Heritage of Bel Air
Nursing Home, Hospice Care, Independent Living & Skilled Nursing · Norfolk, 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 of Bel Air

Nursing Home, Hospice Care, Independent Living & Skilled Nursing · Norfolk, 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 of Bel Air accepts Medicaid, Medicare, and private pay.

Overview of Heritage of Bel Air

Heritage of Bel Air is a 108-bed nursing home at 1203 North 13th Street, Norfolk, Madison County, Nebraska, administered by Tracy Zamora. The facility provides skilled nursing, short-term rehabilitation, Alzheimer’s and dementia care, and supportive care services, accepting both Medicare and Medicaid.

Staffing reflects measured performance relative to state benchmarks. Registered nurses deliver 38 minutes per resident per day, 12 percent below the Nebraska average of 43 minutes. Licensed practical nurses provide 44 minutes per day, matching the state average. Nurse aides deliver 2 hours 45 minutes per day, consistent with the Nebraska average of 2 hours 46 minutes. Weekend total nursing hours reach 3 hours 23 minutes per day, 6 percent below the state average of 3 hours 37 minutes. Weekend registered nurse presence drops to 23 minutes per day, 21 percent below the state average of 29 minutes. Physical therapists provide 3 minutes per resident daily, matching the state average. Occupancy runs at 83 percent with 90 residents in 108 beds, above the Nebraska state average of 70.3 percent. The facility’s occupancy and strong acute care metrics reflect community confidence.

The facility’s inspection trajectory with the Nebraska Department of Health and Human Services, Division of Public Health shows substantial improvement. Early inspections documented deficiencies centered on life safety code issues such as fire sprinkler maintenance, emergency egress, and fire safety equipment, along with concerns about nutrition, medication storage, fall prevention, and infection control. Complaint investigations were predominantly unsubstantiated, though a few substantiated cases involved failure to implement fall prevention interventions and incomplete incident reporting. The facility has recorded no fines, immediate jeopardy findings, or license suspensions. The inspection on March 13, 2025, found no deficiencies and confirmed licensure renewal. This pattern indicates meaningful remediation across prior years.

Quality measures demonstrate exceptional performance in safety and acute care outcomes. Long-stay residents experienced hospitalizations at 0.49 per 1,000 days, 73 percent better than Nebraska’s 1.80, and emergency department visits at 0.50 per 1,000 days, 74 percent better than the state average of 1.95. Short-stay rehabilitation residents showed rehospitalizations at 9.3 percent (56 percent better than Nebraska’s 20.9 percent), emergency department visits at 6.7 percent (42 percent better than the 11.6 percent state average), and falls with major injury at zero percent; substantially better than the Nebraska average of 0.8 percent. However, successful discharge to home or community occurred in 38.9 percent of cases (23 percent worse than the state average of 50.6 percent), and ability to care for self at discharge was 28.3 percent (47 percent worse than the state average of 53.7 percent). No penalties have been assessed in the past three years.

Families considering Heritage of Bel Air should ask administrators directly about discharge planning and functional recovery support during the admission assessment.

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.
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.
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.
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.

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 state averages

Total nursing care / resident Info 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 48m per day
Rank #29 / 128Nurse hours — State benchmarkedThis home is ranked 29th out of 128 homes in Nebraska for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 128 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg

5 of 6 metrics below state avg

Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 39m per day ▼ 9% State avg: 43m per day · National avg: 41m per day
LPN / LVN Info 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. 40m per day ▼ 7% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info 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. 2h 38m per day ▼ 5% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing 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. 3h 15m per day ▼ 10% State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 3m per day ■ Avg State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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. 25m per day ▼ 12% State avg: 29m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info 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.
205 days
Bed community size
108-bed community Rank #54 / 228Bed count — State benchmarkedThis home is ranked 54th out of 228 homes in Nebraska for Bed Count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 82 / 100 Rank #12 / 296Walk Score — State benchmarkedThis home is ranked 12th out of 296 homes in Nebraska for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nebraska facilities. Higher scores benefit residents, families, and staff.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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
83%
Rank #58 / 183Occupancy rate — State benchmarkedThis home is ranked 58th out of 183 homes in Nebraska for Occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 183. Higher occupancy signals strong local demand and financial stability.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.
Higher than the Nebraska average: 70.3%
Occupied beds
90 / 108
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyMadison
Certification TypeCertification
AccreditationsMedicare Certified

Ownership & Operating Entity

Heritage of Bel Air is administered by Administrator Tracy Zamora.

