Total health inspections
4
Nebraska average 4.3
Last Health inspection on May 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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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.
Northfield Retirement Communities Care
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.
Northfield Retirement Communities Care
Northfield Retirement Communities Care is located in Scottsbluff, NE. It offers a range of services including independent living, assisted living, and skilled nursing care. The community is designed to provide a supportive environment for residents aged 55 and older.
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
66
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
74.5%
Residents per day (avg)
47
Occupancy rate
74.5%
Residents per day (avg)
47
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
38% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
55% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Voluntary non-profit community
Home revenue
$8.7M
Operating deficit
-$72.1K
Voluntary non-profit community
Home revenue
$8,692,407.00
Operating deficit
$-72,130.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.7M
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.
$5.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.8M
66-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
34 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Facility TypeNursing Home
CountySCOTTS BLUFF
CMS Certification Number285271
Certification TypeCertification
Northfield Retirement Communities Care is administrated by Shelley Ramirez, Administrator.
Staffing
Key information about the people who lead and staff this community.
ContactBill Johnson
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Fax(308) 630-8170
Minimum Age55
Specific ProgramsWhat is Life Care, What to Expect, FAQ, Our Community, Apartments, The Residency, The Vista, The Care Center, Lifestyle, Gallery, Careers, Contact Us, Garden Homes
Health Inspection History
Inspections
Total health citations
26
Nebraska average 18.2
Citations per inspection
6.5
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 26 citations resulted from standard inspections; and 2 of 26 resulted from complaint investigations.
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
24 moderate citations
2 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 08, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 08, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 08, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 08, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
May 08, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
May 08, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
May 08, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
May 08, 2025
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
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
Northfield Retirement Communities Care
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.
SCOTTSBLUFF
66
74.5%
+6%
4.97
+12%
0
26
6.5
0
47
A+
Northfield Retirement Communities
$5.9M
$3.7M
63.9%
285271
Places of interest near Northfield Retirement Communities Care
0.0 miles from city center
2100 Circle Drive, SCOTTSBLUFF, NE 69361
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
112
Employees
75
Contractors
37
Staff to resident ratio
2.49:1
16% better than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
34
Average shift
8 hours
0% compared with Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
24,765
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
32
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
17.8%
4,399 contractor hours this quarter
Speech Language Pathologist: 8
Registered Nurse: 7
Licensed Practical Nurse: 5
Physical Therapy Assistant: 4
Respiratory Therapy Technician: 4
Physical Therapy Aide: 3
Certified Nursing Assistant: 1
Medication Aide/Technician: 1
Occupational Therapy Aide: 1
Qualified Social Worker: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 31 | 1 | 32 | 8,570 | 91 | 100% | 8.1 |
| Medication Aide/Technician | 21 | 1 | 22 | 5,472 | 91 | 100% | 8.4 |
| Licensed Practical Nurse | 10 | 5 | 15 | 4,502 | 91 | 100% | 9.5 |
| Registered Nurse | 2 | 7 | 9 | 1,458 | 79 | 87% | 9.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 643 | 71 | 78% | 6 |
| Speech Language Pathologist | 0 | 8 | 8 | 632 | 75 | 82% | 5.4 |
| RN Director of Nursing | 2 | 0 | 2 | 551 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Dietitian | 1 | 0 | 1 | 413 | 58 | 64% | 7.1 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 408 | 51 | 56% | 8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 351 | 65 | 71% | 4.6 |
| Nurse Practitioner | 2 | 0 | 2 | 306 | 39 | 43% | 7.8 |
| Nurse Aide in Training | 1 | 0 | 1 | 167 | 20 | 22% | 8.3 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 144 | 46 | 51% | 2.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 82 | 26 | 29% | 3.1 |
| Physical Therapy Aide | 0 | 3 | 3 | 47 | 12 | 13% | 3.3 |
| Qualified Social Worker | 0 | 1 | 1 | 25 | 23 | 25% | 1.1 |
| Medical Director | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
32 Certified Nursing Assistant
% of Days
100%
22 Medication Aide/Technician
% of Days
100%
15 Licensed Practical Nurse
% of Days
100%
9 Registered Nurse
% of Days
87%
2 Other Dietary Services Staff
% of Days
78%
8 Speech Language Pathologist
% of Days
82%
2 RN Director of Nursing
% of Days
70%
1 Administrator
% of Days
70%
1 Dental Services Staff
% of Days
64%
1 Dietitian
% of Days
64%
1 Clinical Nurse Specialist
% of Days
56%
4 Physical Therapy Assistant
% of Days
71%
2 Nurse Practitioner
% of Days
43%
1 Nurse Aide in Training
% of Days
22%
4 Respiratory Therapy Technician
% of Days
51%
1 Occupational Therapy Aide
% of Days
29%
3 Physical Therapy Aide
% of Days
13%
1 Qualified Social Worker
% of Days
25%
1 Medical Director
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
45 residents
Residents by payment source
Medicare
8 residents (17.8%)
Medicaid
14 residents (31.1%)
Private pay or other
23 residents (51.1%)
Programs & Services
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
13.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.3
17% worse than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.9
19% worse 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
26.2%
Percent of long-stay residents whose need for help with daily activities has increased
26.2%
26% worse than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
24.2%
Percent of long-stay residents whose ability to move independently worsened
24.2%
9% worse 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
33.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.1%
23% worse than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
87% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.2%
Percent of long-stay high risk residents with pressure ulcers
7.2%
68% worse than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
10.1%
Percent of long-stay residents with a urinary tract infection
10.1%
228% worse than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.1%
Percent of long-stay residents who lose too much weight
8.1%
48% worse than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.8%
Percent of long-stay residents who have depressive symptoms
4.8%
8% worse than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
27.3%
Percent of long-stay residents who received an antipsychotic medication
27.3%
38% worse than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
6% better than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
77.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
77.1%
20% worse than Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.9%
7% better than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
5.4%
Percent of short-stay residents who newly received an antipsychotic medication
5.4%
127% worse than Nebraska averageNebraska average: 2.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.4%
In line with 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 Northfield Retirement Communities Care based on CMS SNF Cost Reports.
Occupancy Rate
74.5%
↓ 2.9pp vs 2023
Net Income
-$72,130
↓ ~$365K vs 2023
Total Payroll
$4,352,539
↑ ~$102K vs 2023
Profit Margin
-1.2%
↓ 6.2pp vs 2023
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