Occupancy rate
61%
In line with Nebraska averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Continental Springs, LLC
Nursing Home in Nebraska
CMS overall rating
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.
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.
Continental Springs, LLC
Nursing Home in Nebraska
CMS overall rating
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.
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.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 88th out of 129 homes in Nebraska.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 88th out of 129 homes in Nebraska.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 50m per day
vs Nebraska avg
-12%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
77
Avg. Length of Stay
308 days
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
$5.2M
Operating loss
-$2.0M
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
Facility TypeNursing Home
CountyDakota
CMS Certification Number285082
Certification TypeCertification
Continental Springs, LLC is administrated by Ericka Niles, Administrator.
Owner NameContinental Springs, LLC
Emergency Systems24-hour emergency response system in each apartment and suite.
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Fax(402) 494-8830
Pets Allowed
HousekeepingYes
Personal Laundry Service
Scheduled Local Transportation
Housekeeping
Activities
Dining Services
Specific ProgramsRespite Care, Rehabilitation Services, Activities
Food DescriptionResidents enjoy home cooked meals in the social center, just a few feet away.
Meals IncludedYes
Special DietsYes
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
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
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.
Nebraska average: 52 deficiencies
Inspection Report Summary for Continental Springs, LLC
The most recent inspection on March 27, 2025, reported no deficiencies and confirmed the facility’s licensure renewal and occupancy capacity. Earlier inspections show a history of various deficiencies primarily related to resident dignity and care, infection control, medication management, and safety issues such as fire safety and emergency preparedness. Complaint investigations over the years included some substantiated findings, notably failures to report falls with injury and to maintain resident dignity, while many complaints were found unsubstantiated. No fines, immediate jeopardy findings, or license suspensions were listed in the available reports. The facility’s record indicates improvement over time, with recent inspections showing no deficiencies after earlier periods of cited issues.
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.
Filter by care type
| 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 (Precinct 9) | 67 | 63.6% | -10% | 4.13 | -7% | -7% | 0 | 7 | 2.3 | 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 | +46% | -14% | 0 | 10 | 2.5 | 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 | +19% | -14% | 0 | 12 | 4.0 | 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 (Platte Valley Precinct) | 66 | 72.4% | +3% | 4.08 | -2% | -8% | 0 | 18 | 4.5 | 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 | +15% | -16% | 0 | 29 | 7.3 | 1 | 35 | - | - | Luth, Kurt | $2.9M | $1.5M | 52.9% | 285294 |
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126.8 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.
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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 residents
52
Medicare
5
9.6% of residents
Medicaid
45
86.5% of residents
Private pay or other
2
3.8% of residents
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
-$2.0M
↓ ~$1.1M vs 2022
Total Payroll
$149.5K
↑ ~$149.5K vs 2022
Profit Margin
-39.7%
↓ 23.4pp vs 2022
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