4/5
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.
4/5
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.
Nye Legacy Health & Rehabilitation Center is a nursing home with a 100-bed capacity in Fremont, Nebraska, offering skilled nursing, rehabilitation, and respite care. With a doctor on-site, supported by 24-hour staffing, residents have access to services, including continuous clinical support, whenever needed. The community also accommodates temporary stays for those whose primary caregiver needs time away, with respite services.
Additionally, short-stay rehabilitation, outpatient therapy, and aquatic therapy are available for people who need therapy during recovery or without an inpatient stay. A pool also supports aquatic therapy, while licensed physical, occupational, and speech therapists work on campus, allowing residents to receive these therapy services. Daily on-site physician services are available Monday through Friday for residents who need physician care during those days.
Occupancy is at 93%, with total nurse staffing of 4 hours and 20 minutes per resident each day. Payment options include Medicare, Medicaid, and private pay, so families can use applicable public coverage or pay directly. Three meals are also provided daily, while social events and outings are available for entertainment and socialization. Guest apartments also allow visitors to stay when needed. Brooke Belina serves as administrator, and Fremont Care Center operates the community.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 52nd out of 117 nursing homes we track 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 20mStandout metric: Physical therapist is +109% above Nebraska average
1 of 6 metrics below Nebraska average
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 10.4-hour shifts
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. 19 total: 10 of the facility's own employees and 9 agency contractors.
19 staff · 10.1-hour shifts
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. 115 total: 81 of the facility's own employees and 34 agency contractors.
115 staff · 7.3-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
197
123 employees · 74 contractors · 56 on an average day
197 total staff / 85 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.32 : 1
↑ 18% · NE 1.97This facility: 2.32 staff per resident, 18% above the Nebraska average of 1.97 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
197 staff ÷ 85 residents
See full Nebraska ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.5 h
↓ 4% · NE 7.8 hThis facility: 7.5 h, 4% below the Nebraska average of 7.8 h (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
38,848 staff hours this quarter
See full Nebraska ranking →78.4% of staff hours were worked by the facility's own employees
Nebraska average: 89.8% · Contractors this quarter: Certified Nursing Assistant (34), Speech Language Pathologist (9), Physical Therapy Assistant (9), Licensed Practical Nurse (9), Respiratory Therapy Technician (6), Qualified Social Worker (5), Physical Therapy Aide (2)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A mid-sized community that may balance personal attention with shared amenities and social activities.
100
Rank #35 / 130Bed count — State benchmarked This nursing home is ranked 35th out of 130 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #4 / 138Walk Score — State benchmarked This nursing home is ranked 4th out of 138 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #20 / 125Occupancy rate — State benchmarked This nursing home is ranked 20th out of 125 nursing homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 125. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on 93 residents and 100 beds. Source: state inspection report (Jan 2019)
Higher than the Nebraska average: 74.9%
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.
Nye Legacy Health & Rehabilitation Center is administered by Administrator Brooke Belina.
10 points above the Nebraska average for CMS-certified facilities (84/100)
Category breakdown
20 severity-weighted points (13 deficiencies) · 3× lower than the typical CMS-certified NE facility (median: 51)
No fines on record · 0 enforcement actions
38 days to fix issues · slower than the typical CMS-certified NE facility (median: 36)
100% corrected
13 of 13 citations corrected Latest inspection: Apr 22, 2025 · 1 citation (Pharmacy, moderate), corrected
Most cited category: Pharmacy Services, 4 of 13 citations · 6 categories in total
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 13 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
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.
Show Inspection ReportsFederal 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.
How residents at this home fare on health outcomes and preventive care, compared with the Nebraska average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
↓ 64% · NE 2.8This facility: 1.0, 64% below the NE average of 2.8 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 11% · NE 2.2This facility: 2.0, 11% below the NE average of 2.2 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
13.2
Score · lower is better
↑ 31% · NE 10.1This facility: 13.2, 31% above the NE average of 10.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
28.5
Score · lower is better
↑ 35% · NE 21.0This facility: 28.5, 35% above the NE average of 21.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 4 better, 9 worse
8 short-stay measures: 2 better, 2 worse, 1 near NE average, 3 compared with US only
People who live at the home · 13 measures
Percent of long-stay residents whose need for help with daily activities has increased
21.4%
↑ 13% · NE 19.0This facility: 21.4, 13% above the NE average of 19.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
32.7%
↑ 80% · NE 18.2This facility: 32.7, 80% above the NE average of 18.2 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.4%
↑ 21% · NE 25.9This facility: 31.4, 21% above the NE average of 25.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
6.9%
↑ 146% · NE 2.8This facility: 6.9, 146% above the NE average of 2.8 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
↓ 31% · NE 4.5This facility: 3.1, 31% below the NE average of 4.5 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.6%
↑ 15% · NE 4.0This facility: 4.6, 15% above the NE average of 4.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
4.0%
↓ 23% · NE 5.1This facility: 4.0, 23% below the NE average of 5.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
1.0%
↓ 76% · NE 4.3This facility: 1.0, 76% below the NE average of 4.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
14.4%
↓ 31% · NE 20.7This facility: 14.4, 31% below the NE average of 20.7 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
68.4%
↓ 26% · NE 93.0This facility: 68.4, 26% below the NE average of 93.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.5%
↓ 18% · NE 96.1This facility: 78.5, 18% below the NE average of 96.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
3.36
↑ 87% · NE 1.80This facility: 3.36, 87% above the NE average of 1.80 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.75
↑ 41% · NE 1.95This facility: 2.75, 41% above the NE average of 1.95 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
62.0%
↑ 15% · US 53.7This facility: 62.0, 15% above the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
56.3%
↑ 11% · US 50.6This facility: 56.3, 11% above the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
↓ 4% · US 0.8This facility: 0.7, 4% below the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
↓ 32% · NE 2.0This facility: 1.4, 32% below the NE average of 2.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.5%
↑ 6% · NE 80.9This facility: 85.5, 6% above the NE average of 80.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.5%
↓ 3% · NE 75.9This facility: 73.5, 3% below the NE average of 75.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.1%
↑ 11% · NE 20.9This facility: 23.1, 11% above the NE average of 20.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
16.6%
↑ 43% · NE 11.6This facility: 16.6, 43% above the NE average of 11.6 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
60% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
85Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Nye Legacy Health & Rehabilitation Center from 2011–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
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."
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."
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."
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."
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.
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 #17 / 113Payroll costs — State benchmarked This nursing home is ranked 17th out of 113 nursing homes we track in Nebraska. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Nebraska average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 #91 / 113Payroll % of net patient revenue — State benchmarked This nursing home is ranked 91st out of 113 nursing homes we track in Nebraska. Shows payroll as a percentage of net patient revenue versus the Nebraska average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (60% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
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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Nye Legacy Health & Rehabilitation Center is located in Clarkson FREMONT, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
Nye Legacy Health & Rehabilitation Center is legally operated by Fremont Care Center, Inc., and administered by Administrator Brooke Belina.
Nye Legacy Health & Rehabilitation Center has a walk score of 87. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Nye Legacy Health & Rehabilitation Center's occupancy is 93%.
No, Nye Legacy Health & Rehabilitation Center has a no-pet policy.
Nye Legacy Health & Rehabilitation Center is registered as a for-profit in NE.
Administrator Brooke Belina is the administrator of Nye Legacy Health & Rehabilitation Center.
Nye Legacy Health & Rehabilitation Center received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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