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.
52
52 employees · 0 contractors · 16 on an average day Sandhills Care Center
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Ainsworth, NE
ALM Inspection Grade
B+
ALM's inspection grade is 88 / 100, a B+ — 4 points above the Nebraska average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 88 / 100, a B+ — 4 points above the Nebraska average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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.
Sandhills Care Center
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Ainsworth, NE
ALM Inspection Grade
B+
ALM's inspection grade is 88 / 100, a B+ — 4 points above the Nebraska average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 88 / 100, a B+ — 4 points above the Nebraska average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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.
Sandhills Care Center accepts Medicaid, Medicare, and private pay.
Sandhills Care Center is a nursing home in Ainsworth, NE offering hospice care, respite care, and skilled nursing. Skilled nursing provides licensed nursing care on site around the clock. Hospice care focuses on comfort for someone with a life limiting illness, while respite care provides a short stay when a resident’s usual caregiver needs time away or support during a recovery period.
The center has 46 beds, creating a smaller community where staff and residents can get to know each other. A resident may be a good fit for Sandhills Care Center if they need nursing care, a short term respite stay, or hospice support in a residential setting.
Medicaid, Medicare, and private pay are accepted. Families therefore have several listed ways to cover care. Total nurse staffing is 4 hours and 28 minutes per resident per day, representing the daily nursing time assigned per resident.
Sandhills Care Center opened in 2016. Rehabilitation services allow residents to receive therapy through the center, and a salon, religious services, and a doctor on staff are also available. Penny Jacobs serves as administrator, and Ainsworth Brown County Care operates the center.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 44th out of 113 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 28m
This nursing home is ranked 44th out of 113 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 28mStandout metric: Certified nursing assistant is +18% above Nebraska average
3 of 6 metrics below Nebraska average
Daily care time per resident, by role
Registered nurse (RN)
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 8 are the facility's own employees; no agency contractors work in this role.
8 staff · 9.7-hour shifts
47m
↑ 10% · NE 43mThis facility: 47m per resident per day, 10% above the Nebraska average of 43m (among Nebraska facilities reporting a recent figure).
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 8 are the facility's own employees; no agency contractors work in this role.
8 staff · 9.7-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
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. All 4 are the facility's own employees; no agency contractors work in this role.
4 staff · 9.5-hour shifts
25m
↓ 43% · NE 43mThis facility: 25m per resident per day, 43% below the Nebraska average of 43m (among Nebraska facilities reporting a recent figure).
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. All 4 are the facility's own employees; no agency contractors work in this role.
4 staff · 9.5-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 35 are the facility's own employees; no agency contractors work in this role.
35 staff · 9.4-hour shifts
3h 16m
↑ 18% · NE 2h 46mThis facility: 3h 16m per resident per day, 18% above the Nebraska average of 2h 46m (among Nebraska facilities reporting a recent figure).
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. All 35 are the facility's own employees; no agency contractors work in this role.
35 staff · 9.4-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
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.
0m
↓ 100% · NE 3mThis facility: 0m per resident per day, 100% below the Nebraska average of 3m (among Nebraska facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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
3h 42m
↑ 3% · NE 3h 37mThis facility: 3h 42m per resident per day, 3% above the Nebraska average of 3h 37m (among Nebraska facilities reporting a recent figure).
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–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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
27m
↓ 5% · NE 29mThis facility: 27m per resident per day, 5% below the Nebraska average of 29m (among Nebraska facilities reporting a recent figure).
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–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
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.
52
52 employees · 0 contractors · 16 on an average day
52 total staff / 35 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.49 : 1
↓ 26% · NE 2.01This facility: 1.49 staff per resident, 26% below the Nebraska average of 2.01 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
52 staff ÷ 35 residents
See full Nebraska ranking →
Average hours one staff member works on a day they are on shift, across every role.
9.4 h
↑ 21% · NE 7.8 hThis facility: 9.4 h, 21% above 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.
