Heritage Crossings
Nursing Home, Adult Day Care, Assisted Living & Independent Living · Nebraska, NE
CMS overall rating Info 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.

Heritage Crossings

Nursing Home, Adult Day Care, Assisted Living & Independent Living · Nebraska, NE
CMS overall rating Info 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.
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Heritage Crossings accepts Medicaid, Medicare, and private pay.

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.

Since 2010 · 16 years of data 61 deficiencies

Inspection Scorecard Info 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.

Since 2010 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (17% above)
• Deficiencies per year (15% above)
0 Better No metrics in this bucket.
Latest Inspection March 23, 2023 Renewal

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 6152 This facility has 17% more total deficiencies than a typical Nebraska nursing home (61 vs. NE avg 52).↑ 17% worse
Deficiencies per year Info Average deficiencies per year since 2010. 3.83.3 This facility has 15% more deficiencies per year than a typical Nebraska nursing home (3.8 vs. NE avg 3.3).↑ 15% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on March 23, 2023, found no deficiencies and confirmed licensure renewal for the assisted-living facility with 30 licensed beds.
  • The May 2018 complaint investigation identified five deficiencies mainly related to life safety issues, including damaged walls, door latching failures, incomplete sprinkler policies, fire drill problems, and unsafe power strips.
  • Multiple inspections from 2014 to 2017 consistently found life safety code violations involving fire barriers, emergency lighting, fire drills, and hazardous area separations, showing a recurring pattern of safety compliance issues.

Health Inspection History

Inspections since 2022
Total health inspections 3

Nebraska average 4.3


Last Health inspection on Jun 2025

Total health citations
5 Rank #6 / 135Health citations — State benchmarkedThis home is ranked 6th out of 135 homes in Nebraska. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 135 NE facilities. Lower citation counts earn a better 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.

Nebraska average 18.2

Citations per inspection
1.67 Rank #4 / 135Citations per inspection — State benchmarkedThis home is ranked 4th out of 135 homes in Nebraska. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 135 facilities with citation data. Lower is better.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.

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.

Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than Nebraska average

Nebraska average: 0.2


Serious health citations
0
100% better than Nebraska average

Nebraska average: 0.5

0 critical citations Nebraska average: 0.2

0 serious citations Nebraska average: 0.5

5 moderate citations Nebraska average: 17.2

0 minor citations Nebraska average: 0.2
Citations history (last 4 years)
Infection Control moderate citation Jun 16, 2025
Corrected

Care Planning moderate citation Dec 12, 2023
Corrected

Pharmacy moderate citation Oct 27, 2022
Corrected

Quality of Care moderate citation Oct 27, 2022
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 76
Employees 63
Contractors 13
Staff to resident ratio 1.69 : 1
17% fewer staff per resident than Nebraska average
Nebraska average ratio: 2.03 : 1 Nebraska average ratio: 2.03 : 1See full Nebraska ranking
Avg staff/day 29
Average shift 7.6 hours
0% compared with Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 20,177

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 5 RN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 5 LPN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 24 total: 23 full-time employees and 1 contractor. 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

13%

2,620 contractor hours this quarter

Respiratory Therapy Technician: 3 RN Director of Nursing: 2 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Certified Nursing Assistant: 1 Speech Language Pathologist: 1 Qualified Social Worker: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant231246,48392100%7.6
Medication Aide/Technician190195,39892100%7.8
RN Director of Nursing1231,5558997%10.7
Licensed Practical Nurse5051,4338795%8.7
Other Dietary Services Staff4041,0127582%6.9
Registered Nurse5059238289%8.7
Clinical Nurse Specialist2028696368%8.6
Administrator1015286672%8
Dental Services Staff2024916267%7.9
Nurse Practitioner1014245358%8
Physical Therapy Aide0223626368%5.6
Speech Language Pathologist0112925964%4.9
Physical Therapy Assistant0222746267%4.3
Respiratory Therapy Technician033782729%2.9
Qualified Social Worker011482729%1.8
Medical Director01172628%0.3
24 Certified Nursing Assistant
% of Days 100%
19 Medication Aide/Technician
% of Days 100%
3 RN Director of Nursing
% of Days 97%
5 Licensed Practical Nurse
% of Days 95%
4 Other Dietary Services Staff
% of Days 82%
5 Registered Nurse
% of Days 89%
2 Clinical Nurse Specialist
% of Days 68%
1 Administrator
% of Days 72%
2 Dental Services Staff
% of Days 67%
1 Nurse Practitioner
% of Days 58%
2 Physical Therapy Aide
% of Days 68%
1 Speech Language Pathologist
% of Days 64%
2 Physical Therapy Assistant
% of Days 67%
3 Respiratory Therapy Technician
% of Days 29%
1 Qualified Social Worker
% of Days 29%
1 Medical Director
% of Days 28%

Penalties and fines

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.

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%

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Governmental community
Operated by a subsidized facility district.
Net patient revenue Info 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."
$6.4M
Net patient income Info 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."
-$532.1K
Governmental community Operated by a subsidized facility district.
Net patient revenue Info 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."
$6.4M Rank #59 / 133Revenue — State benchmarkedThis home is ranked 59th out of 133 homes in Nebraska. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
-$532.1K
Other income Info 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.
$3.1K
Payroll costs Info 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 #52 / 133Payroll — State benchmarkedThis home is ranked 52nd out of 133 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.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.
$3.3M 51.1% of net patient revenue Info 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 #44 / 133Payroll % — State benchmarkedThis home is ranked 44th out of 133 homes in Nebraska. 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.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.
Other operating costs Info 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).
$3.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.9M

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.

New residents most often arrive under Medicare (41% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
85 total

Coverage residents most often arrive under.

