Heritage Crossings

Assisted Living in Nebraska

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
Heritage Crossings

Assisted Living in Nebraska

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.

Overview of Heritage Crossings

Heritage Crossings is a senior living community in Geneva, Nebraska. It offers skilled nursing care, assisted living, and adult day care services. The facility is licensed for 68 nursing home residents and 24 assisted living residents.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5 ▲ 2.2 Nebraska average: 2.8/5
Health Inspection Info 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.
5/5 ▲ 2.2 Nebraska average: 2.8/5
Staffing Info 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.
4/5 ▲ 0.9 Nebraska average: 3.1/5
Quality Measures Info 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.
3/5 ▲ 0.3 Nebraska average: 2.7/5

Staffing hours breakdown

Info 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 — compared to Nebraska state averages

Total nursing care / resident Info This home is ranked 49th 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.
4h 28m per day
Rank #49 / 129Nurse hours — state benchmarkedThis home is ranked 49th out of 129 homes in Nebraska.Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 129 Nebraska SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Nebraska avg (4h 20m per day)
vs Nebraska avg
+3%
Staff typeHours / dayvs state avg
Total Nursing (Weekend) Info 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. 2h 52m per day

Capacity and availability

Avg. Length of Stay
197 days

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

39% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

20% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Voluntary non-profit community
Home revenue
$7.0M
Operating deficit
-$529.0K
Voluntary non-profit community
Home revenue
$7.0M Rank #63 / 132Revenue — state benchmarkedThis home is ranked 63rd out of 132 homes in Nebraska.Shows this facility's annual revenue compared to the Nebraska SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating deficit
-$529.0K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #89 / 132Payroll — state benchmarkedThis home is ranked 89th out of 132 homes in Nebraska.Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$2.4M
34.7% of revenue Rank #115 / 132Payroll % — state benchmarkedThis home is ranked 115th out of 132 homes in Nebraska.Shows payroll as a percentage of revenue versus the Nebraska average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.1M
Total costs $7.5M
Bed community size
30-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy

Occupancy rate
193%
Rank #94 / 134Occupancy rate — state benchmarkedThis home is ranked 94th out of 134 homes in Nebraska.Shows this facility's occupancy rate versus the Nebraska average, with its statewide rank out of 134. Higher occupancy signals strong local demand and financial stability.
Higher than the Nebraska average: 70.3%
Occupied beds
58 / 30
Average residents 54 per day

License Details

Facility TypeAssisted Living Facilities
StatusActive
CountyFillmore
License NumberALF234
CMS Certification Number285230
AccreditationsMedicaid and Medicare certified

Ownership & Operating Entity

Heritage Crossings is administrated by Sherri Due, Administrator.

Owner NameVSL GENEVA, LLC

Safety & Compliance

Safety FeaturesSafe environment

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Contact Information

Fax(402) 759-3140

Amenities & Lifestyle

Spacious Private And Companion Rooms
Deluxe Private Rooms
Occupational
Physical
Speech Therapies
Pastoral Services
All Faith Chapel
Delicious Meals
Snacks
Open Dining Times
Regularly Scheduled Physician Visits
Transportation
Wireless Technology In Common Areas
Beauty And Barber Shop
Outdoor Walking Paths
ActivitiesActivities are scheduled seven days a week and also in the evenings.
Specific ProgramsShort-Term Rehab, Adult Day Care Services, Therapies, Hospice
Religious ServicesYes

Dining & Nutrition

Food DescriptionDelicious meals, snacks and open dining times.

Contact Heritage Crossings

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.

Payment & Funding Options

Medicaid Medicare

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.

17 visits/inspections Info 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.

Latest inspection

Date March 23, 2023
Renewal

61 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Nebraska average: 52 deficiencies

3.6 deficiencies per inspection

Nebraska average: 4.0 deficiencies per inspection

Inspection Report Summary for Heritage Crossings

The most recent inspection-related document from March 23, 2023, was a renewal application for Heritage Crossings assisted-living facility and did not include any deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to life safety code issues such as fire safety, door latching, sprinkler system maintenance, and electrical equipment use. Complaint investigations generally found the facility compliant with care and safety requirements, though one substantiated case in 2016 involved failure to coordinate specialty physician care resulting in vision loss for a resident. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing attention to life safety concerns, with some improvement in recent years as no deficiencies appeared in the latest renewal documentation.

Health Inspection History

Inspections
Total health inspections 3

State average 4.3


Last Health inspection on Jun 2025

Total health citations
5 Rank #8 / 134Health citations — state benchmarkedThis home is ranked 8th out of 134 homes in Nebraska.Shows this facility's total health deficiency citations benchmarked to the Nebraska state average, with a ranking across all 134 NE SNFs. Lower citation counts earn a better rank.

