Occupancy rate
88%
In line with Nebraska averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Nebraska
CMS overall rating
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.
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.
Highland Park Care Center
Nursing Home in Nebraska
CMS overall rating
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.
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.
Highland Park Care Center
Highland Park Care Center is a skilled nursing facility located in Alliance, Nebraska. It offers a range of services including short-term rehabilitation, Alzheimer's and dementia care, and adult day care services. The center is committed to providing compassionate, resident-centered care.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
88.3%
Residents per day (avg)
56
Occupancy rate
88.3%
Residents per day (avg)
56
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
55% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
21% of new residents, often for short stays.
Typical stay
11 - 12 months
Medicaid
25% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Finances and operations
Voluntary non-profit community
Home revenue
$6.9M
Surplus of revenue
$40.0K
Voluntary non-profit community
Home revenue
$6,894,073.00
Surplus of revenue
$40,015.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.9M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Nebraska averageOccupied beds
53 / 60
Average residents
54 per day
Facility TypeNursing Home
CountyBOX BUTTE
CMS Certification Number285063
Certification TypeCertification
Highland Park Care Center is administrated by Alice Smith, Administrator.
Owner NameVSL ALLIANCE, LLC
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Fax(308) 762-2528
Spacious Private And Companion Rooms
Deluxe Private Rooms
Therapies: Occupational
Physical
Speech
And Outpatient
Spiritual Support: Pastoral Services
All Faith Chapel
Chapel Services
And Bible Studies
Emotional Support: Special Events
Individual And Group Activities
Delicious Meals
Snacks And Open Dining Times
Regularly Scheduled Physician Visits
Transportation
Wireless Technology Available In Common Areas
Beauty And Barber Shop
Safe Environment
Many Quality Of Life Choices
Memory Support (Alzheimer’s And Dementia)
Adult Day Care Services
Respite
Specific ProgramsAlzheimer’s & Dementia, Short-Term Rehab / Sub-Acute Care, Skilled Nursing / Long-Term Care, Adult Day Care Services, Supportive Care, Specialized Options, Therapies, Outpatient Therapies, Restorative Programs, Medicare Certified, Respite, Hospice
Religious ServicesYes
Food DescriptionDelicious meals, snacks and open dining times.
Meals IncludedYes
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.
21 visits/inspections
7 visits/inspections triggered by complaints
2 routine inspections
Results
8 with issues
13 without issues
Show Inspection Reports
Latest inspection
Date
March 10, 2025
Renewal87 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
Health Inspection History
Inspections
Total health inspections
3
Nebraska average 4.3
Last Health inspection on Aug 2025
Total health citations
9
Nebraska average 18.2
Citations per inspection
3
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 9 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
0
0
100% better than Nebraska averageNebraska average: 0.5
0 critical citations
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 06, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 06, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 21, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 21, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 21, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 21, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 21, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 21, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Filter by care type
Highland Park Care Center
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.
ALLIANCE
60
91.2%
+30%
4.47
0%
0
9
3.0
0
56
-
Myers, Terri
$6.9M
$3.5M
51.5%
285063
Accura HealthCare of Hartington
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.
HARTINGTON
67
63.6%
-10%
4.13
-7%
0
7
2.3
0
31
-
Klaasmeyer, Kenneth
$3.7M
$2.1M
57.9%
285088
Accura HealthCare of Tekamah
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.
TEKAMAH
46
72.0%
+2%
3.83
-14%
0
12
4.0
0
30
-
Geis, Heather
$3.1M
$2.1M
66.4%
285118
Arbor Care Center-Valhaven, LLC
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.
VALLEY
66
72.4%
+3%
4.08
-8%
0
18
4.5
1
50
A+
-
$5.0M
$3.2M
64%
285117
Arbor Care Centers – Ord, LLC
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.
ORD
60
51.8%
-26%
3.76
-16%
0
29
7.3
1
35
-
Luth, Kurt
$2.9M
$1.5M
52.9%
285294
Places of interest near Highland Park Care Center
0.0 miles from city center
1633 Sweetwater, ALLIANCE, NE 69301
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
78
Employees
71
Contractors
7
Staff to resident ratio
1.50:1
30% worse than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
34
Average shift
7.5 hours
0% compared with Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
23,289
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
3.3%
770 contractor hours this quarter
Physical Therapy Assistant: 2
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 1
Staff by category
| Certified Nursing Assistant | 34 | 0 | 34 | 9,303 | 91 | 100% | 7.3 |
| Medication Aide/Technician | 11 | 0 | 11 | 3,992 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,602 | 91 | 100% | 8.6 |
| Registered Nurse | 7 | 0 | 7 | 1,724 | 91 | 100% | 7.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,104 | 91 | 100% | 7.7 |
| RN Director of Nursing | 2 | 0 | 2 | 856 | 67 | 74% | 7.7 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 493 | 65 | 71% | 7.6 |
| Dental Services Staff | 1 | 0 | 1 | 482 | 58 | 64% | 8.3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 416 | 58 | 64% | 7.2 |
| Speech Language Pathologist | 0 | 2 | 2 | 217 | 38 | 42% | 5.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 41 | 43 | 47% | 1 |
| Qualified Social Worker | 0 | 1 | 1 | 19 | 14 | 15% | 1.4 |
34 Certified Nursing Assistant
% of Days
100%
11 Medication Aide/Technician
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
100%
3 Other Dietary Services Staff
% of Days
100%
2 RN Director of Nursing
% of Days
74%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
2 Physical Therapy Assistant
% of Days
71%
1 Dental Services Staff
% of Days
64%
1 Clinical Nurse Specialist
% of Days
64%
2 Speech Language Pathologist
% of Days
42%
2 Respiratory Therapy Technician
% of Days
47%
1 Qualified Social Worker
% of Days
15%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
52 residents
Residents by payment source
Medicare
2 residents (3.8%)
Medicaid
25 residents (48.1%)
Private pay or other
25 residents (48.1%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.0
21% better than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.4
13% better than Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.6%
Percent of long-stay residents whose need for help with daily activities has increased
13.6%
35% better than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.6%
Percent of long-stay residents whose ability to move independently worsened
19.6%
12% better than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.9%
In line with Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.3%
Percent of long-stay residents experiencing one or more falls with major injury
7.3%
62% worse than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.1%
Percent of long-stay high risk residents with pressure ulcers
1.1%
74% better than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.0%
Percent of long-stay residents with a urinary tract infection
2.0%
35% better than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.4%
Percent of long-stay residents who lose too much weight
3.4%
38% better than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
9.2%
Percent of long-stay residents who received an antipsychotic medication
9.2%
54% better than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
19% better than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.7%
21% 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.
Financial Trends
Historical financial and operational data for Highland Park Care Center based on CMS SNF Cost Reports.
Occupancy Rate
91.2%
↑ 5.5pp vs 2023
Net Income
$40,015
↓ ~$145K vs 2023
Total Payroll
$4,889,200
↑ ~$583K vs 2023
Profit Margin
0.6%
↓ 2.3pp vs 2023
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Guides for Better Senior Living
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