13,753 staff hours this quarter
See full Nebraska ranking →100% of staff hours were worked by the facility's own employees
Nebraska average: 89.6% · No agency contractors this quarter
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.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
46
Rank #101 / 127Bed count — State benchmarked This nursing home is ranked 101st out of 127 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.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
46
Rank #101 / 127Bed count — State benchmarked This nursing home is ranked 101st out of 127 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.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #68 / 136Walk Score — State benchmarked This nursing home is ranked 68th out of 136 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.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #68 / 136Walk Score — State benchmarked This nursing home is ranked 68th out of 136 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.
51
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #76 / 121Occupancy rate — State benchmarked This nursing home is ranked 76th out of 121 nursing homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 121. 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.
Occupancy lower than 85% suggests more openings may be available.
Rank #76 / 121Occupancy rate — State benchmarked This nursing home is ranked 76th out of 121 nursing homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 121. 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.
70%
This home usually has availability
Based on 32.2 residents and 46 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Lower than the Nebraska average: 73.8%
Avg. Length of Stay
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.
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.
489
days
About This Community
Facility TypeNursing Home
CountyBrown
CMS Certification Number285298
Certification TypeCertification
Medicare and Medicaid certifications
Sandhills Care Center is administered by Administrator Penny Jacobs.
Owner NameAinsworth Brown County Care
Resident Council
CNA Training Program
Accept Medicaid
Accept Medicare
Doctor on Staff
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Fax(402) 382-3536
Pets not allowed
CMS Health Inspection History
ALM Inspection Grade
88 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
4 points above the Nebraska average for CMS-certified facilities (84/100)
Category breakdown
Citations
Typical
61 severity-weighted points (22 deficiencies) · 24% higher than the typical CMS-certified NE facility (median: 49)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Strong
23 days to fix issues · faster than the typical CMS-certified NE facility (median: 36)
Total health inspections
4
↓ 13% · NE 4.6This facility: 4, 13% below the NE average of 4.6 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
24
Rank #87 / 121Health citations — State benchmarked This nursing home is ranked 87th out of 121 nursing homes we track in Nebraska for health citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 121 NE facilities. Lower citation counts earn a better rank. 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.↑ 24% · NE 19.3This facility: 24, 24% above the NE average of 19.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
6
Rank #107 / 121Citations per inspection — State benchmarked This nursing home is ranked 107th out of 121 nursing homes we track in Nebraska for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 121 facilities with citation data. Lower is better. 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.↑ 44% · NE 4.16This facility: 6, 44% above the NE average of 4.16 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
70% corrected
17 of 24 citations corrected · 7 still open
Critical
J–L
0
↓ 100% · NE 0.2This facility: 0, 100% below the NE average of 0.2 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · NE 0.5This facility: 0, 100% below the NE average of 0.5 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
23
↑ 26% · NE 18.3This facility: 23, 26% above the NE average of 18.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
69% corrected · 7 open
No harm, more than minimal risk
Minor
A–C
1
↑ 233% · NE 0.3This facility: 1, 233% above the NE average of 0.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, minimal riskLatest inspection: Aug 26, 2026 · 7 citations, 0 corrected
Most cited category: Abuse, Neglect & Exploitation, 5 of 24 citations · 7 categories in total
Citations history
Most recent first
Aug 26, 2026
7 citations
Nutrition moderate citation
Resident Rights moderate citation
Infection Control moderate citation
Abuse/Neglect moderate citation
Abuse/Neglect moderate citation
Quality of Care moderate citation
Quality of Care moderate citation
Jun 17, 2025
5 citations
Infection Control moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
May 23, 2024
11 citations
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Abuse/Neglect minor citation
Corrected
Corrected
Oct 26, 2023
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Top deficiency categories
Share of 24 citations
Abuse, Neglect & Exploitation
5 deficiencies (21%)
Resident Rights
4 deficiencies (17%)
Quality of Life & Care
4 deficiencies (17%)
Pharmacy Services
4 deficiencies (17%)
Infection Control
3 deficiencies (13%)
Nutrition & Dietary
3 deficiencies (13%)
Resident Assessment & Care Planning
1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 24 citations resulted from standard inspections; 1 of 24 resulted from complaint investigations; and 4 of 24 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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 Reports
Enforcement
Penalties and fines
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 · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
NE avg $35KNebraska average: $34,803. Average among the 66 Nebraska facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
NE avg 1.17Nebraska average: 1.17. Average among the 66 Nebraska facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
NE avg 0.71Nebraska average: 0.71. Average among the 66 Nebraska facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
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.
