Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 3 - 4 months.
Under Tammy Jo Palmersheim’s ownership, Continental Springs is a 77-bed nursing home in South Sioux City, Nebraska. It’s situated on G Street with a Walk Score of 73, so most errands are easily walkable, with the neighborhood reachable to visiting family. Medicaid, Medicare, and private pay are welcome, giving families numerous ways to afford care.
Continental Springs specializes in rehabilitation and respite services, with 24-hour staffing to support residents’ daily needs. Total nursing care averages 3 hours 50 minutes per resident day, with registered nurses providing 36 minutes of that care. More support comes from nurse aides offering 2 hours 38 minutes per resident daily, with licensed practical nurses contributing 21 minutes each day. This staffing model provides consistent hands-on care for residents convalescing from illness or injury, plus those staying longer term. The average stay length is 308 days, indicating a blend of short-term rehabilitation admissions and longer-term residents. With 47 residents in its 77 licensed beds, the facility currently operates at 61 percent occupancy. Dining is centered around home-cooked meals served in the social center, a focal point of daily life. Daily amenities span personal laundry service, scheduled transportation to local destinations, and housekeeping support. Such services are tailored to ease life’s practical and social aspects for occupants and visiting families.
The facility’s inspection history spans 15 years of data. A recent inspection confirmed the home complies with no deficiencies. Earlier surveys had raised some concerns regarding environmental cleanliness, resident dignity, fire safety, and emergency preparedness, though a subsequent complaint investigation found the specific allegation unsubstantiated, and the facility complied on that matter. Families touring the community can inquire how these areas are handled every day.
Continental Springs, LLC is administered by Administrator Ericka Niles.
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.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
| 95 | 52 | This facility has 83% more total deficiencies than a typical Nebraska nursing home (95 vs. NE avg 52).↑ 83% worse |
|
Deficiencies per inspection
| 4.5 | 4 | This facility has 13% more deficiencies per inspection than a typical Nebraska nursing home (4.5 vs. NE avg 4).↑ 13% worse |
Inspections
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total inspections
| 21 | 13 | This facility has had 62% more total inspections than the Nebraska average (21 vs. NE avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 62% more |
State average 4.3
Last Health inspection on Oct 2024
State average 18.2
State 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).
State average: 0.2
State average: 0.5
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,113 contractor hours this quarter
| Medication Aide/Technician | 17 | 1 | 18 | 6,466 | 92 | 100% | 8 |
| Certified Nursing Assistant | 16 | 3 | 19 | 5,345 | 92 | 100% | 7.4 |
| Registered Nurse | 6 | 0 | 6 | 1,902 | 92 | 100% | 8.4 |
| Dietitian | 4 | 0 | 4 | 1,310 | 87 | 95% | 7.5 |
| Licensed Practical Nurse | 3 | 1 | 4 | 1,028 | 80 | 87% | 9.1 |
| Administrator | 1 | 0 | 1 | 540 | 66 | 72% | 8.2 |
| RN Director of Nursing | 1 | 0 | 1 | 532 | 62 | 67% | 8.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 422 | 54 | 59% | 7.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 379 | 56 | 61% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 370 | 50 | 54% | 7.4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 221 | 51 | 55% | 4.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 88 | 28 | 30% | 3 |
| Physical Therapy Aide | 0 | 3 | 3 | 45 | 30 | 33% | 1.3 |
| Qualified Social Worker | 0 | 1 | 1 | 13 | 17 | 18% | 0.7 |
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.
13% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
33% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Historical financial and operational data for Continental Springs, LLC from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Pets Allowed
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from South Sioux City's city center to Continental Springs, LLC's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Brookestone of Papillion | NH SNF | Papillion | 110
Facility
110
NE AVG
82
Rank
#52 / 226 |
85.4%
Facility
85.4%
NE AVG
71.4
Rank
#51 / 182 | +20% | 4.69
Facility
4.69
NE AVG
4.45
Rank
#36 / 120 | -2% | +5% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 125 | 7
Facility
7
NE AVG
18.2
Rank
#14 / 123 | 1.8
Facility
1.8
NE AVG
4.2
Rank
#6 / 123 | - | 94 | - |
35
Facility
35
NE AVG
47
Rank
#197 / 287 | John Harris | $10.8MFiscal year ending 06/2024
Facility
$10.8MFiscal year ending 06/2024
NE AVG
$7.6M
Rank
#18 / 114 | $8.1MFiscal year ending 06/2024
Facility
$8.1MFiscal year ending 06/2024
NE AVG
$4.5M
Rank
#9 / 114 | 75%Fiscal year ending 06/2024
Facility
75%Fiscal year ending 06/2024
NE AVG
61.4%
Rank
#10 / 114 | 285268 | ||||
| Brookestone Acres | NH SNF | Columbus | 80
Facility
80
NE AVG
82
Rank
#83 / 226 |
78.8%
Facility
78.8%
NE AVG
71.4
Rank
#84 / 182 | +10% | 5.07
Facility
5.07
NE AVG
4.45
Rank
#20 / 120 | -32% | +14% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 125 | 14
Facility
14
NE AVG
18.2
Rank
#49 / 123 | 4.7
Facility
4.7
NE AVG
4.2
Rank
#86 / 123 | - | 63 | - |
70
Facility
70
NE AVG
47
Rank
#44 / 287 | Raven Schmid | $9.4MFiscal year ending 06/2024
Facility
$9.4MFiscal year ending 06/2024
NE AVG
$7.6M
Rank
#25 / 114 | $5.8MFiscal year ending 06/2024
Facility
$5.8MFiscal year ending 06/2024
NE AVG
$4.5M
Rank
#23 / 114 | 61.1%Fiscal year ending 06/2024
Facility
61.1%Fiscal year ending 06/2024
NE AVG
61.4%
Rank
#61 / 114 | 285291 | ||||
| Tabitha Nursing Center at Crete | NH RC SNF | Crete | 38
Facility
38
NE AVG
82
Rank
#198 / 226 |
94.7%
Facility
94.7%
NE AVG
71.4
Rank
#12 / 182 | +33% | 4.94
Facility
4.94
NE AVG
4.45
Rank
#25 / 120 | -22% | +11% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 125 | 8
Facility
8
NE AVG
18.2
Rank
#19 / 123 | 2.7
Facility
2.7
NE AVG
4.2
Rank
#22 / 123 | - | 36 | - |
73
Facility
73
NE AVG
47
Rank
#34 / 287 | Brian Shanks | $4.0MFiscal year ending 12/2023
Facility
$4.0MFiscal year ending 12/2023
NE AVG
$7.6M
Rank
#88 / 114 | $2.6MFiscal year ending 12/2023
Facility
$2.6MFiscal year ending 12/2023
NE AVG
$4.5M
Rank
#88 / 114 | 64.3%Fiscal year ending 12/2023
Facility
64.3%Fiscal year ending 12/2023
NE AVG
61.4%
Rank
#50 / 114 | 285283 | ||||
| Saunders Medical Center | NH MC SNF | J Wahoo | 60
Facility
60
NE AVG
82
Rank
#131 / 226 |
98.3%
Facility
98.3%
NE AVG
71.4
Rank
#5 / 182 | +38% | 5.48
Facility
5.48
NE AVG
4.45
Rank
#11 / 120 | -45% | +23% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 125 | 6
Facility
6
NE AVG
18.2
Rank
#9 / 123 | 2.0
Facility
2.0
NE AVG
4.2
Rank
#7 / 123 | - | 59 | - |
80
Facility
80
NE AVG
47
Rank
#16 / 287 | - | - | - | - | 285296 | ||||
| Continental Springs, LLC | NH AL MC RC SNF | South Sioux City | 77
Facility
77
NE AVG
82
Rank
#89 / 226 |
61.0%
Facility
61.0%
NE AVG
71.4
Rank
#134 / 182 | -15% | 3.83
Facility
3.83
NE AVG
4.45
Rank
#82 / 120 | -9% | -14% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 125 | 10
Facility
10
NE AVG
18.2
Rank
#31 / 123 | 2.5
Facility
2.5
NE AVG
4.2
Rank
#18 / 123 | - | 47 | - |
73
Facility
73
NE AVG
47
Rank
#34 / 287 | Tammy Jo Palmersheim | $5.0MFiscal year ending 12/2023
Facility
$5.0MFiscal year ending 12/2023
NE AVG
$7.6M
Rank
#71 / 114 | $149.5kFiscal year ending 12/2023
Facility
$149.5kFiscal year ending 12/2023
NE AVG
$4.5M
Rank
#114 / 114 | 3%Fiscal year ending 12/2023
Facility
3%Fiscal year ending 12/2023
NE AVG
61.4%
Rank
#114 / 114 | 285082 |
Continental Springs, LLC has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Continental Springs, LLC's occupancy is 61%.
Yes, Continental Springs, LLC allows residents to bring their pets.
Continental Springs, LLC is registered as a for-profit in NE.
Administrator Ericka Niles is the administrator of Continental Springs, LLC.
Continental Springs, LLC has 77 beds.
Continental Springs, LLC has had 95 reported deficiencies since 2011 according to records from Nebraska Dept. of Health and Human Services (DHHS).
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