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Saunders Medical Center
Nursing Home, Memory Care & Skilled Nursing · Wahoo, 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.

Saunders Medical Center

Nursing Home, Memory Care & Skilled Nursing · Wahoo, 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.
1760 County Rd J, Wahoo, NE 68066 View map Calculator: See prices in your area
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Overview of Saunders Medical Center

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Saunders Medical Center is a healthcare facility located in Wahoo, Nebraska. It provides a range of services including a hospital, Family Care Clinic, nursing home, surgery center, and Edge Therapy. The center is dedicated to serving the healthcare needs of the community.
Facility Direct Line (402) 443-4685
Facility Direct Line (402) 443-4685
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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.
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.
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.
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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
5h 29m per day
Rank #11 / 128Nurse hours — State benchmarkedThis home is ranked 11th out of 128 homes in Nebraska for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 128 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg

3 of 6 metrics below state avg

Standout metric LPN / LVN is +31% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 33m per day ▼ 23% State avg: 43m per day · National avg: 41m per day
LPN / LVN Info 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. 56m per day ▲ 31% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info 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. 3h 21m per day ▲ 21% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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. 4h 27m per day ▲ 23% State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Info 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 ▼ 95% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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. 11m per day ▼ 62% State avg: 29m per day · National avg: 28m per day
Bed community size
60-bed community Rank #132 / 228Bed count — State benchmarkedThis home is ranked 132nd out of 228 homes in Nebraska for Bed Count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 80 / 100 Rank #16 / 296Walk Score — State benchmarkedThis home is ranked 16th out of 296 homes in Nebraska for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nebraska facilities. Higher scores benefit residents, families, and staff.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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
98%
Rank #5 / 183Occupancy rate — State benchmarkedThis home is ranked 5th out of 183 homes in Nebraska for Occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 183. Higher occupancy signals strong local demand and financial stability.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.
Higher than the Nebraska average: 70.3%
Occupied beds
59 / 60
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountySaunders
Certification TypeCertification

Ownership & Operating Entity

Saunders Medical Center is administered by Administrator Julie Rezac.

Contact Information

Fax(402) 443-1433

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Emergency Room
Family Care Clinic
Skilled & Long Term Care
Edge Therapy & Wellness
Specific ProgramsBe Well Education Series 2026, Stepping On Prevent Falls Workshop, Senior Connect, Diabetes Support Group, Blood Mobile
Operating Hours24/7

Contact Saunders Medical Center

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 79 deficiencies

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 (52% above)
• Deficiencies per year (51% above) 0 Better No metrics in this bucket.
Latest Inspection October 2, 2025 Renewal

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. 7952 This facility has 52% more total deficiencies than a typical Nebraska assisted living residence (79 vs. NE avg 52).↑ 52% worse
Deficiencies per year Info Average deficiencies per year since 2011. 5.33.5 This facility has 51% more deficiencies per year than a typical Nebraska assisted living residence (5.3 vs. NE avg 3.5).↑ 51% worse

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

  • The most recent inspection on October 2, 2025, showed no deficiencies and confirmed full occupancy of 59 out of 60 licensed beds.
  • The April 10, 2018 complaint investigation found 10 deficiencies including failure to protect residents from adverse behaviors, incomplete abuse reports, and multiple fire safety violations.
  • A May 24, 2018 complaint investigation found all allegations unsubstantiated with no citations, indicating partial improvement after prior serious deficiencies.
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 3

State average N/A

Last Health inspection on Oct 2024

Total health citations
6 Rank #9 / 131Health citations — State benchmarkedThis home is ranked 9th out of 131 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 131 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 N/A

Citations per inspection
2 Rank #7 / 131Citations per inspection — State benchmarkedThis home is ranked 7th out of 131 homes in Nebraska for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 131 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 N/A

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

All 6 citations resulted from standard inspections.

