Nye Legacy Health & Rehabilitation Center

Nursing Home in Fremont

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.
Nye Legacy Health & Rehabilitation Center

Nursing Home in Fremont

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.

Overview of Nye Legacy Health & Rehabilitation Center

Nye Legacy Health & Rehabilitation Center is a skilled nursing and rehabilitation center located in Fremont, NE. It offers a variety of services including short-stay rehabilitation, outpatient therapy, and traditional skilled care. The facility is designed to provide personalized care in a comfortable environment.
(402) 721-9300

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.
4/5 ▲ 1.2 Nebraska average: 2.8/5
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.
4/5 ▲ 1.2 Nebraska average: 2.8/5
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.
5/5 ▲ 1.9 Nebraska average: 3.1/5
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.
1/5 ▼ 1.7 Nebraska average: 2.7/5

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 49th out of 129 homes in Nebraska.

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 33m per day
This facility Nebraska avg (4h 20m per day)
vs Nebraska avg
+5%

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 100
Avg. Length of Stay
80 days

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.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

68% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

31% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 6 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$22.0M
Operating loss
-$677.7K
Privately-owned community Operated by a business corporation.
Home revenue
$22.0M
Operating loss
-$677.7K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.2M
23.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$17.5M
Total costs $22.7M
Bed community size
100-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
93%
In line with Nebraska average
Occupied beds
93 / 100
Average residents 54 per day

License Details

Facility TypeNursing Home
CountyDodge
CMS Certification Number285278
Certification TypeCertification

Ownership & Operating Entity

Nye Legacy Health & Rehabilitation Center is administrated by Brooke Belina, Administrator.

Owner NameFREMONT CARE CENTER, INC.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

3 services
Doctor on Staff
Skilled Nursing
24-Hour Staffing

Additional Services

5 services
Short Stay Rehabilitation
Outpatient Therapy
Traditional Skilled Care
Aquatic Therapy
Home Health Care

Contact Information

Fax(402) 753-4800

Amenities & Lifestyle

18 amenities
24-Hour Skilled Nursing Care
Licensed Physical
Occupational & Speech Therapist On-Campus
Aquatic Therapy
Wellness Programs
Private Suites
Daily (Monday-Friday) On-Site Physician Services
Three Delicious Meals Daily
Whirlpool Bathing Options
Medication Administration
Scheduling And Transportation To Medical Appointments And Scheduled Outings
Registered Dietitian
Daily Social & Recreational Opportunities
Restorative Nursing Program
Guest Apartments
All Utilities
Cable Television
And Phone Included
Specific ProgramsShort Stay Rehab, Outpatient Therapy, Aquatic Therapy, Traditional Skilled Care, Respite Care, Home Health Care, On-site Physician Services

Dining & Nutrition

Food DescriptionThree delicious meals daily.
Meals IncludedYes

Contact Nye Legacy Health & Rehabilitation Center

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.

23 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date March 1, 2022
Renewal

37 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Nebraska average: 52 deficiencies

Inspection Report Summary for Nye Legacy Health & Rehabilitation Center

The most recent inspection on March 1, 2022, found no deficiencies at Nye Legacy Health & Rehabilitation Center. Earlier inspections showed a mixed record with some deficiencies primarily related to life safety code issues, fire safety maintenance, and resident care documentation. Complaint investigations over the years were mostly unsubstantiated, with one substantiated finding in 2018 concerning medication administration policies, which the facility addressed with corrective actions. Enforcement actions included a probation period in 2014 due to skin breakdown prevention failures, but no fines or license suspensions were listed in the available reports. The facility’s inspection history suggests some improvement in compliance, particularly with no deficiencies noted in the two most recent renewal inspections.

Health Inspection History

Inspections
Total health inspections 3

Nebraska average 4.3


Last Health inspection on Apr 2025

Total health citations 13

Nebraska average 18.2

Citations per inspection
4.33

Nebraska average 4.19


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

12 of 13 citations resulted from standard inspections; and 1 of 13 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Nebraska average

Nebraska average: 0.2


Serious Health citations More info 0
100% better than Nebraska average

Nebraska average: 0.5

0 critical citations More info Nebraska average: 0.2

0 serious citations More info Nebraska average: 0.5

13 moderate citations More info Nebraska average: 17.2

0 minor citations More info Nebraska average: 0.2
Citations history (last 3 years)
Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Apr 22, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. May 14, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. May 14, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. May 14, 2024
Corrected

Compare Nursing Homes around Fremont The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

4 facilities compared · CMS & NE Dept. of Health data · Updated Apr 2026

Filter by care type
Nye Legacy Health & Rehabilitation 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.

