The Oaks at Central City

CMS overall rating

2720 South 17Th Avenue, Central City, NE 68826 View map

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The Oaks at Central City accepts Medicare, Medicaid, and private pay.

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The Oaks at Central City accepts Medicare, Medicaid, and private pay.

Overview of The Oaks at Central City

The Oaks at Central City is a privately owned, 64-bed facility that focuses on long-term rehabilitation, mental health services, and secured memory care. Catering mostly to extended-stay residents, the home records an average length of stay of 282 days. The property sees steady local use, maintaining a 92% occupancy rate that sits well above the state average. On the financial side, operational spending trends lean, with payroll accounting for just 43.8% of incoming revenue, which typically indicates a heavy reliance on temporary contract staffing.

A review of state regulatory logs reveals a major turnaround in inspection compliance following a recent change in ownership, even as daily hands-on nursing hours remain thin. Total daily care times average 3 hours and 15 minutes per resident, with registered nurse availability running about 49% below standard Nebraska baselines. The facility cleared its August 2023 state licensing survey with zero deficiencies to mark the management transition, and subsequent evaluations through 2025 have logged zero critical safety violations.

The staff did have to fix 19 moderate, localized issues during this period, mostly tied to resident rights and care plan paperwork, which is an improvement from older historical files that repeatedly flagged building maintenance, fire safety, and infection control. Clinical charts show mixed results; permanent residents have low infection rates and excellent skin integrity, but recorded depression scores are high, and short-term post-acute recovery metrics lag behind state benchmarks.

Families weighing local nursing homes or specialized memory care options can check these public health summaries to assess the building’s current track record. Since the official records show excellent local occupancy and a clear drop in serious safety violations under the new management team alongside below-average nursing hours and rehab discharge scores, the data points to a facility in the middle of an operational transition.

Facility Direct Line (308) 946-3088

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 15m per day

vs avg

6 of 6 metrics below state avg

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	▼ 50% 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.	39m per day	▼ 8% 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	▼ 24% 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 2m per day	▼ 16% 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.	0m per day	▼ 100% 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.	18m per day	▼ 37% State avg: 29m per day · National avg: 28m per day

Capacity and availability

282 days

64-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 67 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

92%

Higher than the Nebraska average: 70.3%

Occupied beds

59 / 64

Average occupied beds in Nebraska homes 54 beds

Facility TypeNursing Home

CountyMerrick

CMS Certification Number285147

Certification TypeCertification

The Oaks at Central City is administered by Administrator Sylvia Mileg.

Owner NameThe Oaks At Central City LLC

Rehabilitation Services

Mental Health Unit

Fax(308) 946-2068

Pets not allowed

Since 2012 · 14 years of data 45 deficiencies

Inspection Scorecard 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 2012 vs. Nebraska state average

Overall vs. NE average

Latest Inspection August 2, 2023

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NE Average	vs. NE Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	45	52	This facility has 13% fewer total deficiencies than a typical Nebraska assisted living residence (45 vs. NE avg 52).↓ 13% better
Deficiencies per year Average deficiencies per year since 2012.	3.2	3.7	This facility has 14% fewer deficiencies per year than a typical Nebraska assisted living residence (3.2 vs. NE avg 3.7).↓ 14% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on August 2, 2023, issued a new license with no deficiencies or complaints reported.
The April 10, 2018, annual inspection found eight deficiencies including pest control failures, damaged walls, fire safety system issues, and emergency generator inspection lapses.
A March 20, 2018, complaint investigation substantiated failure to complete neurological assessments after resident falls, while other allegations about change in condition and self-harm prevention were cleared.

Show Inspection Reports

Inspections since 2023

Total health inspections 5

State average N/A

Last Health inspection on Jul 2025

Total health citations

State average N/A

Citations per inspection

3.8

State average N/A

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

12 of 19 citations resulted from standard inspections; 6 of 19 resulted from complaint investigations; and 1 of 19 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

19 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Nursing Services moderate citation Jul 31, 2025

Corrected

Nutrition moderate citation Jul 31, 2025

Corrected

Quality of Care moderate citation Jul 31, 2025

Corrected

Quality of Care moderate citation Jul 31, 2025

Corrected

Total staff 80

Employees 65

Contractors 15

Staff to resident ratio 1.38 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 27

Average shift 8.4 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 20,753

Nursing staff breakdown

9.2 hours

10.4 hours

7.6 hours

Contractor staffing

2,585 contractor hours this quarter

Certified Nursing Assistant: 4 Licensed Practical Nurse: 2 Speech Language Pathologist: 2 Clinical Nurse Specialist: 2 Medication Aide/Technician: 1 Registered Nurse: 1 Physical Therapy Assistant: 1 Qualified Social Worker: 1 Respiratory Therapist: 1