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A
0 serious citations State average: N/A
6 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 4 years)
Infection Control moderate citation Oct 21, 2024
Corrected
Quality of Care moderate citation Nov 02, 2023
Corrected
Resident Rights moderate citation Nov 02, 2023
Corrected
Quality of Care moderate citation Oct 06, 2022
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

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

Total staff 131
Employees 115
Contractors 16
Staff to resident ratio 2.34 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 37
Average shift 8.2 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 27,909

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 7 total: 5 full-time employees and 2 contractors. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 15 total: 11 full-time employees and 4 contractors. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 59 total: 50 full-time employees and 9 contractors. 59
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 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

6%

1,677 contractor hours this quarter

Certified Nursing Assistant: 9 Licensed Practical Nurse: 4 Registered Nurse: 2 Occupational Therapy Aide: 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 Assistant5095910,87392100%8.5
Medication Aide/Technician240246,59392100%9
Licensed Practical Nurse114154,90592100%8.6
Clinical Nurse Specialist3031,4426571%7.8
Registered Nurse5279768491%8.5
Dental Services Staff3039476470%8.6
Occupational Therapy Assistant2024885964%8
Other Dietary Services Staff4044785762%8
Dietitian1014726065%7.9
Nurse Practitioner1014696166%7.7
Occupational Therapy Aide0111121415%8
Physical Therapy Assistant202593639%1.1
Qualified Social Worker101382729%1.4
Medical Director101211112%1.9
Other Physician30315910%1.5
Respiratory Therapy Technician303132022%0.6
Speech Language Pathologist10191820%0.5
59 Certified Nursing Assistant
% of Days 100%
24 Medication Aide/Technician
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
3 Clinical Nurse Specialist
% of Days 71%
7 Registered Nurse
% of Days 91%
3 Dental Services Staff
% of Days 70%
2 Occupational Therapy Assistant
% of Days 64%
4 Other Dietary Services Staff
% of Days 62%
1 Dietitian
% of Days 65%
1 Nurse Practitioner
% of Days 66%
1 Occupational Therapy Aide
% of Days 15%
2 Physical Therapy Assistant
% of Days 39%
1 Qualified Social Worker
% of Days 29%
1 Medical Director
% of Days 12%
3 Other Physician
% of Days 10%
3 Respiratory Therapy Technician
% of Days 22%
1 Speech Language Pathologist
% of Days 20%
View All Staffing Data

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. 7.5
34% better than State average

State average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.1
10% better than State average

State average: 23.3

Long-stay resident measures
Significantly above average 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 12.1%
42% better than State average

State average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.0%
32% better than State average

State 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 36.1%
34% worse than State average

State average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.2%
7% better than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.7%
9% worse than State average

State average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.5%
85% better than State average

State average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.6%
72% better than State average

State average: 5.4%

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

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.5%
17% better than State average

State average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than State average

State average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.58
68% better than State average

State average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.17
40% better than State average

State average: 1.95

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
24% better than State average

State average: 80.7%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Facility Characteristics

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

Total residents 56
Medicare
1
1.8% of residents
Medicaid
29
51.8% of residents
Private pay or other
26
46.4% 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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

This home is administered by Administrator Julie Rezac.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285296

Show certification details

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Address 0.0 miles from city center Info Estimated distance in miles from Wahoo's city center to Saunders Medical Center's address, calculated via Google Maps.

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Frequently Asked Questions about Saunders Medical Center

Is Saunders Medical Center in a walkable area?

Saunders Medical Center has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at Saunders Medical Center?

Saunders Medical Center's occupancy is 98%.

Are pets allowed at Saunders Medical Center?

No, Saunders Medical Center has a no-pet policy.

Is Saunders Medical Center a government-operated facility?

Saunders Medical Center is a government-operated nursing facility in NE.

Who is the administrator of Saunders Medical Center?

Administrator Julie Rezac is the administrator of Saunders Medical Center.

How many beds does Saunders Medical Center have?

Saunders Medical Center has 60 beds.

What is the address of Saunders Medical Center?

Saunders Medical Center is located at 1760 County Rd J, Wahoo, NE 68066.

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