Occupancy rate
65%
In line with Nebraska averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Nursing Home
Arbor Care Center-Valhaven, LLC
Arbor Care Center-valhaven, LLC is a care center that offers a variety of services and amenities to enrich the lives of its residents. It provides both in and out-patient therapy, as well as resources to assist families in financial planning for care. The center is committed to treating residents and families with the respect and care they deserve.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
66
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
65.2%
Residents per day (avg)
50
Occupancy rate
65.2%
Residents per day (avg)
50
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
33% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
54% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
13% of new residents, often for long-term daily care.
Typical stay
5 - 6 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.0M
Operating loss
-$355.3K
Privately-owned community
Operated by a business corporation.
Home revenue
$5,044,524.00
Operating loss
$-355,310.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.4M
66-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
35 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with Nebraska averageOccupied beds
43 / 66
Average residents
54 per day
License details
Facility type
Nursing Home
County:
DOUGLAS
Additional licensing details
CMS Certification Number:
285117
Certification type:
Certification
Ownership & operating entity
Arbor Care Center-Valhaven, LLC is administrated by Todd Muckey, Administrator.
Owner name:
Arbor Care Center-Valhaven, LLC
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Aaron Klaasmeyer
Care Services
Accepts Medicaid
Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs
Contact Information
Fax:
(402) 359-5838
Programs & Activities
Specific Programs
Services & Amenities, Therapy, Resources
Operating Hours
Monday-Sunday: 9:00 AM - 5:00 PM
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
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.
23 visits/inspections
8 visits/inspections triggered by complaints
Results
12 with issues
11 without issues
Show Inspection Reports
Latest inspection
Date:March 19, 2025
Type:Renewal
114 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
4
Nebraska average 4.3
Last Health inspection on Aug 2025
Total health citations
18
Citations per inspection
4.5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 18 citations resulted from standard inspections; and 1 of 18 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
1
1
100% worse than Nebraska averageNebraska average: 0.5
0 critical citations
1 serious citation
16 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect minor citation
Aug 12, 2025
Corrected
Abuse/Neglect moderate citation
Aug 12, 2025
Corrected
Abuse/Neglect moderate citation
Aug 12, 2025
Corrected
Nursing Services moderate citation
Aug 12, 2025
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.
Compare Nursing Homes around Nebraska
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Accura HealthCare of Hartington
-7%
-7%
-10%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68739
67
-
KLAASMEYER, KENNETH
63.6%
$3,668,324.00
$2,124,349.00
57.9%
31.40
4.1342
7
-
-7%-7%-10%
Accura HealthCare of Tekamah
+19%
-14%
+2%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68061
46
-
GEIS, HEATHER
72.0%
$3,111,496.00
$2,065,549.00
66.4%
30.00
3.8342
12
-
+19%-14%+2%
Arbor Care Center-Valhaven, LLC
-2%
-8%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68064
66
A+
-
72.4%
$5,043,043.00
$3,225,812.00
64%
49.50
4.0787
18
1
-2%-8%+3%
Arbor Care Centers-Countryside LLC
+26%
-24%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68748
70
-
KEZZAR, JOSEPH
53.5%
$3,918,147.00
$2,343,190.00
59.8%
36.30
-
23
1
+26%
-
-24%
Arbor Care Centers – Ord, LLC
+15%
-16%
-26%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68862
60
-
LUTH, KURT
51.8%
$2,881,257.00
$1,523,175.00
52.9%
35.20
3.7604
29
1
+15%-16%-26%
Accura HealthCare of Hartington
Type of care:
SNF
AL
Community:
NE 68739
Bed Count:
67
Operator:
KLAASMEYER, KENNETH
CCN:
285088
Occupancy:
63.6%
Home Revenue:
$3,668,324.00
Payroll Costs:
$2,124,349.00
Payroll %:
57.9%
Avg Residents/Day:
31.40
Overall Rating:
Adj Nurse Hours:
4.1342
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
-7%
-7%
Occupancy vs State Avg:
-10%
-10%
Accura HealthCare of Tekamah
Type of care:
SNF
AL
Community:
NE 68061
Bed Count:
46
Operator:
GEIS, HEATHER
CCN:
285118
Occupancy:
72.0%
Home Revenue:
$3,111,496.00
Payroll Costs:
$2,065,549.00
Payroll %:
66.4%
Avg Residents/Day:
30.00
Overall Rating:
Adj Nurse Hours:
3.8342
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
12
RN share vs State Avg:
+19%
+19%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+2%
+2%
Arbor Care Center-Valhaven, LLC
Type of care:
SNF
AL
Community:
NE 68064
Bed Count:
66
CCN:
285117
Occupancy:
72.4%
Home Revenue:
$5,043,043.00
Payroll Costs:
$3,225,812.00
Payroll %:
64%
Avg Residents/Day:
49.50
Overall Rating:
Adj Nurse Hours:
4.0787
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
18
Severe Citations:
1
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
+3%
+3%
Arbor Care Centers-Countryside LLC
Type of care:
SNF
AL
Community:
NE 68748
Bed Count:
70
Operator:
KEZZAR, JOSEPH
CCN:
