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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.
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.
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.
This home is ranked 45th out of 117 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 2h 52m per day |
Higher than the Nebraska average: 70.3%Heritage Crossings is administrated 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, citation, 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 nursing home (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 nursing home (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.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Jun 2025
Nebraska average 18.2
Nebraska 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.
100% better than Nebraska averageNebraska average: 0.2
100% better than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% worse than Nebraska average
0% compared with Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
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 Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.1
14% better than Nebraska averageNebraska average: 23.3
Percent of long-stay residents whose need for help with daily activities has increased
17.1%
18% better than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
14.3%
35% better than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.9%
7% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
41% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
8.5%
98% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
3.1%
43% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
2.8%
37% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
4.7%
76% better than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with Nebraska averageNebraska average: 96.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
24% better than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
30% better than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
27% better 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.
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 based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #43 / 120Payroll — State benchmarkedThis home is ranked 43rd out of 120 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Geneva's city center to Heritage Crossings's address, calculated via Google Maps.
Add your location
Heritage Crossings is located in GENEVA, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| 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. | Geneva | 30 | 65.8% | -6% | 4.46 | -31% | 0% | $0 | 5 | 1.7 | - | 39 | - | 45 | Jason Bespalec | $7.0M | $4.6M | 66.2% | 285230 | ||||
| Gateway Vista |
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. | Lincoln (Culler) | 80 | 83.2% | +18% | 4.84 | -20% | +9% | $8.7k | 10 | 3.3 | 1 | 67 | A+ | 71 | Mikel Ardley | $25.2M | $7.0M | 27.7% | 285266 |
The legal owner and operator of Heritage Crossings is Vsl Geneva, Llc.
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%.
Administrator Sherri Due is the administrator of Heritage Crossings.
Heritage Crossings has 30 beds.
Yes — there are 3 photos of Heritage Crossings in the photo gallery on this page.
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