5
/ 5
Significantly above average
↑ 81% · NE 2.8This facility: 5.0, 81% 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.
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.
11.2
Score · lower is better
↑ 15% · NE 9.8This facility: 11.2, 15% above the NE average of 9.8 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
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.
27.1
Score · lower is better
↑ 33% · NE 20.3This facility: 27.1, 33% above the NE average of 20.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 8 better, 3 worse, 2 near NE average
1 short-stay measure: 1 better
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
36.3%
↑ 91% · NE 19.0This facility: 36.3, 91% 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 need for help with daily activities has increased
36.3%
↑ 91% · NE 19.0This facility: 36.3, 91% 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.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
18.9%
↑ 13% · NE 16.8This facility: 18.9, 13% above the NE average of 16.8 (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 whose ability to move independently worsened
18.9%
↑ 13% · NE 16.8This facility: 18.9, 13% above the NE average of 16.8 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.1%
↑ 4% · NE 25.0This facility: 26.1, 4% above the NE average of 25.0 (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 low risk long-stay residents who lose control of their bowels or bladder
26.1%
↑ 4% · NE 25.0This facility: 26.1, 4% above the NE average of 25.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.7%
↓ 3% · NE 2.7This facility: 2.7, 3% below the NE average of 2.7 (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 with a urinary tract infection
2.7%
↓ 3% · NE 2.7This facility: 2.7, 3% below the NE average of 2.7 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · NE 4.5This facility: 0.0, 100% 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 residents experiencing one or more falls with major injury
0.0%
↓ 100% · NE 4.5This facility: 0.0, 100% 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.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
0.0%
↓ 100% · NE 4.0This facility: 0.0, 100% below 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 high risk residents with pressure ulcers
0.0%
↓ 100% · NE 4.0This facility: 0.0, 100% below 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.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
0.9%
↓ 82% · NE 5.1This facility: 0.9, 82% 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 lose too much weight
0.9%
↓ 82% · NE 5.1This facility: 0.9, 82% 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.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
21.3%
↑ 384% · NE 4.4This facility: 21.3, 384% above the NE average of 4.4 (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
21.3%
↑ 384% · NE 4.4This facility: 21.3, 384% above the NE average of 4.4 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
10.8%
↓ 48% · NE 20.7This facility: 10.8, 48% 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 who received an antipsychotic medication
10.8%
↓ 48% · NE 20.7This facility: 10.8, 48% 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.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 8% · NE 93.0This facility: 100.0, 8% above 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 pneumococcal vaccine
100.0%
↑ 8% · NE 93.0This facility: 100.0, 8% above 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.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · NE 95.6This facility: 100.0, 5% above the NE average of 95.6 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · NE 95.6This facility: 100.0, 5% above the NE average of 95.6 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.05
↓ 42% · NE 1.80This facility: 1.05, 42% below 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 hospitalizations per 1,000 long-stay resident days.
1.05
↓ 42% · NE 1.80This facility: 1.05, 42% below 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.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.37
↓ 30% · NE 1.95This facility: 1.37, 30% below 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.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.37
↓ 30% · NE 1.95This facility: 1.37, 30% below 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.Short-stay residents
Rehab and recovery after a hospital stay · 1 measures
Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 23% · NE 81.3This facility: 100.0, 23% above the NE average of 81.3 (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 short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 23% · NE 81.3This facility: 100.0, 23% above the NE average of 81.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.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. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Sandhills Care Center’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 117 Nebraska nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Profitable on care
5.0% operating margin
+6.6 pts vs prior year
Positive margin in 1 of the last 8 reported years. Net income $0.5M after other income.
