Occupancy rate
100%
Higher than the Nebraska average: 70.3%The Palm at Regency Square
The Palm at Regency Square
Overview of The Palm at Regency Square
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.
Staffing hours breakdown
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.
| 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 16m per day | ▼ 10% 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 |
38-bed community Rank #200 / 228Bed count — State benchmarkedThis home is ranked 200th 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: 73 / 100 Rank #34 / 296Walk Score — State benchmarkedThis home is ranked 34th 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
Higher than the Nebraska average: 70.3%Occupied beds
38 / 38
Average occupied beds in Nebraska homes
54 beds
Facility TypeAssisted Living Facilities
StatusActive
CountyDakota
License NumberALF438
CMS Certification Number285076
The Palm at Regency Square is administered by Administrator Matthew Gieselman.
Staffing
Key information about the people who lead and staff this community.
ContactMr. Mikel Ardley, Interim Executive Director (per BBB, record updated Jul 2026)
Fax(402) 494-1239
Pets not allowed
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 2010 · 16 years of data
77 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 2010 vs. Nebraska state average
Overall vs. NE average
2 Worse
Metrics worse than Nebraska average:
• Total deficiencies (48% above)
• Deficiencies per year (45% above) 0 Better No metrics in this bucket.
• Total deficiencies (48% above)
• Deficiencies per year (45% above) 0 Better No metrics in this bucket.
Latest Inspection
February 19, 2025
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 assisted living residence (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 assisted living residence (4.8 vs. NE avg 3.3).↑ 45% worse |
Inspection Reports Summary
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 no deficiencies and approved renewal of licensure and occupancy permits for 72 beds.
- A June 19, 2019 complaint investigation found the facility protected residents from abuse and was compliant with abuse reporting requirements.
- The December 14, 2017 survey identified eight deficiencies including medication errors above 10%, delayed abuse investigations, and multiple fire safety code violations.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.01
Number of hospitalizations per 1,000 long-stay resident days.
2.01
12% worse than State averageState average: 1.80
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.96
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.96
52% worse than State averageState average: 1.95
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.9%
24% worse than State averageState average: 20.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
24% worse than State averageState average: 11.6%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
27.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
27.9%
48% worse than State averageState average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
37.0%
Rate of successful return to home or community from a skilled nursing facility.
37.0%
27% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Places of interest near The Palm at Regency Square
0.0 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.
Calculate Travel Distance to The Palm at Regency Square
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Compare Assisted Living around the area
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| The Heritage at Sagewood | AL MC RC | Grand Island | 136 | Yes | - | 31 | Studio / 1 Bed / 2 Bed |
| Symphony Pointe | AL IL MC RC | Elkhorn | 115 | Yes | - | 16 | Private Rooms |
| Riverside Lodge Retirement Community | AL IL MC RC | Grand Island | 75 | Yes | A+ | 35 | Studio / Suite / 1 Bed / 2 Bed |
| Tabitha Residence – Cove House | AL HC HOS IL MC NH RC SNF | Lincoln (Williamsburg Park Apartments) | 50 | No | - | 61 | - |
| The Palm at Regency Square | AL | South Sioux City | 38 | No | - | 73 | - |
Frequently Asked Questions about The Palm at Regency Square
Is The Palm at Regency Square in a walkable area?
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.
What is the license number of The Palm at Regency Square?
According to NE state health department records, The Palm at Regency Square's license number is ALF438.
What is the occupancy rate at The Palm at Regency Square?
The Palm at Regency Square's occupancy is 100%.
Are pets allowed at The Palm at Regency Square?
No, The Palm at Regency Square has a no-pet policy.
Who is the administrator of The Palm at Regency Square?
Administrator Matthew Gieselman is the administrator of The Palm at Regency Square.
How many beds does The Palm at Regency Square have?
The Palm at Regency Square has 38 beds.
Are there photos of The Palm at Regency Square?
Yes — there are 6 photos of The Palm at Regency Square in the photo gallery on this page.
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