285207
Occupancy:
53.5%
Home Revenue:
$3,918,147.00
Payroll Costs:
$2,343,190.00
Payroll %:
59.8%
Avg Residents/Day:
36.30
Overall Rating:
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
23
Severe Citations:
1
RN share vs State Avg:
+26%
+26%
Occupancy vs State Avg:
-24%
-24%
Arbor Care Centers – Ord, LLC
Type of care:
SNF
AL
Community:
NE 68862
Bed Count:
60
Operator:
LUTH, KURT
CCN:
285294
Occupancy:
51.8%
Home Revenue:
$2,881,257.00
Payroll Costs:
$1,523,175.00
Payroll %:
52.9%
Avg Residents/Day:
35.20
Overall Rating:
Adj Nurse Hours:
3.7604
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
1
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
-16%
-16%
Occupancy vs State Avg:
-26%
-26%Places of interest near Arbor Care Center-Valhaven, LLC
0.0 miles from city center
VALLEY, NE 68064
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
148
Total Staff
58
Employees
90
Contractors
18,272
Total Hours (Quarter)
23
Avg Staff/Day
8.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 14 | 9.6 | Yes |
| Licensed Practical Nurse | 16 | 10.9 | Yes |
| Certified Nursing Assistant | 62 | 8.7 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.7hs shift avg
Nursing Staff ⓘ
131 staff
9.2hs shift avg
Physicians & Practitioners ⓘ
3 staff
4.9hs shift avg
Therapy Services ⓘ
8 staff
6.2hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
3.1hs shift avg
Dietary Services ⓘ
1 staff
7.6hs shift avg
Other Services ⓘ
1 staff
7.6hs shift avg
Contractor Analysis
17.9%
of total hours from contractors
3,263 contractor hours this quarter
Certified Nursing Assistant: 41
Respiratory Therapy Technician: 3
Medication Aide/Technician: 20
Qualified Social Worker: 2
Registered Nurse: 6
Licensed Practical Nurse: 12
Physical Therapy Assistant: 2
Physical Therapy Aide: 1
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 21 | 41 | 62 | 6,779 | 91 | 100% | 8.7 |
| Medication Aide/Technician | 19 | 20 | 39 | 5,656 | 91 | 100% | 9.3 |
| Registered Nurse | 8 | 6 | 14 | 1,715 | 91 | 100% | 9.6 |
| Licensed Practical Nurse | 4 | 12 | 16 | 1,397 | 82 | 90% | 10.9 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 469 | 62 | 68% | 7.6 |
| Dietitian | 1 | 0 | 1 | 461 | 61 | 67% | 7.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 371 | 58 | 64% | 6.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 359 | 62 | 68% | 5.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 337 | 74 | 81% | 4.6 |
| Nurse Practitioner | 2 | 0 | 2 | 82 | 12 | 13% | 6.8 |
| Qualified Social Worker | 0 | 2 | 2 | 62 | 20 | 22% | 3.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 56 | 7 | 8% | 7.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
| Physical Therapy Aide | 0 | 1 | 1 | 7 | 2 | 2% | 3.5 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
53 residents
Residents by payment source
Medicare
4 residents (7.5%)
Medicaid
41 residents (77.4%)
Private pay or other
8 residents (15.1%)
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
12% better than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.2
8% worse than Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
20.6%
Percent of long-stay residents whose need for help with daily activities has increased
20.6%
In line with Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
21.2%
Percent of long-stay residents whose ability to move independently worsened
21.2%
In line with Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.7%
25% worse than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
19% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.3%
Percent of long-stay high risk residents with pressure ulcers
2.3%
47% better than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.9%
Percent of long-stay residents with a urinary tract infection
1.9%
37% better than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.2%
Percent of long-stay residents who lose too much weight
2.2%
59% better than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.0%
Percent of long-stay residents who have depressive symptoms
2.0%
55% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.6%
Percent of long-stay residents who received an antipsychotic medication
11.6%
42% better than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.0%
In line with Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.1%
29% worse than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
28% worse than Nebraska averageNebraska average: 2.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.7%
22% better than Nebraska averageNebraska average: 75.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$0
100% lower than Nebraska averageNebraska average: $33K
Number of fines
0
100% fewer fines than Nebraska averageNebraska average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
38% more payment denials than Nebraska averageNebraska average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$0
Nebraska average
$33K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 5, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 5, 2023
56 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Arbor Care Center-Valhaven, LLC based on CMS SNF Cost Reports.
Occupancy Rate
72.4%
↑ 0.2pp vs 2023
Net Income
-$355,310
↓ ~$1.6M vs 2023
Total Payroll
$3,847,633
↑ ~$1.5M vs 2023
Profit Margin
-7.1%
↓ 29.9pp vs 2023
Loading trend charts...
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