Occupancy rate
61%
In line with Nebraska averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home
Continental Springs, LLC
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
61%
Residents per day (avg)
53
Occupancy rate
61%
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
Privately-owned community
Operated by a business corporation.
Home revenue
$5.2M
Operating loss
-$2.0M
Privately-owned community
Operated by a business 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
In line with Nebraska averageOccupied beds
47 / 77
Average residents
54 per day
License details
Facility type
Nursing Home
County:
DAKOTA
Additional licensing details
CMS Certification Number:
285082
Certification type:
Certification
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.
21 visits/inspections
11 visits/inspections triggered by complaints
1 routine inspections
Results
11 with issues
10 without issues
Show Inspection Reports
Latest inspection
Date:March 27, 2025
95 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 Oct 2024
Total health citations
10
Nebraska average 18.2
Citations per inspection
2.5
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 10 citations resulted from standard inspections; 1 of 10 resulted from complaint investigations; and 1 of 10 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
0
0
100% better than Nebraska averageNebraska average: 0.5
0 critical citations
0 serious citations
10 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 31, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 31, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 31, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 31, 2024
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 19, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 19, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 24, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 24, 2023
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
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.
HARTINGTON
67
63.6%
-10%
4.13
-7%
0
7
0
31
-
Klaasmeyer, Kenneth
$3,7M
$2,1M
57.9%
285088
Continental Springs, 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.
SOUTH SIOUX CITY
77
66.8%
-5%
3.83
-14%
0
10
0
53
-
Palmersheim, Tammy Jo
$5,0M
$0,1M
2.3%
285082
Accura HealthCare of Tekamah
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.
TEKAMAH
46
72.0%
+2%
3.83
-14%
0
12
0
30
-
Geis, Heather
$3,1M
$2,1M
66.4%
285118
Arbor Care Center-Valhaven, 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.
VALLEY
66
72.4%
+3%
4.08
-8%
0
18
1
50
A+
-
$5,0M
$3,2M
64%
285117
Arbor Care Centers – Ord, 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.
ORD
60
51.8%
-26%
3.76
-16%
0
29
1
35
-
Luth, Kurt
$2,9M
$1,5M
52.9%
285294
Places of interest near Continental Springs, LLC
126.8 miles from city center
3200 G Street, SOUTH SIOUX CITY, NE 68776
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
78
Employees
51
Contractors
27
Staff to resident ratio
1.50:1
30% worse than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
27
Average shift
7.7 hours
0% compared with Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
18,827
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
4.9%
917 contractor hours this quarter
Licensed Practical Nurse: 6
Registered Nurse: 5
Certified Nursing Assistant: 4
Physical Therapy Assistant: 3
Physical Therapy Aide: 3
Medication Aide/Technician: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
Speech Language Pathologist: 1
Staff by category
| 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 |
18 Medication Aide/Technician
% of Days
100%
23 Certified Nursing Assistant
% of Days
100%
11 Registered Nurse
% of Days
100%
9 Licensed Practical Nurse
% of Days
99%
3 Dietitian
% of Days
91%
1 Administrator
% of Days
73%
2 Nurse Practitioner
% of Days
70%
1 Clinical Nurse Specialist
% of Days
62%
1 Speech Language Pathologist
% of Days
31%
2 Respiratory Therapy Technician
% of Days
54%
3 Physical Therapy Aide
% of Days
45%
3 Physical Therapy Assistant
% of Days
27%
1 Qualified Social Worker
% of Days
12%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
52 residents
Residents by payment source
Medicare
5 residents (9.6%)
Medicaid
45 residents (86.5%)
Private pay or other
2 residents (3.8%)
Programs & Services
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
9.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.5
16% 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.
18.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.4
21% better 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
18.0%
Percent of long-stay residents whose need for help with daily activities has increased
18.0%
14% better than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.2%
Percent of long-stay residents whose ability to move independently worsened
18.2%
18% better than 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
19.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.0%
29% better 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%
18% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.4%
Percent of long-stay high risk residents with pressure ulcers
5.4%
25% worse than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.1%
Percent of long-stay residents with a urinary tract infection
6.1%
99% worse than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.4%
Percent of long-stay residents who lose too much weight
2.4%
56% better than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.8%
Percent of long-stay residents who have depressive symptoms
1.8%
59% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
33.1%
Percent of long-stay residents who received an antipsychotic medication
33.1%
67% worse than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
58.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
58.7%
37% worse than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
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
13.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
13.5%
83% worse than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
6.9%
Percent of short-stay residents who newly received an antipsychotic medication
6.9%
193% worse than Nebraska averageNebraska average: 2.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
53.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
53.9%
29% worse 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.
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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