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Northfield Retirement Communities Care
Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Scottsbluff, 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.
Seniors enjoying a meal and conversation in a dining area Cozy living room with view of outdoor space Bright common area with tables and seating Spacious dining area with tables and chairs Cozy common area with seating and fireplace Bright common area with a long table and pool table Bright common area with pool table and seating Cozy private resident room with modern decor Cozy kitchen with wooden cabinets and modern appliances Cozy interior room with desk and seating Common area with a pool table and seating Interior common area with tables and chairs Modern kitchen space with stainless steel appliances Cozy interior living space with dining area and kitchen Bright common area with large table and seating Interior game room with billiards table and natural light Bright common area with tables and seating Interior common area with tables and natural light Game room with a pool table and seating Common area with seating and television in a senior living facility A couple enjoying wine and looking at a photo album in a cozy living room A resident smiling in a hallway with photos Residents enjoying a meal in a dining area Smiling resident enjoying conversation outdoors A resident smiling with a dog in a cozy setting Residents enjoying conversation over snacks in a cozy setting A cheerful resident sitting on a couch A smiling senior couple chatting in a kitchen Two smiling residents enjoying a meal together Beauty salon area with salon chairs and mirrors Smiling resident enjoying time in a cozy setting Two residents sharing a joyful moment in a dining area A smiling senior resident in a cozy interior setting Two residents enjoying their time in a cozy living room

Northfield Retirement Communities Care

Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Scottsbluff, 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.
2100 Circle Drive, Scottsbluff, NE 69361 View map Calculator: See prices in your area
Northfield Retirement Communities Care accepts Medicare, Medicaid, and private pay.
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Northfield Retirement Communities Care accepts Medicare, Medicaid, and private pay.

Overview of Northfield Retirement Communities Care

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Northfield Retirement Communities Care is a 66-bed nursing home operated by Northfield Retirement Communities on Circle Drive in Scottsbluff, Nebraska. The facility has provided local care for 34 years and accepts Medicare, Medicaid, and private pay. For visitors, the surrounding neighborhood carries a high walkability score of 80 out of 100, which means the area is pedestrian-friendly and family members can complete most errands on foot when coming to the property.

Residents stay an average of 227 days, pointing to a standard operational mix of short-term rehabilitation patients and long-term residents. Currently, 45 of the 66 beds are occupied, placing the community at a 68 percent occupancy level. Around-the-clock staffing manages the daily clinical routine, providing nearly 5 hours of total nursing care per resident each day, which includes 36 minutes from registered nurses, 36 minutes from licensed practical nurses, and 2 hours and 53 minutes of direct assistance from nurse aides.

State records confirm that the property complies with public health and safety standards. Inspection logs from the health department show a consistent history of meeting regional care charting guidelines, resulting in a cumulative citations-per-inspection rate of zero.

Older adults have access to on-site physical rehabilitation spaces and comfortable indoor common rooms. The kitchen coordinates meals to meet basic daily nutritional requirements, which are served in a centralized community dining area.

Facility Direct Line (308) 632-4342
Facility Direct Line (308) 632-4342 marketing@northfieldvilla.com
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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.
▼ 65.8% Below NE avg. ▼ 65.8% Below NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 64.9% Below NE avg. ▼ 64.9% Below NE avg.NE average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 39.7% Below NE avg. ▼ 39.7% Below NE avg.NE average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 65.2% Below NE avg. ▼ 65.2% Below NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

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 Nebraska state averages

Total nursing care / resident Info This home is ranked 22nd out of 122 homes in Nebraska for nurse hours. 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 58m per day
Rank #22 / 122Nurse hours — State benchmarkedThis home is ranked 22nd out of 122 homes in Nebraska for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 122 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.
This facility Nebraska avg (4h 27m per day)
vs Nebraska avg
+12%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +49% above 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. 29m per day ▼ 32% 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. 1h 4m per day ▲ 49% 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 31m per day ▼ 9% 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 22m per day ▼ 7% 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. 2m per day ▼ 49% 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 ▼ 15% 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.
227 days
Bed community size
66-bed community Rank #115 / 227Bed count — State benchmarkedThis home is ranked 115th out of 227 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 moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
34 years in operation Rank #21 / 57Years in operation — State benchmarkedThis home is ranked 21st out of 57 homes in Nebraska for years in operation. Shows how long this facility has been in operation compared to other Nebraska facilities. Longer operating histories may 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.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 80 / 100 Rank #16 / 296Walk Score — State benchmarkedThis home is ranked 16th 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.
BBB Rating
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

About this community

Occupancy

Occupancy rate
68%
Rank #112 / 183Occupancy rate — State benchmarkedThis home is ranked 112th 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.
Similar to the Nebraska average: 70.3%
Occupied beds
45 / 66
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyScotts Bluff
CMS Certification Number285271
Certification TypeCertification

Ownership & Operating Entity

Northfield Retirement Communities Care is administered by Administrator Shelley Ramirez.

