5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Owned by Jason Bespalec, Heritage Crossings is a skilled nursing home in Geneva, Nebraska. The home accepts Medicaid, Medicare, and private pay, giving families multiple ways to cover short-term rehabilitation and longer-term nursing care. With 30 licensed beds and full occupancy, the community is running at full capacity. Residents stay for an average of 197 days, including post-acute rehab residents and those who need ongoing skilled nursing support.
The home’s rehabilitation focus is showcased in its specialized programs. It offers short-term rehab, occupational and physical therapy, and speech therapy alongside general nursing care. Residents with shifting needs can access hospice services and adult day care. This gives families options as their needs change.
Daily nurse staffing averages roughly 4 hours and 28 minutes per resident. Nurse aide support provides another 2 hours and 52 minutes, so hands-on assistance is part of the daily rhythm.
Residents’ daily lives are built around both structure and personal choice. Activities are scheduled seven days a week, which extend into the evenings, giving residents and families flexible times to engage.
Mealtimes are not fixed and limited. The home has other dining times besides the regularly scheduled meals and snacks. Rooms range from spacious private and companion options to deluxe private rooms, so families can choose what fits their needs. The community also has an all-faith chapel for pastoral services. Other amenities include a beauty and barber shop, outdoor walking paths, and wireless technology in common areas to stay connected.
State inspections have reviewed the home’s safety and operational standards for 16 years. Earlier inspections identified life-safety code concerns related to fire-safety procedures and building requirements. The most recent inspection confirmed the home’s licensure and found no deficiencies, showing improvements in these areas.
The surrounding neighborhood in Geneva has a Walk Score of 45. Some essential services are within walking distance, but most errands and appointments require a short drive. Regularly scheduled physician visits are available on-site, so residents can receive care without leaving the facility.
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.
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 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 34m per day | |
|
LPN / LVN
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.
| 46m per day | |
|
Nurse Aide
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.
| 3h 4m per day | |
|
Weekend Total Nursing
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.
| 3h 21m per day | |
|
Physical Therapist
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.
| 1m per day | |
|
Weekend RN
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.
| 15m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the Nebraska average: 70.3%Heritage Crossings is administered by Administrator Sherri Due.
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.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 61 | 52 | This facility has 17% more total deficiencies than a typical Nebraska assisted living residence (61 vs. NE avg 52).↑ 17% worse |
|
Deficiencies per year
Average deficiencies per year since 2010.
| 3.8 | 3.3 | This facility has 15% more deficiencies per year than a typical Nebraska assisted living residence (3.8 vs. NE avg 3.3).↑ 15% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Jun 2025
State average N/A
State average N/A
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.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
All 5 LPN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
24 total: 23 full-time employees and 1 contractor.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,620 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 23 | 1 | 24 | 6,483 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 19 | 0 | 19 | 5,398 | 92 | 100% | 7.8 |
| RN Director of Nursing | 1 | 2 | 3 | 1,555 | 89 | 97% | 10.7 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,433 | 87 | 95% | 8.7 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,012 | 75 | 82% | 6.9 |
| Registered Nurse | 5 | 0 | 5 | 923 | 82 | 89% | 8.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 869 | 63 | 68% | 8.6 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 491 | 62 | 67% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 362 | 63 | 68% | 5.6 |
| Speech Language Pathologist | 0 | 1 | 1 | 292 | 59 | 64% | 4.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 274 | 62 | 67% | 4.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 78 | 27 | 29% | 2.9 |
| Qualified Social Worker | 0 | 1 | 1 | 48 | 27 | 29% | 1.8 |
| Medical Director | 0 | 1 | 1 | 7 | 26 | 28% | 0.3 |
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.
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 State averageState average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.1
14% better than State averageState average: 23.3
Percent of long-stay residents whose need for help with daily activities has increased
17.1%
18% better than State averageState average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
14.3%
35% better than State averageState average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.9%
7% worse than State averageState average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
41% better than State averageState average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
8.5%
98% worse than State averageState average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 3.1%
Percent of long-stay residents who lose too much weight
3.1%
43% better than State averageState average: 5.4%
Percent of long-stay residents who have depressive symptoms
2.8%
37% better than State averageState average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
4.7%
76% better than State averageState average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than State averageState average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with State averageState average: 96.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
24% better than State averageState average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
30% better than State averageState average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
27% better than State averageState average: 75.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
41% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
45Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Heritage Crossings from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #50 / 129Payroll — State benchmarkedThis home is ranked 50th out of 129 homes in Nebraska for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #43 / 129Payroll % — State benchmarkedThis home is ranked 43rd out of 129 homes in Nebraska for Payroll %. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (41% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Geneva's city center to Heritage Crossings's address, calculated via Google Maps.
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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Brookestone of Papillion | NH SNF | Papillion | - | 110 | - | 35 | - |
| Brookestone Acres | NH SNF | Columbus | - | 80 | - | 70 | - |
| Brookestone Meadows Rehabilitation and | NH HC HOS IL SNF | Plaza Elkhorn (Elkhorn) | - | 140 | - | 6 | - |
| St Joseph’s Hillside Villa | NH AL HOS RC SNF | West Point | - | 54 | - | 66 | - |
| Heritage Crossings | NH ADC AL IL SNF | Geneva | - | 30 | - | 45 | - |
Heritage Crossings is legally operated by Vsl Geneva, LLC, and administered by Administrator Sherri Due.
Heritage Crossings has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NE state health department records, Heritage Crossings's license number is ALF234.
Heritage Crossings's occupancy is 100%.
No, Heritage Crossings has a no-pet policy.
Heritage Crossings is registered as a non-profit in NE.
Administrator Sherri Due is the administrator of Heritage Crossings.
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