Quality of care metrics reveal significant performance gaps in short-stay rehabilitation outcomes at Haven Home, a nursing home and assisted living facility at 100 W Elm St in Kenesaw, Nebraska.
Ability to care for self at discharge reached only 28.6 percent of residents, substantially below Nebraska’s state average of 53.7 percent; a 47 percent performance deficit. Successful return to home or community registered 37.0 percent, 27 percent worse than the state average of 50.6 percent. These figures indicate that rehabilitation residents often discharge with reduced functional independence.
The facility earns below-average CMS quality ratings in both short-stay and long-stay categories. Positive outcomes appear limited to falls prevention: zero residents experienced major injury from falls during short-stay episodes, compared to Nebraska’s average of 0.8%.
Hospitalizations per 1,000 resident days measured 1.49, 17% better than average. Outpatient emergency department visits registered 1.62 per 1,000 days, also 17% better than Nebraska’s benchmark.
Registered nurse hours total 19 minutes per resident per day, the lowest among the three nursing levels and 56% below Nebraska’s state average of 43 minutes. Licensed practical nurse staffing reaches 41 minutes daily, 5% below state average. Certified nursing aide hours measure 1 hour 52 minutes per day, 33% below the state average of 2 hours 46 minutes. Physical therapist coverage is minimal at 1 minute per day, 67% below Nebraska’s average of 3 minutes.
Weekend total nursing drops to 2 hours 34 minutes per resident per day, 29% below the state average of 3 hours 37 minutes. Weekend registered nurse hours fall to 12 minutes per day, representing a 59% reduction from state averages.
Haven Home provides skilled nursing short-term rehabilitation, skilled nursing long-term care, and assisted living across private, semi-private, and various bedroom configurations. The single-story facility maintains 24-hour staffing, permits pets, and offers respite care and rehabilitation services. Amenities include emergency call systems, transportation, lounges, sunrooms, beauty and barber services, a state-of-the-art fitness center, and organized clubs and events.
The facility is not CMS-certified for Medicare or Medicaid.
Walk score of 1 indicates extreme car-dependence; the location sits 32.4 miles from the city center and 14.12 miles from Hastings Medical Park.
Haven Home demonstrates chronic and severe staffing deficits correlating with markedly impaired rehabilitation discharge outcomes, despite modest successes in injury and infection prevention.
Staffing hours
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.
Hours per resident per day vs Nebraska averages
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
All 6 underlying metrics fall below the state average
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.49
17% better than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.62
17% 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.
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.
28.6%
47% worse than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
37.0%
27% 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.
Pets Allowed
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
0.9 miles from city center
Estimated distance in miles from Kenesaw's city center to Haven Home'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.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nebraska average is: 61.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brookestone Gardens | NH AL IL SNF | Kearney | 54
Facility
54
NE AVG
81
Rank
#147 / 225 | - | - | 5.13
Facility
5.13
NE AVG
4.45
Rank
#17 / 119 | +25% | +15% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 124 | 10
Facility
10
NE AVG
18.2
Rank
#31 / 122 | 5.0
Facility
5.0
NE AVG
4.2
Rank
#94 / 122 | - | 3 | - |
89
Facility
89
NE AVG
47
Rank
#1 / 285 | Anirban Ghosh | $8.9MFiscal year ending 12/2023
Facility
$8.9MFiscal year ending 12/2023
NE AVG
$7.6M
Rank
#28 / 113 | $5.8MFiscal year ending 12/2023
Facility
$5.8MFiscal year ending 12/2023
NE AVG
$4.5M
Rank
#20 / 113 | 65.2%Fiscal year ending 12/2023
Facility
65.2%Fiscal year ending 12/2023
NE AVG
61.4%
Rank
#48 / 113 | 285305 | ||||
| Mount Carmel Home | NH MC SNF | Kearney | 75
Facility
75
NE AVG
81
Rank
#90 / 225 |
75.5%
Facility
75.5%
NE AVG
73.3%
Rank
#97 / 177 | +3% | 6.74
Facility
6.74
NE AVG
4.45
Rank
#2 / 119 | -11% | +51% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 124 | 1
Facility
1
NE AVG
18.2
Rank
#1 / 122 | 1.0
Facility
1.0
NE AVG
4.2
Rank
#1 / 122 | - | 57 | - |
73
Facility
73
NE AVG
47
Rank
#32 / 285 | Mary Blavet | $7.0MFiscal year ending 06/2024
Facility
$7.0MFiscal year ending 06/2024
NE AVG
$7.6M
Rank
#41 / 113 | $4.9MFiscal year ending 06/2024
Facility
$4.9MFiscal year ending 06/2024
NE AVG
$4.5M
Rank
#32 / 113 | 69.5%Fiscal year ending 06/2024
Facility
69.5%Fiscal year ending 06/2024
NE AVG
61.4%
Rank
#31 / 113 | 285216 | ||||
| Bethany Home | NH AL MC SNF | Minden | 64
Facility
64
NE AVG
81
Rank
#121 / 225 |
79.7%
Facility
79.7%
NE AVG
73.3%
Rank
#79 / 177 | +9% | 4.90
Facility
4.90
NE AVG
4.45
Rank
#24 / 119 | +53% | +10% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 124 | 19
Facility
19
NE AVG
18.2
Rank
#72 / 122 | 6.3
Facility
6.3
NE AVG
4.2
Rank
#109 / 122 | - | 51 | - |
47
Facility
47
NE AVG
47
Rank
#152 / 285 | Bethany Home Inc | $8.2MFiscal year ending 06/2024
Facility
$8.2MFiscal year ending 06/2024
NE AVG
$7.6M
Rank
#31 / 113 | $5.0MFiscal year ending 06/2024
Facility
$5.0MFiscal year ending 06/2024
NE AVG
$4.5M
Rank
#29 / 113 | 60.9%Fiscal year ending 06/2024
Facility
60.9%Fiscal year ending 06/2024
NE AVG
61.4%
Rank
#62 / 113 | 285270 | ||||
| Mother Hull Home | NH SNF | Kearney | 58
Facility
58
NE AVG
81
Rank
#140 / 225 |
89.7%
Facility
89.7%
NE AVG
73.3%
Rank
#29 / 177 | +22% | 5.57
Facility
5.57
NE AVG
4.45
Rank
#8 / 119 | -46% | +25% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 124 | 14
Facility
14
NE AVG
18.2
Rank
#49 / 122 | 4.7
Facility
4.7
NE AVG
4.2
Rank
#85 / 122 | - | 52 | - |
87
Facility
87
NE AVG
47
Rank
#4 / 285 | Sieg Brauer | $4.9MFiscal year ending 06/2024
Facility
$4.9MFiscal year ending 06/2024
NE AVG
$7.6M
Rank
#75 / 113 | $3.7MFiscal year ending 06/2024
Facility
$3.7MFiscal year ending 06/2024
NE AVG
$4.5M
Rank
#53 / 113 | 76.3%Fiscal year ending 06/2024
Facility
76.3%Fiscal year ending 06/2024
NE AVG
61.4%
Rank
#9 / 113 | 285254 |
Haven Home is located in Kenesaw, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
Yes — see the floorplan options available at Haven Home on this page.
Yes, Haven Home allows residents to bring their pets.
Yes — there are 19 photos of Haven Home in the photo gallery on this page.
Haven Home is located at 100 W Elm St, Kenesaw, NE 68956.
(402) 752-3212 will put you in contact with the team at Haven Home.
Haven Home is not currently listed as a CMS-certified provider of Medicare or Medicaid.
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