State average 18.2

Citations per inspection
1.67

State average 4.19


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

4 of 5 citations resulted from standard inspections; and 1 of 5 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info
0
100% better than State average

State average: 0.2


Serious Health citations More info 0
100% better than State average

State average: 0.5

0 critical citations More info State average: 0.2

0 serious citations More info State average: 0.5

5 moderate citations More info State average: 17.2

0 minor citations More info State average: 0.2
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jun 16, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Dec 12, 2023
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Oct 27, 2022
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 27, 2022
Corrected

Compare Assisted Living around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

Filter by care type
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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.

La Vista156No-- 23.1% -Christian Koenig, Administrator-4000
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Plattsmouth45Yes 43 - 86.7% -Kim CundallWell Nebraska Tenant Llc7437
Heritage Crossings
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.

Geneva30No-- 100.0% -Sherri Due, Administrator-1751161
Beaver City Manor
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.

Beaver City30No 35 Medicaid and Medicare (30) 66.7% -Angela WoodringCity Of Beaver City21611126
Carl T Curtis Health Education Center Nursing Home
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.

Macy-No 12 -----0000

Financial Assistance for
Assisted Living in Nebraska

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Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled
General Nebraska resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $4,000 individual, higher than most states
NE

Higher asset limit; rural access focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Nebraska Respite Network

NE Respite Network

Age Caregiver of someone 60+
General Nebraska resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NE

Lifespan respite focus; limited funding.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus)
General Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).
Income Limits (2025) ~$1,255/month (100% FPL, individual); spenddown allowed.
Asset Limits $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).
NE

Family can be paid caregivers; statewide via DHHS.

Benefits
Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+
General Nebraska resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $4,000 (individual), $6,000 (couple).
NE

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled
General Nebraska resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NE

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Senior Community Service Employment Program (SCSEP)

Nebraska SCSEP

Age 55+
General unemployed, low-income, Nebraska resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
NE

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Nebraska resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NE

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Heritage Crossings

Address 0.0 miles from city center Info Estimated distance in miles from GENEVA's city center to Heritage Crossings's address, calculated via Google Maps.

Calculate Travel Distance to Heritage Crossings

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 68
Employees 58
Contractors 10
Staff to resident ratio 1.51:1
30% worse than Nebraska average

Nebraska average ratio: 2.15:1

Avg staff/day 26
Average shift 7.3 hours
6% worse than Nebraska average

Nebraska average: 7.8 hours

Total staff hours (quarter) 17,284
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

5.7%

980 contractor hours this quarter

Physical Therapy Aide: 3 Respiratory Therapy Technician: 3 Qualified Social Worker: 2 Speech Language Pathologist: 1 Physical Therapy Assistant: 1
Staff by category
Medication Aide/Technician170174,99891100%7.6
Certified Nursing Assistant200204,76691100%7.4
Licensed Practical Nurse5051,4408998%9.6
Registered Nurse4041,1248492%8.2
Clinical Nurse Specialist2021,0267178%8.6
Other Dietary Services Staff6061,0117987%6.7
Administrator1015206571%8
Nurse Practitioner1015206571%8
Dental Services Staff1014605662%8.2
RN Director of Nursing1014385055%8.8
Physical Therapy Aide0333456369%5.3
Speech Language Pathologist0112595965%4.4
Physical Therapy Assistant0112465763%4.3
Respiratory Therapy Technician033772527%3.1
Qualified Social Worker022532527%2.1
17 Medication Aide/Technician
% of Days 100%
20 Certified Nursing Assistant
% of Days 100%
5 Licensed Practical Nurse
% of Days 98%
4 Registered Nurse
% of Days 92%
2 Clinical Nurse Specialist
% of Days 78%
6 Other Dietary Services Staff
% of Days 87%
1 Administrator
% of Days 71%
1 Nurse Practitioner
% of Days 71%
1 Dental Services Staff
% of Days 62%
1 RN Director of Nursing
% of Days 55%
3 Physical Therapy Aide
% of Days 69%
1 Speech Language Pathologist
% of Days 65%
1 Physical Therapy Assistant
% of Days 63%
3 Respiratory Therapy Technician
% of Days 27%
2 Qualified Social Worker
% of Days 27%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 45
Medicaid
16
35.6% of residents
Private pay or other
29
64.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.1
19% better than Nebraska average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.1
14% better than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 17.1%
18% better than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.3%
35% better than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.9%
7% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.6%
41% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.5%
98% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.1%
43% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.8%
37% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 4.7%
76% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
In line with Nebraska average

Nebraska average: 96.1%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
24% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
30% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
27% better than Nebraska average

Nebraska average: 75.9%

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