We arrange tours, appointments, and even moving support so you don’t have to
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.
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.
Arbor Care Centers-Countryside LLC is a 70-bed skilled nursing facility in Madison, Nebraska, offering long-term care, post-acute rehabilitation, and memory care through a 17-bed Alzheimer’s Special Care Unit, privately owned and operated by Arbor Care Centers-Countryside LLC under Joseph Kezzar. It accepts both Medicare and Medicaid.
The facility’s 2-star CMS rating is mainly due to staffing levels. Nurse staffing averages 68.2% below the Nebraska average, the defining figure in the overall rating. Health inspection and quality measure performance are above the state average, which narrows but does not close the gap.
Over 11 years of inspection history, the facility averaged 4.1 deficiencies per year — close to Nebraska’s average of 4.2. There have been no deficiencies cited during renewal inspections since 2019, a consistent record of compliance.
Earlier years carried citations for life safety code issues, infection control, and fall prevention. A 2018 complaint investigation substantiated findings in fall evaluation, infection control, and motorized equipment competency; more recent complaint investigations have been unsubstantiated. No fines or enforcement actions appear in the record.
With an occupancy rate of 94% compared with the state’s average of 70.3%, the facility operates near capacity. Services include post-acute rehabilitation, IV therapy, fall prevention programming, outpatient therapy, and on-site registered dietitian support. Private and semi-private rooms are also available.
The facility is for residents seeking long-term skilled nursing care or short-term post-acute rehabilitation in a small-city Nebraska setting, with a dedicated memory care unit suited for individuals in earlier to mid-stage Alzheimer’s or dementia.
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.
Higher than the Nebraska average: 70.3%Arbor Care Centers-Countryside LLC is administrated by Administrator Roger Bayliff.
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.
| 45 | 52 | This facility has 13% fewer total deficiencies than a typical Nebraska nursing home (45 vs. NE avg 52).↓ 13% better |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 3 | 3.5 | This facility has 14% fewer deficiencies per year than a typical Nebraska nursing home (3 vs. NE avg 3.5).↓ 14% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Nebraska average 4.3
Last Health inspection on Dec 2024
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 23 citations resulted from standard inspections; 4 of 23 resulted from complaint investigations; and 2 of 23 came from combined inspections (standard and complaint).
100% better than Nebraska averageNebraska average: 0.2
100% worse 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.
11% fewer staff per resident than Nebraska average
6% worse 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.
11 total: 2 full-time employees and 9 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursAssists with medical care and medications.
5 total: 1 full-time employee and 4 contractors.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 18 CNA Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,968 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 18 | 0 | 18 | 4,511 | 92 | 100% | 7.8 |
| Medication Aide/Technician | 9 | 0 | 9 | 2,824 | 92 | 100% | 7.7 |
| Registered Nurse | 2 | 9 | 11 | 1,301 | 90 | 98% | 10.1 |
| Licensed Practical Nurse | 1 | 4 | 5 | 677 | 66 | 72% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 534 | 61 | 66% | 8.8 |
| Nurse Practitioner | 0 | 1 | 1 | 504 | 63 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 327 | 63 | 68% | 4.8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 323 | 68 | 74% | 4.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 267 | 53 | 58% | 5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 168 | 27 | 29% | 6 |
| Qualified Social Worker | 0 | 1 | 1 | 155 | 65 | 71% | 2.4 |
| Dietitian | 1 | 0 | 1 | 14 | 2 | 2% | 6.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 5 | 1 | 1% | 5 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
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.
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.
14.9
32% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
35.8
53% 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
31.6%
52% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
34.9%
58% worse than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
40.9%
52% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
65% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
5.3%
23% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.8%
74% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
1.0%
82% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
22.6%
14% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
73.6%
21% worse than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.2%
12% worse than Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
1.62
10% better than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.69
65% better 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
25.0%
69% worse than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
22% better than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
27.3%
64% worse than Nebraska averageNebraska average: 75.9%
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.
60.0%
12% better than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
39.9%
21% 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.
39% of new residents, usually for short-term rehab.
58% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
34Residents 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 Arbor Care Centers-Countryside LLC 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 #79 / 120Payroll — State benchmarkedThis home is ranked 79th out of 120 homes in Nebraska for payroll. 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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Madison's city center to Arbor Care Centers-Countryside LLC's address, calculated via Google Maps.
Add your location
Arbor Care Centers-Countryside LLC is located in MADISON, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Tabitha Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lincoln (Witherbee) | 208
Facility
208
NE AVG
82
Rank
#5 / 228 | 81.7% | +16% | 5.76 | -20% | +29% | $13.0k | 18 | 4.5 | - | 170 | A+ |
59
Facility
59
NE AVG
46
Rank
#85 / 298 | Tabitha, Inc. | $71.9M | $39.2M | 54.5% | 285057 | ||||
| Nye Pointe |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fremont (Laverna Street) | 43
Facility
43
NE AVG
82
Rank
#191 / 228 | 100.0% | +42% | 3.95 | +25% | -11% | $0 | 8 | 2.7 | - | 43 | A+ |
36
Facility
36
NE AVG
46
Rank
#196 / 298 | Russell Peterson | $7.3M | $2.2M | 29.5% | 285235 | ||||
| Arbor Care Centers-Countryside LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Madison | 70
Facility
70
NE AVG
82
Rank
#101 / 228 | 94.3% | +34% | - | +87% | - | $0 | 23 | 4.6 | 1 | 66 | - |
38
Facility
38
NE AVG
46
Rank
#192 / 298 | Joseph Kezzar | $3.9M | $2.8M | 72.1% | 285207 | ||||
| Emerald Columbus |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Columbus (40Th Avenue) | 145
Facility
145
NE AVG
82
Rank
#25 / 228 | 56.6% | -20% | 3.78 | -37% | -15% | $0 | 20 | 3.3 | - | 82 | A+ |
57
Facility
57
NE AVG
46
Rank
#101 / 298 | Columbus Operations LLC | $11.3M | $6.1M | 54% | 285092 | ||||
| Astoria Senior Living Omaha | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Omaha (Central Omaha) | 157
Facility
157
NE AVG
82
Rank
#19 / 228 | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
38
Facility
38
NE AVG
46
Rank
#192 / 298 | $11.9M | $6.1M | 51.7% | 285274 |
Arbor Care Centers-Countryside LLC has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Arbor Care Centers-Countryside LLC's occupancy is 94%.
Administrator Roger Bayliff is the administrator of Arbor Care Centers-Countryside LLC.
Arbor Care Centers-Countryside LLC has 70 beds.
Yes — there are 5 photos of Arbor Care Centers-Countryside LLC in the photo gallery on this page.
Arbor Care Centers-Countryside LLC is located at 703 North Main Street.
(402) 454-3373 will put you in contact with the team at Arbor Care Centers-Countryside LLC.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