Staff by category


Medication Aide/Technician	17	1	18	6,270	92	100%	8.7
Certified Nursing Assistant	18	4	22	5,265	92	100%	7.6
Licensed Practical Nurse	6	2	8	3,056	92	100%	10.4
Registered Nurse	5	1	6	1,418	92	100%	9.2
Other Dietary Services Staff	7	0	7	1,344	87	95%	6.5
Dietitian	1	0	1	560	65	71%	8.6
RN Director of Nursing	2	0	2	524	59	64%	7.9
Administrator	1	0	1	512	64	70%	8
Physical Therapist	1	0	1	485	61	66%	7.9
Mental Health Service Worker	1	0	1	401	49	53%	8.2
Nurse Practitioner	1	0	1	344	43	47%	8
Speech Language Pathologist	1	2	3	198	40	43%	4.9
Clinical Nurse Specialist	0	2	2	192	24	26%	8
Physical Therapy Assistant	3	1	4	113	24	26%	4.7
Respiratory Therapist	1	1	2	49	9	10%	4.9
Qualified Social Worker	0	1	1	21	12	13%	1.8

18 Medication Aide/Technician

% of Days 100%

22 Certified Nursing Assistant

% of Days 100%

8 Licensed Practical Nurse

% of Days 100%

6 Registered Nurse

% of Days 100%

7 Other Dietary Services Staff

% of Days 95%

1 Dietitian

% of Days 71%

2 RN Director of Nursing

% of Days 64%

1 Administrator

% of Days 70%

1 Physical Therapist

% of Days 66%

1 Mental Health Service Worker

% of Days 53%

1 Nurse Practitioner

% of Days 47%

3 Speech Language Pathologist

% of Days 43%

2 Clinical Nurse Specialist

% of Days 26%

4 Physical Therapy Assistant

% of Days 26%

2 Respiratory Therapist

% of Days 10%

1 Qualified Social Worker

% of Days 13%

View All Staffing Data

No penalties in the past 3 years

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

High-risk clinical events score 9.0

20% better than State average

State average: 11.3

Functional decline score 20.6

12% better than State average

State average: 23.3

Long-stay resident measures

Average State avg: 2.8

Need for Help with Daily Activities Increased 15.9%

24% better than State average

State average: 20.8%

Walking Ability Worsened 18.7%

16% better than State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 27.2%

In line with State average

State average: 26.9%

Falls with Major Injury 2.9%

36% better than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers 1.8%

57% better than State average

State average: 4.3%

Urinary Tract Infection 0.4%

86% better than State average

State average: 3.1%

Lost Too Much Weight 5.7%

5% worse than State average

State average: 5.4%

Depressive Symptoms 23.7%

434% worse than State average

State average: 4.4%

Antipsychotic Use 56.7%

186% worse than State average

State average: 19.8%

Pneumococcal Vaccine 98.4%

6% better than State average

State average: 93.2%

Influenza Vaccine 93.7%

In line with State average

State average: 96.1%

Hospitalizations per 1,000 days 2.47

37% worse than State average

State average: 1.80

ED visits per 1,000 days 2.15

10% worse than State average

State average: 1.95

Short-stay resident measures

Significantly below average State avg: 2.2

Pneumococcal Vaccine 56.7%

30% worse than State average

State average: 80.7%

Re-hospitalized after SNF stay 24.1%

15% worse than State average

State average: 20.9%

Emergency department visits 8.7%

25% better than State average

State average: 11.6%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 35.0%

35% worse than State average

State average: 53.7%

Breakdown by payment type

Medicare

28% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

23% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

49% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 58

Medicare

3.4% of residents

Medicaid

84.5% of residents

Private pay or other

12.1% of residents

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.

Financial Trends

Historical financial and operational data for The Oaks at Central City from 2011–2022, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 08/2022 — the home's most recent complete cost report, an older period than most facilities report.

