Show Inspection Reports
Total Health inspections
4
7% below Nebraska average
Nebraska average:
4.3
Last Health inspection on Oct 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Continental Springs, LLC
Continental Springs, LLC is a Nursing Home in Nebraska
Continental Springs, LLC is a Nursing Home in Nebraska
Continental Springs, LLC
Continental Springs, LLC is a Nursing Home in Nebraska
Continental Springs, LLC is a Nursing Home in Nebraska
Continental Springs is a unique continuing care complex in South Sioux City, Nebraska. It offers a Skilled Nursing Center, Assisted Living Apartments, Studio Suites, and Respite Care and Rehabilitation Services. The facility promotes an active lifestyle and provides a range of personal care services.
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.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
77
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
66.8%
Residents per day (avg)
53
Occupancy rate
66.8%
Residents per day (avg)
53
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
13% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
54% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
33% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Proprietary home
Corporation
Home revenue
$5.2M
Operating loss
-$2.0M
Proprietary home
Corporation
Home revenue
$5,181,169.00
Operating loss
$-2,003,153.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$114.7K
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.
$7.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.2M
77-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy Rate
61%
Occupied Beds
47 of 77
Percentage of available beds currently in use by residents.
Facility Type
NURSING HOME
Additional licensing details
CMS Certification Number:
285082
Certification type:
Certification
County:
DAKOTA
Ownership & operating entity
Continental Springs, LLC is administrated by Ericka Niles, Administrator.
Owner name:
Continental Springs, LLC
Safety & Compliance
Emergency Systems:
24-hour emergency response system in each apartment and suite.
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
24-Hour Staffing
Contact Information
Fax:
(402) 494-8830
Additional Policies & Features
Pets Allowed
Housekeeping:
Yes
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Assisted Living, Respite Care, Rehabilitation Services, Activities
Dining & Nutrition
Food Description
Residents enjoy home cooked meals in the social center, just a few feet away.
Meals Included
Yes
Special Diets
Yes
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.
Medicare Accepted
This facility is certified for eligible Medicare 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.
27 visits/inspections
11 visits/inspections triggered by complaints
1 routine inspections
Results
12 with issues
15 without issues
Latest inspection
Date:March 27, 2025
95 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
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
No
KLAASMEYER, KENNETH
63.6%
$3,668,324.00
$2,124,349.00
57.9%
31.40
4.1342
7
-
-7%-7%-10%
Continental Springs, LLC
+46%
-14%
-5%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68776
77
No
PALMERSHEIM, TAMMY JO
66.8%
$5,044,569.00
$114,719.00
2.3%
53.20
3.8293
10
-
+46%-14%-5%
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
No
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
No
-
72.4%
$5,043,043.00
$3,225,812.00
64%
49.50
4.0787
18
1
-2%-8%+3%
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
No
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
Pets Allowed:
No
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%
Continental Springs, LLC
Type of care:
SNF
AL
Community:
NE 68776
Bed Count:
77
Pets Allowed:
No
Operator:
PALMERSHEIM, TAMMY JO
CCN:
285082
Occupancy:
66.8%
Home Revenue:
$5,044,569.00
Payroll Costs:
$114,719.00
Payroll %:
2.3%
Avg Residents/Day:
53.20
Overall Rating:
Adj Nurse Hours:
3.8293
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+46%
+46%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
-5%
-5%
Accura HealthCare of Tekamah
Type of care:
SNF
AL
Community:
NE 68061
Bed Count:
46
Pets Allowed:
No
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
Pets Allowed:
No
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 – Ord, LLC
Type of care:
SNF
AL
Community:
NE 68862
Bed Count:
60
Pets Allowed:
No
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 Continental Springs, LLC