Fremont100 80.0% +14%4.55 -27%+2%0134.3086---$21.7M$5.2M24%285278
Nye Legacy
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.

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).

Fremont (North Clarkson Street)100 80.0% +14%4.55 -27%+2%0134.3086A+ 26 -$21.7M$5.2M24%285278
Nye Pointe
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.

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).

Fremont (Laverna Street)43 91.2% +30%3.95 +39%-11%082.7038A+ 36 Peterson, Russell$7.3M$1.7M23.6%285235
Shiloh Center Adult Day Services -
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.

Fremont70--------000.00--------

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Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled
General Nebraska resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $4,000 individual, higher than most states
NE

Higher asset limit; rural access focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Nebraska Respite Network

NE Respite Network

Age Caregiver of someone 60+
General Nebraska resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NE

Lifespan respite focus; limited funding.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus)
General Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).
Income Limits (2025) ~$1,255/month (100% FPL, individual); spenddown allowed.
Asset Limits $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).
NE

Family can be paid caregivers; statewide via DHHS.

Benefits
Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+
General Nebraska resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $4,000 (individual), $6,000 (couple).
NE

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled
General Nebraska resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NE

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Senior Community Service Employment Program (SCSEP)

Nebraska SCSEP

Age 55+
General unemployed, low-income, Nebraska resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
NE

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Nebraska resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NE

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Nye Legacy Health & Rehabilitation Center

Address 0.0 miles from city center Info Estimated distance in miles from FREMONT's city center to Nye Legacy Health & Rehabilitation Center's address, calculated via Google Maps.

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 212
Employees 124
Contractors 88
Staff to resident ratio 2.49:1
16% better than Nebraska average

Nebraska average ratio: 2.15:1

Avg staff/day 61
Average shift 7.5 hours
0% compared with Nebraska average

Nebraska average: 7.8 hours

Total staff hours (quarter) 41,725
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 125
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

20.7%

8,636 contractor hours this quarter

Certified Nursing Assistant: 50 Speech Language Pathologist: 9 Physical Therapy Assistant: 9 Licensed Practical Nurse: 7 Respiratory Therapy Technician: 5 Qualified Social Worker: 5 Physical Therapy Aide: 2 Medication Aide/Technician: 1
Staff by category
Certified Nursing Assistant755012521,34491100%7.3
Licensed Practical Nurse157225,43491100%9.4
Registered Nurse150153,83391100%10
Clinical Nurse Specialist100103,45791100%7.8
Speech Language Pathologist0991,2977279%5.1
Medication Aide/Technician3141,1137684%6.9
Dental Services Staff2029487077%7.5
Physical Therapy Assistant0998816673%4.8
Physical Therapy Aide0228656571%7
Respiratory Therapy Technician0556977077%5.4
Dietitian1015397279%7.5
Nurse Practitioner1014886167%8
Administrator2024846167%7.9
Qualified Social Worker0553466673%4.1
125 Certified Nursing Assistant
% of Days 100%
22 Licensed Practical Nurse
% of Days 100%
15 Registered Nurse
% of Days 100%
10 Clinical Nurse Specialist
% of Days 100%
9 Speech Language Pathologist
% of Days 79%
4 Medication Aide/Technician
% of Days 84%
2 Dental Services Staff
% of Days 77%
9 Physical Therapy Assistant
% of Days 73%
2 Physical Therapy Aide
% of Days 71%
5 Respiratory Therapy Technician
% of Days 77%
1 Dietitian
% of Days 79%
1 Nurse Practitioner
% of Days 67%
2 Administrator
% of Days 67%
5 Qualified Social Worker
% of Days 73%

Facility Characteristics

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

Total residents 85
Medicare
19
22.4% of residents
Medicaid
29
34.1% of residents
Private pay or other
37
43.5% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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. 15.6
38% worse than Nebraska average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 32.0
37% worse than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 26.9%
29% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 39.3%
78% worse than Nebraska average

Nebraska 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 29.7%
10% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.5%
22% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.5%
18% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 12.0%
292% worse than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.6%
15% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.5%
66% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 17.4%
13% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 70.9%
24% worse than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 78.5%
18% worse than Nebraska average

Nebraska average: 96.1%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 64.5%
20% worse than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.3%
46% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 73.5%
In line with Nebraska average

Nebraska average: 75.9%

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