Does it invest in staff?
Spends more on payroll than most Nebraska homes
71.4% payroll share of revenue
NE average 61.2%Rank #19 / 117Payroll % of net patient revenue — State benchmarked This nursing home is ranked 19th out of 117 nursing homes we track in Nebraska for payroll % of net patient revenue. 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.
Payroll rose $0.2M while revenue rose $0.5M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Nebraska homes.
Revenue & profit
Profitable on care
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | NE median | Compared with NE homesRank in NE | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $3.6M | +$0.5M | Trend 20182025 | NE median $6.3M | Rank in NE Rank #98 / 117Net patient revenue — State benchmarked This nursing home is ranked 98th out of 117 nursing homes we track in Nebraska for net patient revenue. Shows this facility's net patient revenue compared to the Nebraska average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. 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. Higher than 16% of homes | Below NE median Higher net patient revenue than 16% of NE homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $3.4M | +$0.3M | Trend 20182025 | NE median $6.7M | Rank in NE Rank #107 / 117Operating expenses — State benchmarked This nursing home is ranked 107th out of 117 nursing homes we track in Nebraska for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Nebraska homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. 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. Higher than 9% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.2M | +$0.2M | Trend 20182025 | NE median −$0.1M | Rank in NE Rank #29 / 117Net patient income — State benchmarked This nursing home is ranked 29th out of 117 nursing homes we track in Nebraska for net patient income. Shows net patient revenue minus operating expenses, compared with other Nebraska homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. 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. Higher than 76% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 5.0% | +6.6 pts | Trend 20182025 | NE median −2.5% | Rank in NE Rank #20 / 117Operating margin — State benchmarked This nursing home is ranked 20th out of 117 nursing homes we track in Nebraska for operating margin. Shows net patient income as a share of net patient revenue, compared with other Nebraska homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. 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. Higher than 84% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.4M | — | Trend — | NE median $0.1M | Rank in NE Rank #23 / 114Other income — State benchmarked This nursing home is ranked 23rd out of 114 nursing homes we track in Nebraska for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Nebraska homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. 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. Higher than 81% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.5M | +$0.5M | Trend — | NE median −$0.0M | Rank in NE Rank #21 / 117Net income — State benchmarked This nursing home is ranked 21st out of 117 nursing homes we track in Nebraska for net income. Shows the bottom line after other income, compared with other Nebraska homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. 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. Higher than 83% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends more of revenue on staff than most Nebraska homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | NE median | Compared with NE homesRank in NE | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $2.6M | +$0.2M | Trend 20182025 | NE median $3.7M | Rank in NE Rank #88 / 117Payroll costs — State benchmarked This nursing home is ranked 88th out of 117 nursing homes we track in Nebraska for payroll costs. 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. Higher than 25% of homes | Below NE median Higher payroll than 25% of NE homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 71.4% | −5.2 pts | Trend 20182025 | NE median 61.9% | Rank in NE Rank #19 / 117Payroll % of net patient revenue — State benchmarked This nursing home is ranked 19th out of 117 nursing homes we track in Nebraska for payroll % of net patient revenue. 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. Higher than 84% of homes | 10.2 pts over NE average The NE average is 61.2% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · NE benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Nebraska payroll average.