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Contact Information

Fax(402) 379-0044

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Recreation Activities
Transportation
Deluxe Private Or Companion Rooms
In-House Beautician
Beautiful Chapel
Restorative Nursing Care
Physical
Speech And Occupational Therapies
Hospice Services
Specific ProgramsShort-Term Rehab / Sub-Acute Care, Skilled Nursing / Long-Term Care, Alzheimer’s & Dementia

Contact Heritage of Bel Air

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 2011 · 15 years of data 65 deficiencies

Inspection Scorecard Info 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.

Since 2011 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (25% above)
• Deficiencies per year (23% above)
0 Better No metrics in this bucket.
Latest Inspection March 13, 2025

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. 6552 This facility has 25% more total deficiencies than a typical Nebraska assisted living residence (65 vs. NE avg 52).↑ 25% worse
Deficiencies per year Info Average deficiencies per year since 2011. 4.33.5 This facility has 23% more deficiencies per year than a typical Nebraska assisted living residence (4.3 vs. NE avg 3.5).↑ 23% 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 13, 2025, confirmed licensure renewal with no deficiencies or complaints reported.
  • The February 28, 2017 annual survey found 16 deficiencies including nutrition, medication storage, and multiple life safety code violations affecting egress, fire safety, and electrical systems.
  • A substantiated complaint in May 2016 found failure to implement fall prevention interventions for two residents, but subsequent investigations in 2018 found no abuse or injury prevention violations.

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.

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.49
73% better than State average

State average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.50
74% better than State average

State average: 1.95

Short-stay resident measures
Above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 9.3%
56% better than State average

State average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.7%
42% better than State average

State average: 11.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 28.3%
47% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 38.9%
23% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

45% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

43% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Finances and operations

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

Nonprofit
Nonprofit Corporation
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."
$12.2M
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."
$665.9K
Nonprofit Nonprofit Corporation
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."
$12.2M Rank #16 / 129Revenue — State benchmarkedThis home is ranked 16th out of 129 homes in Nebraska for Revenue. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
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."
$665.9K
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.
$6.0K
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 #12 / 129Payroll — State benchmarkedThis home is ranked 12th 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.
$7.8M 64.2% 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 #61 / 129Payroll % — State benchmarkedThis home is ranked 61st 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.
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).
$11.5M

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 (45% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
161 total

Coverage residents most often arrive under.

Medicare 45%
Private pay 43%
Medicaid 12%
Discharges
172 total

Coverage residents most often leave under.

Medicare 21%
Private pay 52%
Medicaid 27%

Places of interest near Heritage of Bel Air

Address 0.0 miles from city center Info Estimated distance in miles from Norfolk's city center to Heritage of Bel Air's address, calculated via Google Maps.

Calculate Travel Distance to Heritage of Bel Air

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Frequently Asked Questions about Heritage of Bel Air

Is Heritage of Bel Air in a walkable area?

Heritage of Bel Air has a walk score of 82. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at Heritage of Bel Air?

Heritage of Bel Air's occupancy is 83%.

Are pets allowed at Heritage of Bel Air?

No, Heritage of Bel Air has a no-pet policy.

Does Heritage of Bel Air operate as a for-profit or non-profit?

Heritage of Bel Air is registered as a non-profit in NE.

Who is the administrator of Heritage of Bel Air?

Administrator Tracy Zamora is the administrator of Heritage of Bel Air.

How many beds does Heritage of Bel Air have?

Heritage of Bel Air has 108 beds.

Are there photos of Heritage of Bel Air?

Yes — there is 1 photo of Heritage of Bel Air in the photo gallery on this page.

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