Medicare 41%
Private pay 39%
Medicaid 20%
Discharges
83 total

Coverage residents most often leave under.

Medicare 19%
Private pay 52%
Medicaid 29%

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

Compare Nursing Homes around Nebraska

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

5 facilities compared · CMS & NE Dept. of Health data

Heritage Crossings
NH
ADC
AL
IL
Geneva
30
Facility 30
NE AVG 82
Rank #223 / 228
100.0%
Facility 100.0%
NE AVG 70.3%
Rank #1 / 196
+42%
4.46
Facility 4.46
NE AVG 4.45
Rank #49 / 130
-31%0%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 135
5
Facility 5
NE AVG 18.2
Rank #6 / 135
1.7
Facility 1.7
NE AVG 4.2
Rank #4 / 135
-58-
45
Facility 45
NE AVG 46
Rank #168 / 298
Jason Bespalec
$6.4M
Facility $6.4M
NE AVG $7.6M
Rank #59 / 133
$3.3M
Facility $3.3M
NE AVG $3.5M
Rank #52 / 133
51.1%
Facility 51.1%
NE AVG 49.4%
Rank #44 / 133
285230
Gateway Vista
NH
AL
IL
PC
RC
Lincoln (Culler)
80
Facility 80
NE AVG 82
Rank #84 / 228
90.0%
Facility 90.0%
NE AVG 70.3%
Rank #38 / 196
+28%
4.84
Facility 4.84
NE AVG 4.45
Rank #30 / 130
-20%+9%
$8.7k
Facility $8.7k
NE AVG $38.1k
Rank #100 / 135
10
Facility 10
NE AVG 18.2
Rank #31 / 135
3.3
Facility 3.3
NE AVG 4.2
Rank #37 / 135
172-
71
Facility 71
NE AVG 46
Rank #43 / 298
Mikel Ardley
$14.8M
Facility $14.8M
NE AVG $7.6M
Rank #4 / 133
$7.0M
Facility $7.0M
NE AVG $3.5M
Rank #18 / 133
47.1%
Facility 47.1%
NE AVG 49.4%
Rank #130 / 133
285266
Emerald Columbus
NH
AL
HC
MC
PC
Columbus (40Th Avenue)
145
Facility 145
NE AVG 82
Rank #25 / 228
56.6%
Facility 56.6%
NE AVG 70.3%
Rank #163 / 196
-20%
3.78
Facility 3.78
NE AVG 4.45
Rank #87 / 130
-37%-15%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 135
20
Facility 20
NE AVG 18.2
Rank #82 / 135
3.3
Facility 3.3
NE AVG 4.2
Rank #37 / 135
-72A+
57
Facility 57
NE AVG 46
Rank #101 / 298
Columbus Operations LLC
$10.4M
Facility $10.4M
NE AVG $7.6M
Rank #27 / 133
$5.0M
Facility $5.0M
NE AVG $3.5M
Rank #27 / 133
48%
Facility 48%
NE AVG 49.4%
Rank #88 / 133
285092
Bethany Home
NH
AL
MC
NC
Minden
64
Facility 64
NE AVG 82
Rank #123 / 228
79.7%
Facility 79.7%
NE AVG 70.3%
Rank #90 / 196
+13%
4.75
Facility 4.75
NE AVG 4.45
Rank #39 / 130
+53%+7%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 135
19
Facility 19
NE AVG 18.2
Rank #77 / 135
6.3
Facility 6.3
NE AVG 4.2
Rank #120 / 135
-59-
47
Facility 47
NE AVG 46
Rank #155 / 298
Bethany Home Inc
$8.2M
Facility $8.2M
NE AVG $7.6M
Rank #48 / 133
$5.0M
Facility $5.0M
NE AVG $3.5M
Rank #40 / 133
60.9%
Facility 60.9%
NE AVG 49.4%
Rank #61 / 133
285270
Tabitha at Prairie Commons
NH
IL
MC
RC
Grand Island
36
Facility 36
NE AVG 82
Rank #206 / 228
27.2%
Facility 27.2%
NE AVG 70.3%
Rank #190 / 196
-61%
5.72
Facility 5.72
NE AVG 4.45
Rank #8 / 130
+44%+28%
$10.3k
Facility $10.3k
NE AVG $38.1k
Rank #104 / 135
15
Facility 15
NE AVG 18.2
Rank #59 / 135
5.0
Facility 5.0
NE AVG 4.2
Rank #104 / 135
124-
14
Facility 14
NE AVG 46
Rank #267 / 298
Tabitha Grand Island, Inc
$2.9M
Facility $2.9M
NE AVG $7.6M
Rank #89 / 133
$2.5M
Facility $2.5M
NE AVG $3.5M
Rank #98 / 133
86.6%
Facility 86.6%
NE AVG 49.4%
Rank #91 / 133
285307

Financial Assistance for
Nursing Home in Nebraska

Heritage Crossings is located in GENEVA, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.

Get Financial aid guidance

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%)

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)

Frequently Asked Questions about Heritage Crossings

Who is the owner of Heritage Crossings?

The legal owner and operator of Heritage Crossings is Vsl Geneva, Llc.

Is Heritage Crossings in a walkable area?

Heritage Crossings has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Heritage Crossings?

According to NE state health department records, Heritage Crossings's license number is ALF234.

What is the occupancy rate at Heritage Crossings?

Heritage Crossings's occupancy is 100%.

Who is the administrator of Heritage Crossings?

Administrator Sherri Due is the administrator of Heritage Crossings.

How many beds does Heritage Crossings have?

Heritage Crossings has 30 beds.

What is the address of Heritage Crossings?

Heritage Crossings is located at 501 North 13Th Street, Geneva, NE 68361.

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