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant2111325,38391100%8.2
Medication Aide/Technician8082,86591100%8.2
Registered Nurse3141,2658998%7.7
Licensed Practical Nurse56119727582%8.1
Occupational Therapy Aide1014426268%7.1
Nurse Practitioner1014246167%6.9
Mental Health Service Worker1014126167%6.8
Administrator1013235257%6.2
Dietitian1013004549%6.7
Speech Language Pathologist0221644044%4.1
Physical Therapy Assistant0331264651%2.7
Respiratory Therapy Technician011722022%3.6
Occupational Therapy Assistant011351011%3.5
Medical Director011211%2
32 Certified Nursing Assistant
% of Days 100%
8 Medication Aide/Technician
% of Days 100%
4 Registered Nurse
% of Days 98%
11 Licensed Practical Nurse
% of Days 82%
1 Occupational Therapy Aide
% of Days 68%
1 Nurse Practitioner
% of Days 67%
1 Mental Health Service Worker
% of Days 67%
1 Administrator
% of Days 57%
1 Dietitian
% of Days 49%
2 Speech Language Pathologist
% of Days 44%
3 Physical Therapy Assistant
% of Days 51%
1 Respiratory Therapy Technician
% of Days 22%
1 Occupational Therapy Assistant
% of Days 11%
1 Medical Director
% of Days 1%

Facility Characteristics

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

Total census
30 residents
Residents by payment source
Medicaid
15 residents (50%)
Private pay or other
15 residents (50%)
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.

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. 12.9
14% worse 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. 27.7
19% worse 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 24.8%
19% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 23.0%
In line with 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 35.2%
31% 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 6.4%
41% 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 3.8%
12% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.1%
33% worse than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.6%
21% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.7%
62% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.6%
22% 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 97.1%
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 89.7%
11% better than Nebraska average

Nebraska average: 80.7%

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 (Data as of Jan 2026)

Total fines amount $0
100% lower than Nebraska average

Nebraska average: $33K

Number of fines 0
100% fewer fines than Nebraska average

Nebraska average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
38% more payment denials than Nebraska average

Nebraska average: 0.7

Fines amount comparison
Fines amount comparison
This facility $0
Nebraska average $33K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. May 16, 2024
15 days

Last updated: Jan 2026

Guides for Better Senior Living

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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.