% of net patient revenue
Payroll share Operating margin NE payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $1.3M | $1.7M | $1.8M | $1.6M | $1.7M | $2.5M | $3.0M | $3.6M |
| Operating expenses | $1.6M | $1.8M | $1.9M | $1.7M | $2.5M | $3.0M | $3.1M | $3.4M |
| Net patient income | −$0.2M | −$0.1M | −$0.0M | −$0.1M | −$0.8M | −$0.5M | −$0.1M | $0.2M |
| Operating margin | −18.2% | −8.2% | −1.9% | −6.7% | −46.4% | −21.1% | −1.6% | 5.0% |
| Net income | −$0.2M | −$0.1M | $0.1M | $0.2M | −$0.5M | −$0.1M | $0.1M | $0.5M |
| Payroll costs | $0.9M | $0.9M | $1.3M | $1.1M | $1.0M | $2.2M | $2.3M | $2.6M |
| Payroll share of revenue | 69.5% | 53.9% | 70.6% | 69.9% | 58.3% | 87.6% | 76.6% | 71.4% |
| Beds | 46 | 46 | 46 | 46 | 46 | 46 | 46 | 46 |
| Gross revenue | $1.3M | $1.7M | $1.8M | $1.6M | $1.7M | $2.5M | $3.0M | $3.6M |
| Salaries | $0.8M | $0.8M | $1.2M | $1.0M | $0.9M | $1.9M | $2.0M | $2.2M |
| Wage-related costs | $0.1M | $0.1M | $0.1M | $0.1M | $0.1M | $0.3M | $0.3M | $0.4M |
| Contract labor | — | — | — | — | — | — | — | — |
| Other operating costs | $0.7M | $0.9M | $0.6M | $0.6M | $1.5M | $0.8M | $0.8M | $0.8M |
| Net patient revenue per day | $214 | $215 | $219 | $236 | $247 | $296 | $317 | $318 |
| Cost per day | $253 | $233 | $223 | $252 | $361 | $358 | $322 | $302 |
| Average length of stay | 348.2 days | 656.8 days | 287.7 days | 362.9 days | 459.9 days | 300.2 days | 506.3 days | 489.1 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
24 admissions · FY2025
Residents admitted during the year.
Medicare
10 · 42%
Medicaid
6 · 25%
Private pay & other
8 · 33%
Resident snapshot
35 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
3 · 9%
Medicaid
17 · 49%
Private pay & other
15 · 43%
Leaving
23 discharges · FY2025
Residents discharged during the year.
Medicare
3 · 13%
Medicaid
12 · 52%
Private pay & other
8 · 35%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Sandhills Care Center
0.0 miles from city center
Estimated distance in miles from Ainsworth's city center to Sandhills Care Center's address, calculated via Google Maps.
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Compare Nursing Homes around the area
Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nebraska average is: 61.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brookestone Meadows Rehabilitation and | NH HC HOS IL SNF | Elkhorn | 140
Facility
140
NE AVG
81
Rank
#16 / 127 | A |
93.1%
Facility
93.1%
NE AVG
73.8%
Rank
#15 / 121 | +26% | 4.94
Facility
4.94
NE AVG
4.56
Rank
#23 / 113 | -41% | +8% | $0
Facility
$0
NE AVG
$49.9k
Rank
#1 / 121 | 3
Facility
3
NE AVG
19.3
Rank
#1 / 121 | 1.5
Facility
1.5
NE AVG
4.2
Rank
#3 / 121 | - | 130 | - |
6
Facility
6
NE AVG
48
Rank
#132 / 136 | Vsl Elkhorn, LLC | $22.3MFiscal year ending 06/2025
Facility
$22.3MFiscal year ending 06/2025
NE AVG
$8.0M
Rank
#4 / 117 | $13.7MFiscal year ending 06/2025
Facility
$13.7MFiscal year ending 06/2025
NE AVG
$4.8M
Rank
#4 / 117 | 61.4%Fiscal year ending 06/2025
Facility
61.4%Fiscal year ending 06/2025
NE AVG
61.2%
Rank
#66 / 117 | 285276 | ||||
| Southlake Village Rehabilitation & Care Center | NH SNF | Lincoln | 126
Facility
126
NE AVG
81
Rank
#20 / 127 | A |
93.4%
Facility
93.4%
NE AVG
73.8%
Rank
#14 / 121 | +27% | 5.12
Facility
5.12
NE AVG
4.56
Rank
#17 / 113 | -45% | +12% | $0
Facility
$0