Occupancy Rate 95.1% ↓ 2.2pp vs 2021

Net Patient Income -$609.9K ↓ ~$37.4K vs 2021

Payroll Costs $2.7M ↑ ~$389.4K vs 2021

Operating Margin -10.2% ↓ 0.4pp vs 2021

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2020	2021	2022
Occupancy %	87.8%	88.8%	87.3%	88.5%	89.9%	89.0%	88.1%	88.4%	94.6%	97.3%	95.1%
Beds	68	68	68	68	68	68	68	68	63	63	63
Net Income	$5,684	$154,521	$33,889	-$32,693	$109,989	-$74,732	-$347,296	-$514,096	$5,628	$442,358	$10,240
Gross Revenue	$3,441,186	$3,933,657	$4,272,786	$4,428,858	$4,491,111	$4,743,528	$5,083,525	$5,179,056	$5,050,459	$5,955,608	$6,126,719
Operating Expenses	$2,971,800	$3,056,474	$3,243,983	$3,239,709	$3,256,568	$3,417,988	$3,642,551	$3,561,538	$5,364,124	$6,385,782	$6,588,187
Net Patient Income	-$224	$151,484	$28,576	-$37,393	$89,739	-$83,930	-$354,758	-$516,246	-$503,389	-$572,478	-$609,863
Net Patient Revenue	$2,971,576	$3,207,958	$3,272,559	$3,202,316	$3,346,307	$3,334,058	$3,287,793	$3,045,292	$4,860,735	$5,813,304	$5,978,324
Payroll Costs	$1,815,956	$1,801,578	$1,835,988	$1,816,731	$1,751,131	$1,882,818	$1,795,673	$1,969,766	$2,185,216	$2,295,987	$2,685,422
Operating Margin %	0.0%	4.7%	0.9%	-1.2%	2.7%	-2.5%	-10.8%	-17.0%	-10.4%	-9.9%	-10.2%
Medicare %	7.2%	6.4%	7.1%	6.2%	6.6%	6.9%	6.9%	5.1%	6.7%	4.9%	4.7%
Medicaid %	71.4%	76.2%	72.5%	78.0%	72.4%	75.1%	80.4%	87.4%	83.5%	88.1%	85.0%
Private %	21.4%	17.4%	20.4%	15.8%	20.9%	18.0%	12.6%	7.5%	9.8%	7.0%	10.3%
Net Patient Revenue/Day	$136	$145	$151	$146	$150	$150	$150	$139	$223	$260	$273
Cost/Day	$136	$138	$150	$147	$146	$154	$167	$162	$246	$286	$301
Avg Length of Stay	180.1 days	179.7 days	210.3 days	236.3 days	531.3 days	357.3 days	257.3 days	327.5 days	276.1 days	366.7 days	287.6 days

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 08/2022. This is an older period than most facilities report, so compare with that in mind.

Net patient revenue

$6.0M

Net patient income

-$609.9K

For-profit Operated by a single business entity.

Net patient revenue

$6.0M

Net patient income

-$609.9K

Payroll costs

$2.7M 44.9% of net patient revenue

Other operating costs

$3.9M

Total costs

$6.6M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (49% of admissions), and a typical Medicaid stay runs around 1 - 2 years.

Coverage residents most often arrive under.

Medicare 28%

Private pay 23%

Medicaid 49%

Coverage residents most often leave under.

Medicare 11%

Private pay 28%

Medicaid 61%

0.0 miles from city center Estimated distance in miles from Central City's city center to The Oaks at Central City's address, calculated via Google Maps.

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


Brookestone Village	NH SNF	Omaha (Millard)	-	140	-	58	-
Brookestone of Papillion	NH SNF	Papillion	-	110	-	35	-
Southlake Village Rehabilitation & Care Center	NH SNF	Lincoln	-	126	-	15	-
Brookestone Acres	NH SNF	Columbus	-	80	-	70	-
The Oaks at Central City	NH	Central City	-	64	-	67	-

Nursing Home Explorer

Is The Oaks at Central City in a walkable area?

The Oaks at Central City has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at The Oaks at Central City?

The Oaks at Central City's occupancy is 92%.

Are pets allowed at The Oaks at Central City?

No, The Oaks at Central City has a no-pet policy.

Does The Oaks at Central City operate as a for-profit or non-profit?

The Oaks at Central City is registered as a for-profit in NE.

Who is the administrator of The Oaks at Central City?

Administrator Sylvia Mileg is the administrator of The Oaks at Central City.

How many beds does The Oaks at Central City have?

The Oaks at Central City has 64 beds.

Are there photos of The Oaks at Central City?

Yes — there are 2 photos of The Oaks at Central City in the photo gallery on this page.

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The Oaks at Central City

Overview of The Oaks at Central City

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Services

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact The Oaks at Central City

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

18 Medication Aide/Technician

22 Certified Nursing Assistant

8 Licensed Practical Nurse

6 Registered Nurse

7 Other Dietary Services Staff

1 Dietitian

2 RN Director of Nursing

1 Administrator

1 Physical Therapist

1 Mental Health Service Worker

1 Nurse Practitioner

3 Speech Language Pathologist

2 Clinical Nurse Specialist

4 Physical Therapy Assistant

2 Respiratory Therapist

1 Qualified Social Worker

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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