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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 Palm at Regency Square is a 38-bed skilled nursing facility in South Sioux City, Nebraska, providing skilled nursing, memory care, and rehabilitation. The building operates at full capacity with a 100% occupancy rate, serving a population primarily covered by Medicaid (71%), alongside private pay (18%) and Medicare (11%). Residents experience an average length of stay of 111 days in this highly walkable neighborhood property. Despite maximum utilization, financial reports highlight a challenging operating deficit of $231.5 thousand and a negative 8.3% profit margin.
Looking at recent state monitoring logs, the facility shows a clear positive shift in compliance despite running on lean staffing lines. A standard February 2025 licensing review came back completely clean with zero deficiencies, pointing to long-term operational turnarounds. This stands in contrast to a heavier older footprint of 77 citations over 16 years, a $34,000 regulatory fine in 2023, and a 2012 probation period for past accident prevention gaps.
Daily care hours are on the thin side, averaging 3 hours and 53 minutes per resident, which drops 11% below the Nebraska average due to lower certified nursing aide coverage. Long-stay clinical charts reveal high numbers for walking deterioration and general functional decline compared to state averages. Short-stay post-acute recovery metrics mirror these challenges, recording a 24% higher re-hospitalization rate and a discharge self-care success mark of just 28%, compared to the 54% state baseline.
Older adults comparing area nursing homes or short-term rehab options can use these state tracking files to see how the home performs. Since the official tracking shows maximum occupancy and excellent recent inspection scores alongside below-average nursing hours and tough recovery metrics, the data reflects a building making great regulatory strides but facing ongoing clinical workloads. Booking a personal tour is a great next step to check out the therapy departments, watch the staff on a daily shift, and ask the management team how they plan to address long-term physical preservation and short-term recovery outcomes.
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 72nd 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.
| 45m per day | ▲ 5% 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.
| 51m per day | ▲ 19% 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 7m per day | ▼ 23% 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 27m per day | ▼ 5% 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.
| 3m per day | ■ Avg 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.
| 40m per day | ▲ 38% State avg: 29m per day · National avg: 28m per day |
Higher than the Nebraska average: 70.3%The Palm at Regency Square is administrated by Administrator Matthew Gieselman.
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
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 77 | 52 | This facility has 48% more total deficiencies than a typical Nebraska nursing home (77 vs. NE avg 52).↑ 48% worse |
|
Deficiencies per year
Average deficiencies per year since 2010.
| 4.8 | 3.3 | This facility has 45% more deficiencies per year than a typical Nebraska nursing home (4.8 vs. NE avg 3.3).↑ 45% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on February 19, 2025, found The Palm at Regency Square met all statutory requirements for skilled nursing facility licensing with no deficiencies noted. Earlier inspections showed a mixed history with several citations primarily related to medication administration errors, fire and life safety code issues, and delays in submitting investigations. Complaint investigations over the years were mostly unsubstantiated, with no enforcement actions or fines listed in the available reports. Prior deficiencies included medication errors, fire safety violations, and documentation issues, but the facility was generally compliant with abuse protection and resident care requirements. The absence of deficiencies in the latest report suggests improvement in regulatory compliance over time.
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.
17 of 33 citations resulted from standard inspections; 8 of 33 resulted from complaint investigations; and 8 of 33 came from combined inspections (standard and complaint).
400% worse than Nebraska averageNebraska average: 0.2
100% better 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.
30% worse than Nebraska average
9% 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.
7 total: 6 full-time employees and 1 contractor.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursAssists with medical care and medications.
7 total: 4 full-time employees and 3 contractors.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
27 total: 21 full-time employees and 6 contractors.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,727 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 21 | 6 | 27 | 6,766 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 4 | 3 | 7 | 3,141 | 92 | 100% | 9.2 |
| Registered Nurse | 6 | 1 | 7 | 2,592 | 92 | 100% | 9.6 |
| Medication Aide/Technician | 3 | 2 | 5 | 1,833 | 91 | 99% | 8.1 |
| Dietitian | 1 | 0 | 1 | 518 | 61 | 66% | 8.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 509 | 64 | 70% | 8 |
| Physical Therapist | 1 | 0 | 1 | 460 | 57 | 62% | 8.1 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 387 | 65 | 71% | 5.7 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 380 | 65 | 71% | 5.2 |
| Speech Language Pathologist | 3 | 0 | 3 | 285 | 65 | 71% | 4.3 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 157 | 32 | 35% | 4.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 95 | 16 | 17% | 6 |
| Qualified Social Worker | 1 | 0 | 1 | 1 | 1 | 1% | 0.5 |
Includes penalties issued in 2023
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)
In line with 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
Nov 1, 2023 · $34K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 1, 2023Last 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.
17.6
56% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.9
37% 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
24.0%
16% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
46.0%
108% worse than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
In line with Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
49% worse than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
2.6%
39% better than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
3.1%
In line with Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
8.6%
58% worse than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
7.1%
59% worse than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
28.8%
45% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.7%
In line with Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.0%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.01
12% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.96
52% worse 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
71.6%
11% worse than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.8%
17% worse than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.9%
24% worse than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
24% worse 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.
27.9%
48% worse than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
37.0%
27% 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.
20% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
42% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
44Residents 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 The Palm at Regency Square 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 #116 / 120Payroll — State benchmarkedThis home is ranked 116th 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.
126.8 miles from city center
Estimated distance in miles from South Sioux City's city center to The Palm at Regency Square's address, calculated via Google Maps.
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The Palm at Regency Square is located in SOUTH SIOUX CITY, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The Palm at Regency Square has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NE state health department records, The Palm at Regency Square's license number is ALF438.
The Palm at Regency Square's occupancy is 100%.
Administrator Matthew Gieselman is the administrator of The Palm at Regency Square.
The Palm at Regency Square has 38 beds.
Yes — there are 6 photos of The Palm at Regency Square in the photo gallery on this page.
The Palm at Regency Square is located at 3501 DAKOTA AVENUE.
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