NE AVG
$49.9k
Rank
#1 / 121 | 6
Facility
6
NE AVG
19.3
Rank
#11 / 121 | 3.0
Facility
3.0
NE AVG
4.2
Rank
#27 / 121 | - | 118 | - |
15
Facility
15
NE AVG
48
Rank
#126 / 136 | Vsl Lincoln Southlake, LLC | $18.5MFiscal year ending 06/2025
Facility
$18.5MFiscal year ending 06/2025
NE AVG
$8.0M
Rank
#8 / 117 | $11.6MFiscal year ending 06/2025
Facility
$11.6MFiscal year ending 06/2025
NE AVG
$4.8M
Rank
#6 / 117 | 63%Fiscal year ending 06/2025
Facility
63%Fiscal year ending 06/2025
NE AVG
61.2%
Rank
#53 / 117 | 285219 | ||||
| Brookestone of Papillion | NH SNF | Papillion | 110
Facility
110
NE AVG
81
Rank
#26 / 127 | A+ |
83.9%
Facility
83.9%
NE AVG
73.8%
Rank
#35 / 121 | +14% | 4.79
Facility
4.79
NE AVG
4.56
Rank
#26 / 113 | +16% | +5% | $0
Facility
$0
NE AVG
$49.9k
Rank
#1 / 121 | 12
Facility
12
NE AVG
19.3
Rank
#39 / 121 | 3.0
Facility
3.0
NE AVG
4.2
Rank
#27 / 121 | - | 92 | - |
35
Facility
35
NE AVG
48
Rank
#96 / 136 | Vsl Papillion, LLC | $12.6MFiscal year ending 06/2025
Facility
$12.6MFiscal year ending 06/2025
NE AVG
$8.0M
Rank
#18 / 117 | $8.4MFiscal year ending 06/2025
Facility
$8.4MFiscal year ending 06/2025
NE AVG
$4.8M
Rank
#11 / 117 | 66.5%Fiscal year ending 06/2025
Facility
66.5%Fiscal year ending 06/2025
NE AVG
61.2%
Rank
#38 / 117 | 285268 | ||||
| St Joseph’s Hillside Villa | NH AL HOS RC SNF | West Point | 54
Facility
54
NE AVG
81
Rank
#85 / 127 | A+ |
97.8%
Facility
97.8%
NE AVG
73.8%
Rank
#6 / 121 | +33% | 5.59
Facility
5.59
NE AVG
4.56
Rank
#8 / 113 | -12% | +22% | $0
Facility
$0
NE AVG
$49.9k
Rank
#1 / 121 | 7
Facility
7
NE AVG
19.3
Rank
#15 / 121 | 1.8
Facility
1.8
NE AVG
4.2
Rank
#6 / 121 | - | 53 | - |
66
Facility
66
NE AVG
48
Rank
#31 / 136 | St. Joseph's Elder Services, Inc | $8.7MFiscal year ending 12/2024
Facility
$8.7MFiscal year ending 12/2024
NE AVG
$8.0M
Rank
#32 / 117 | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
NE AVG
$4.8M
Rank
#28 / 117 | 62.8%Fiscal year ending 12/2024
Facility
62.8%Fiscal year ending 12/2024
NE AVG
61.2%
Rank
#54 / 117 | 285303 | ||||
| Sandhills Care Center | NH HOS RC SNF | Ainsworth | 46
Facility
46
NE AVG
81
Rank
#101 / 127 | B+ |
70.0%
Facility
70.0%
NE AVG
73.8%
Rank
#76 / 121 | -5% | 4.46
Facility
4.46
NE AVG
4.56
Rank
#44 / 113 | +60% | -2% | $0
Facility
$0
NE AVG
$49.9k
Rank
#1 / 121 | 24
Facility
24
NE AVG
19.3
Rank
#87 / 121 | 6.0
Facility
6.0
NE AVG
4.2
Rank
#107 / 121 | - | 32 | - |
51
Facility
51
NE AVG
48
Rank
#68 / 136 | Ainsworth Brown County Care | $3.6MFiscal year ending 06/2025
Facility
$3.6MFiscal year ending 06/2025
NE AVG
$8.0M
Rank
#98 / 117 | $2.6MFiscal year ending 06/2025
Facility
$2.6MFiscal year ending 06/2025
NE AVG
$4.8M
Rank
#88 / 117 | 71.4%Fiscal year ending 06/2025
Facility
71.4%Fiscal year ending 06/2025
NE AVG
61.2%
Rank
#19 / 117 | 285298 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NE nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Nebraska
Sandhills Care Center is in AINSWORTH, Nebraska. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Aid and Attendance (A&A) and Housebound Benefits
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- 2026 · Countable income is compared with the applicable maximum annual pension rate (MAPR), which varies by dependents and benefit category. For a veteran with one dependent and Aid and Attendance, MAPR is $34,488/year.