126.8 miles from city center
SOUTH SIOUX CITY, NE 68776
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
78
Total Staff
51
Employees
27
Contractors
18,827
Total Hours (Quarter)
27
Avg Staff/Day
7.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 11 | 8.8 | Yes |
| Licensed Practical Nurse | 9 | 9.6 | Yes |
| Certified Nursing Assistant | 23 | 7.3 | Yes |
Staff by Category
Administration ⓘ
1 staff
7.7hs shift avg
Nursing Staff ⓘ
61 staff
8hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.7hs shift avg
Therapy Services ⓘ
9 staff
3.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
0.9hs shift avg
Dietary Services ⓘ
3 staff
8.1hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
4.9%
of total hours from contractors
917 contractor hours this quarter
Certified Nursing Assistant: 4
Licensed Practical Nurse: 6
Medication Aide/Technician: 2
Qualified Social Worker: 1
Registered Nurse: 5
Speech Language Pathologist: 1
Respiratory Therapy Technician: 2
Physical Therapy Assistant: 3
Physical Therapy Aide: 3
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Medication Aide/Technician | 16 | 2 | 18 | 6,672 | 91 | 100% | 8 |
| Certified Nursing Assistant | 19 | 4 | 23 | 5,426 | 91 | 100% | 7.3 |
| Registered Nurse | 6 | 5 | 11 | 2,002 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 3 | 6 | 9 | 1,726 | 90 | 99% | 9.6 |
| Dietitian | 3 | 0 | 3 | 1,016 | 83 | 91% | 8.1 |
| Administrator | 1 | 0 | 1 | 511 | 66 | 73% | 7.7 |
| Nurse Practitioner | 2 | 0 | 2 | 475 | 64 | 70% | 7.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 453 | 56 | 62% | 8.1 |
| Speech Language Pathologist | 0 | 1 | 1 | 215 | 28 | 31% | 7.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 165 | 49 | 54% | 3.3 |
| Physical Therapy Aide | 0 | 3 | 3 | 100 | 41 | 45% | 1.8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 56 | 25 | 27% | 2.3 |
| Qualified Social Worker | 0 | 1 | 1 | 10 | 11 | 12% | 0.9 |
Health Inspection History
Total Health citations
10
45% below Nebraska average
Nebraska average:
18.2
2.5 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
9 citations
Complaint investigations
2 citations
Breakdown of citations
Critical Health citations
0
100% below Nebraska average
Nebraska average:
0.2
Serious Health citations
0
100% below Nebraska average
Nebraska average:
0.5
Moderate Health citations
10
Minor Health citations
0
Citations history (last 3 years)
Infection Control moderate citation
Oct 31, 2024
Corrected
Nutrition moderate citation
Oct 31, 2024
Corrected
Abuse/Neglect moderate citation
Mar 19, 2024
Corrected
Nutrition moderate citation
Aug 24, 2023
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Individual
Resident Census by Payment Source
52
Total Residents
Medicare
5
(9.6%)
ⓘ
Medicaid
45
(86.5%)
ⓘ
Private Pay/Other
2
(3.8%)
ⓘ
Programs & Services
Nurse Aide Training
ⓘ
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
9.5
16% better than Nebraska average
Nebraska average:
11.3
Functional decline score
18.4
21% better than Nebraska average
Nebraska average:
23.3
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
18.0%
14% below Nebraska average.
Walking Ability Worsened
18.2%
18% below Nebraska average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
19.0%
29% below Nebraska average.
Safety & clinical stability
Falls with Major Injury
3.7%
18% below Nebraska average.
High Risk Residents with Pressure Ulcers
5.4%
25% above Nebraska average.
Urinary Tract Infection
6.1%
99% above Nebraska average.
Emotional & behavioral wellbeing
Depressive Symptoms
1.8%
59% below Nebraska average.
Antipsychotic Use
33.1%
67% above Nebraska average.
Preventive care
Pneumococcal Vaccine
58.7%
37% below Nebraska average.
Influenza Vaccine
94.0%
2% below Nebraska average.
Nutrition & physical health
Lost Too Much Weight
2.4%
56% below Nebraska average.Short-stay resident measures
Pneumococcal Vaccine
13.5%
83% worse than Nebraska average
Antipsychotic medication increase
6.9%
193% worse than Nebraska average
Influenza Vaccine
53.9%
29% worse than Nebraska average Financial Trends
Historical financial and operational data for Continental Springs, LLC based on CMS SNF Cost Reports.
Occupancy Rate
66.8%
↑ 1.3pp vs 2022
Net Income
-$2,003,153
↓ ~$1.1M vs 2022
Total Payroll
$149,495
↑ ~$149K vs 2022
Profit Margin
-39.7%
↓ 23.4pp vs 2022
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