Highland Park Care Center
Nursing Home, Adult Day Care, Memory Care, Respite Care & Skilled Nursing · Alliance, 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.

Highland Park Care Center

Nursing Home, Adult Day Care, Memory Care, Respite Care & Skilled Nursing · Alliance, 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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Highland Park Care Center accepts Medicare, Medicaid, 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 2011 · 15 years of data 87 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 (67% above)
• Deficiencies per year (66% above)
0 Better No metrics in this bucket.
Latest Inspection March 10, 2025 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. 8752 This facility has 67% more total deficiencies than a typical Nebraska assisted living residence (87 vs. NE avg 52).↑ 67% worse
Deficiencies per year Info Average deficiencies per year since 2011. 5.83.5 This facility has 66% more deficiencies per year than a typical Nebraska assisted living residence (5.8 vs. NE avg 3.5).↑ 66% 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 10, 2025, confirmed licensure renewal with no deficiencies or complaints.
  • The August 23, 2018 inspection found 16 deficiencies, including failures in fall prevention, care planning, infection control, food service sanitation, and oxygen safety.
  • Complaint investigations in 2019 and 2020 found the facility compliant with allegations regarding injury prevention and antibiotic use documentation.

Health Inspection History

Inspections since 2023
Total health inspections 3

State average N/A


Last Health inspection on Aug 2025

Total health citations
9 Rank #25 / 131Health citations — State benchmarkedThis home is ranked 25th out of 131 homes in Nebraska for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 131 NE facilities. Lower citation counts earn a better rank.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.

State average N/A

Citations per inspection
3 Rank #26 / 131Citations per inspection — State benchmarkedThis home is ranked 26th out of 131 homes in Nebraska for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 131 facilities with citation data. Lower is better.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.

State average N/A


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
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

9 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Abuse/Neglect moderate citation Aug 06, 2025
Corrected

Infection Control moderate citation Aug 21, 2024
Corrected

Pharmacy moderate citation Aug 21, 2024
Corrected

Pharmacy moderate citation Aug 21, 2024
Corrected

Staffing Data

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

Total staff 82
Employees 73
Contractors 9
Staff to resident ratio 1.58 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 35
Average shift 7.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 23,882

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 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 9 LPN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 35 CNA Staff are full-time employees. No contractors work on this role. 35
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 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

3.7%

873 contractor hours this quarter

Speech Language Pathologist: 3 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 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 Assistant3503511,50592100%7.5
Medication Aide/Technician120123,46792100%7.4
Licensed Practical Nurse9092,50492100%8
Registered Nurse8081,7489199%7.5
Other Dietary Services Staff3031,0809199%8
RN Director of Nursing2028786470%8.3
Administrator1015286672%8
Physical Therapy Assistant0225036267%7.9
Nurse Practitioner1015026368%8
Dental Services Staff1014605358%8.7
Clinical Nurse Specialist1013375054%6.7
Speech Language Pathologist0333004145%7.3
Respiratory Therapy Technician022354043%0.9
Qualified Social Worker011281617%1.7
Medical Director01172628%0.3
35 Certified Nursing Assistant
% of Days 100%
12 Medication Aide/Technician
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 99%
3 Other Dietary Services Staff
% of Days 99%
2 RN Director of Nursing
% of Days 70%
1 Administrator
% of Days 72%
2 Physical Therapy Assistant
% of Days 67%
1 Nurse Practitioner
% of Days 68%
1 Dental Services Staff
% of Days 58%
1 Clinical Nurse Specialist
% of Days 54%
3 Speech Language Pathologist
% of Days 45%
2 Respiratory Therapy Technician
% of Days 43%
1 Qualified Social Worker
% of Days 17%
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. 9.0
21% better than State average

State average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.4
13% better than State average

State average: 23.3

Long-stay resident measures
Significantly above average State avg: 2.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 13.6%
35% better than State average

State average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.6%
12% better than State average

State 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 27.9%
In line with State average

State average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 7.3%
62% worse than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.1%
74% better than State average

State average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.0%
35% better than State average

State average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.4%
38% better than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.2%
54% better than State average

State average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than State average

State average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.71
61% 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. 2.73
40% worse than State average

State average: 1.95

Short-stay resident measures
Average State avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.7%
19% better than State average

State average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 91.7%
21% better than State average

State average: 75.9%

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. 47.5%
12% 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. 37.1%
27% worse than State average

State average: 50.6%

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 52
Medicare
2
3.8% of residents
Medicaid
25
48.1% of residents
Private pay or other
25
48.1% 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.

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."
$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."
$30.1K
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."
$6.4M Rank #62 / 129Revenue — State benchmarkedThis home is ranked 62nd 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."
$30.1K
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.
$10.0K
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 #42 / 129Payroll — State benchmarkedThis home is ranked 42nd 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.
$4.5M 70.6% 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 #20 / 129Payroll % — State benchmarkedThis home is ranked 20th 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).
$1.9M
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).
$6.4M

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.

Most new residents arrive under Medicare (55% of admissions), and a typical Medicare stay runs around 29 days.

Admissions
130 total

Coverage residents most often arrive under.

Medicare 55%
Private pay 21%
Medicaid 25%
Discharges
139 total

Coverage residents most often leave under.

Medicare 16%
Private pay 45%
Medicaid 40%

Places of interest near Highland Park Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Alliance's city center to Highland Park Care Center's address, calculated via Google Maps.

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Frequently Asked Questions about Highland Park Care Center

Who is the owner of Highland Park Care Center?

Highland Park Care Center is legally operated by Vsl Alliance, LLC, and administered by Administrator Alice Smith.

Is Highland Park Care Center in a walkable area?

Highland Park Care Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Highland Park Care Center?

Highland Park Care Center's occupancy is 88%.

Are pets allowed at Highland Park Care Center?

No, Highland Park Care Center has a no-pet policy.

Does Highland Park Care Center operate as a for-profit or non-profit?

Highland Park Care Center is registered as a non-profit in NE.

Who is the administrator of Highland Park Care Center?

Administrator Alice Smith is the administrator of Highland Park Care Center.

How many beds does Highland Park Care Center have?

Highland Park Care Center has 60 beds.

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