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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.
Prestige Care Center of Nebraska City is a 64-bed skilled nursing and rehabilitation facility operated by private company Nebraska City Operations LLC at 1420 North 10th Street in Nebraska City, Nebraska, in Otoe County. The facility provides skilled nursing, memory care including a 22-bed Alzheimer’s care unit, rehabilitation, and respite services. Medicare, Medicaid, and private pay are welcome. Occupancy indicates current availability at 64 percent which is below Nebraska’s 70.3 percent average. 24-hour staffing exists.
CMS rates the facility 3 stars, with health inspection and quality measure sub-ratings slightly above Nebraska average. Staffing runs below average: nurse hours at 3h 41m per resident per day are 15 percent below the 4h 20m state average, ranking the facility 85th of 117 Nebraska SNFs. A September 2024 inspection resulted in a 90-day probation from the Nebraska Department of Health for failing to implement practitioner’s medications orders, lab testing, and resident weight monitoring. The facility’s most recent inspection activity through December 2025 includes multiple follow-up visits; individual deficiency counts from those inspections unavailable. The Alzheimer’s care unit serves up to 22 residents in a secured setting.
With a dementia unit and current availability across care levels, Prestige Care Center of Nebraska City suits residents seeking skilled nursing or memory care in Otoe County.
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 85th out of 117 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.
| Staff type | Hours / Day / Resident | 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.
| 21m per day | ▼ 51% 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.
| 24m per day | ▼ 44% 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 16m per day | ▼ 18% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 8m per day | ▼ 13% 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.
| 1m per day | ▼ 67% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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 |
Lower than the Nebraska average: 70.3%Prestige Care Center of Nebraska City is administrated by Administrator Stephanie Roridon.
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
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 131 | 52 | This facility has 152% more total deficiencies than a typical Nebraska nursing home (131 vs. NE avg 52).↑ 152% worse |
|
Deficiencies per year
Average deficiencies per year since 2010.
| 8.2 | 3.3 | This facility has 148% more deficiencies per year than a typical Nebraska nursing home (8.2 vs. NE avg 3.3).↑ 148% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on February 25, 2020, found no deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to fire and life safety code compliance, medication administration, resident care planning, and facility environment maintenance. Complaint investigations over the years were mostly unsubstantiated, with the facility generally found compliant in areas such as infection control, pain management, and resident safety, though some substantiated issues involved medication errors and safety equipment maintenance. Enforcement actions included probation periods in 2015 and 2016 for care and treatment violations, but no fines or license revocations are listed in the available reports. The facility’s record shows some improvement over time, with the most recent inspection free of deficiencies after prior mixed results.
Nebraska average 4.3
Last Health inspection on Sep 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.
23 of 33 citations resulted from standard inspections; 5 of 33 resulted from complaint investigations; and 5 of 33 came from combined inspections (standard and complaint).
100% better than Nebraska averageNebraska average: 0.2
700% worse than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
46% better than Nebraska average
12% better than Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
5 total: 2 full-time employees and 3 contractors.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hoursAssists with medical care and medications.
12 total: 4 full-time employees and 8 contractors.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
56 total: 21 full-time employees and 35 contractors.
56
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,671 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Medication Aide/Technician | 19 | 6 | 25 | 5,316 | 92 | 100% | 9.8 |
| Certified Nursing Assistant | 21 | 35 | 56 | 3,934 | 92 | 100% | 8.6 |
| Registered Nurse | 2 | 3 | 5 | 1,552 | 86 | 93% | 11.1 |
| Licensed Practical Nurse | 4 | 8 | 12 | 1,381 | 92 | 100% | 8.8 |
| Nurse Practitioner | 2 | 0 | 2 | 512 | 66 | 72% | 7.8 |
| Administrator | 3 | 1 | 4 | 492 | 59 | 64% | 7.9 |
| Dietitian | 1 | 0 | 1 | 350 | 45 | 49% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 200 | 24 | 26% | 8.3 |
| Speech Language Pathologist | 2 | 0 | 2 | 179 | 26 | 28% | 6.9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 169 | 40 | 43% | 4.1 |
| Medical Director | 0 | 1 | 1 | 108 | 27 | 29% | 4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 108 | 27 | 29% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 104 | 26 | 28% | 4 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 57 | 18 | 20% | 3.1 |
| Qualified Social Worker | 2 | 0 | 2 | 15 | 4 | 4% | 3.6 |
Includes penalties issued in 2024
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)
52% lower than Nebraska averageNebraska average: $33K
31% 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.
0
100% fewer 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
Sep 10, 2024 · $16K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 10, 2024Last updated: Jan 2026
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.
11.0
In line with Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
11% 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
20.2%
In line with Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
27.4%
24% worse than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.8%
11% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
86% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
2.0%
53% better than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
1.3%
58% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
4.6%
16% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
3.9%
13% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
28.5%
43% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
5% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with Nebraska averageNebraska average: 96.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.9%
15% 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.
23% of new residents, usually for short-term rehab.
12% of new residents, often for short stays.
64% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
40Residents 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.
Historical financial and operational data for Prestige Care Center of Nebraska City based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #107 / 120Payroll — State benchmarkedThis home is ranked 107th 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Nebraska City's city center to Prestige Care Center of Nebraska City's address, calculated via Google Maps.
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Prestige Care Center of Nebraska City is located in NEBRASKA CITY, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
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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).
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IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lincoln (Witherbee) | 208 | 81.7% | +16% | 5.76 | -20% | +29% | $13.0k | 18 | 4.5 | - | 170 | A+ | 59 | Tabitha, Inc. | $71.9M | $39.2M | 54.5% | 285057 | ||||
| Prestige Care Center of Nebraska City |
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. | Nebraska City | 64 | 64.1% | -9% | 3.68 | -56% | -17% | $15.6k | 33 | 6.6 | 4 | 41 | A | 83 | - | $5.2M | $1.9M | 35.7% | 285109 | ||||
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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. | Fremont (Laverna Street) | 43 | 100.0% | +42% | 3.95 | +25% | -11% | $0 | 8 | 2.7 | - | 43 | A+ | 36 | Russell Peterson | $7.3M | $2.2M | 29.5% | 285235 | ||||
| Emerald Columbus |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Columbus (40Th Avenue) | 145 | 56.6% | -20% | 3.78 | -37% | -15% | $0 | 20 | 3.3 | - | 82 | A+ | 57 | Columbus Operations LLC | $11.3M | $6.1M | 54% | 285092 | ||||
| Holmes Lake Rehabilitation & 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lincoln (Normal Boulevard) | 97 | 62.9% | -11% | 3.51 | -25% | -21% | $3.2k | 32 | 4.0 | - | 61 | A+ | 21 | Holmes Lake Operations LLC | $5.2M | $2.8M | 53.9% | 285164 |
The legal owner and operator of Prestige Care Center of Nebraska City is Nebraska City Operations Llc.
Prestige Care Center of Nebraska City has a walk score of 83. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Prestige Care Center of Nebraska City's occupancy is 64%.
Administrator Stephanie Roridon is the administrator of Prestige Care Center of Nebraska City.
Prestige Care Center of Nebraska City has 64 beds.
Yes — there are 2 photos of Prestige Care Center of Nebraska City in the photo gallery on this page.
Prestige Care Center of Nebraska City is located at 1420 North 10th Street.
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