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactBill Johnson, CEO (per BBB, record updated Jul 2026)

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax(308) 630-8170

Additional Policies & Features

Pets not allowed
Minimum Age55

Amenities & Lifestyle

Specific ProgramsWhat is Life Care, What to Expect, The Residency, The Vista, The Care Center, Garden Homes

Contact Northfield Retirement Communities Care

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 2023 · 3 years of data 26 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 2023 vs. Nebraska state average
Overall vs. NE average 0 Worse No metrics in this bucket. 1 Better Metrics better than Nebraska average:
• Total deficiencies (50% below)

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. 2652 This facility has 50% fewer total deficiencies than a typical Nebraska nursing home (26 vs. NE avg 52).↓ 50% better

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

  • May 8, 2025 inspection found 10 deficiencies including failures in medication management, RN staffing coverage, care planning, antibiotic use, food storage, and staff training.
  • June 18, 2024 inspection cited 10 deficiencies involving medication errors, incomplete background checks, pain management, infection control, and unsafe oxygen equipment use.
  • January 15, 2025 inspection had 2 deficiencies with no harm-level citations, showing some administrative and care plan notification issues.

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 below average Nebraska avg: 2.8 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. 2.95
64% worse than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.56
83% worse than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Below average Nebraska avg: 2.2 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. 18.9%
10% better than Nebraska average

Nebraska average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.9%
6% better than Nebraska average

Nebraska 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 Nebraska average

Nebraska 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. 46.8%
13% worse than Nebraska average

Nebraska average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 42.3%
16% worse than Nebraska average

Nebraska average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Based on CMS SNF Cost Report for fiscal year ending in 04/2024.

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."
$5.9M
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."
-$2.9M
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."
$5.9M Rank #43 / 121Revenue — State benchmarkedThis home is ranked 43rd out of 121 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."
-$2.9M
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.
$2.8M
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 / 121Payroll — State benchmarkedThis home is ranked 52nd out of 121 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.
$4.4M 74.2% 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 #86 / 121Payroll % — State benchmarkedThis home is ranked 86th out of 121 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).
$4.4M
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).
$8.8M
How we calculate these figures

This home is administered by Administrator Shelley Ramirez.

This home is owned by Northfield Retirement Communities

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285271

Show certification details

Who this home usually serves

TYPE OF STAY

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.

Most new residents arrive under private pay (55% of admissions), and a typical private pay stay runs around 6 - 7 months.

Admissions
99 total

Coverage residents most often arrive under.

Medicare 38%
Private pay 55%
Medicaid 7%
Discharges
79 total

Coverage residents most often leave under.

Medicare 24%
Private pay 67%
Medicaid 9%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Northfield Retirement Communities Care

Address 0.0 miles from city center Info Estimated distance in miles from Scottsbluff's city center to Northfield Retirement Communities Care's address, calculated via Google Maps.

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Frequently Asked Questions about Northfield Retirement Communities Care

Is Northfield Retirement Communities Care in a walkable area?

Northfield Retirement Communities Care has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at Northfield Retirement Communities Care?

Northfield Retirement Communities Care's occupancy is 68%.

How long has Northfield Retirement Communities Care been in business?

Northfield Retirement Communities Care has been operating for approximately 34 years, based on available licensing and registration records.

Are pets allowed at Northfield Retirement Communities Care?

No, Northfield Retirement Communities Care has a no-pet policy.

Does Northfield Retirement Communities Care operate as a for-profit or non-profit?

Northfield Retirement Communities Care is registered as a non-profit in NE.

Who is the administrator of Northfield Retirement Communities Care?

Administrator Shelley Ramirez is the administrator of Northfield Retirement Communities Care.

How many beds does Northfield Retirement Communities Care have?

Northfield Retirement Communities Care has 66 beds.

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