- Asset limit
- VA pension net-worth ceiling is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus income for VA purposes; exclusions and transfer rules apply.
Eligibility
- General
- Aid and Attendance or Housebound is an increased VA pension rate for eligible veterans or surviving spouses who meet pension and additional care/disability requirements; it is not a stand-alone state benefit.
- NE specifics
- Federal VA pension rules apply nationwide.
What it provides
- Monthly pension is based on the applicable MAPR less countable annual income; divided by 12. Maximum annual veteran Aid and Attendance rates are $29,093 without dependents and $34,488 with one dependent; actual payments may be lower.
Aged and Disabled Waiver
Aged and Disabled Waiver
Eligibility
- General
- Receive Nebraska Medicaid, have a disability or be over age 65, meet nursing-facility level of care, and need waiver services.
What it provides
- Assessed waiver services may include adult day services; assisted living; respite and supports in the home.
Lifespan Respite Services
Lifespan Respite Services
Eligibility
- General
- Lifespan Respite supports eligible unpaid caregivers of a person of any age with a qualifying special need, not only caregivers of people age 60+.
What it provides
- Eligible respite assistance provides temporary caregiver relief. The official program describes an additional $2,000 per eligibility period for qualifying exceptional circumstances.
Personal Assistance Services (PAS)
Personal Assistance Services (PAS)
Eligibility
- General
- Medicaid Personal Assistance Services help people with a chronic medical condition or disability with activities such as bathing or dressing; financial and authorization requirements are determined by Medicaid.
What it provides
- Assessed assistance with daily activities such as bathing and dressing. The participant may choose the provider and direct care.
Social Services for Aged and Disabled Adults (SSAD)
Social Services for Aged and Disabled Adults (SSAD)
Eligibility
- General
- People who are aged, blind or disabled and meet program income and assessed service-need rules; assistance is coordinated with other available programs.
What it provides
- Authorized help may include chores; adult day services; meals; homemaker instruction and transportation.
Disabled Persons and Family Support (DPFS)
Disabled Persons and Family Support (DPFS)
Eligibility
- General
- Nebraska residents of any age with a professionally documented severe, chronic disability and qualifying disability-related needs; income and resource rules and other available funding are considered.
What it provides
- Funding for approved disability-related services or equipment; potentially including personal care; housekeeping; adaptive equipment and home modifications; up to $400 monthly or $4,800 annually.
Medicare Savings Program (MSP)
Medicare Savings Program (MSP)
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiary; the state determines the applicable Medicare Savings Program. QMB helps with premiums and Medicare cost sharing; SLMB and QI generally help with Part B premiums.
- NE specifics
- QI requires annual application and is funded first-come, first-served with priority for prior recipients. QMB, SLMB and QI confer Part D Extra Help.
What it provides
- QMB pays eligible Part A/Part B premiums and Medicare deductibles and cost sharing; SLMB and QI pay Part B premiums. The exact benefit depends on the approved program.
Know before you visit
Frequently Asked Questions about Sandhills Care Center
Quick answers from public records and the community's own listing.01 Who is the owner of Sandhills Care Center?
Sandhills Care Center is legally operated by Ainsworth Brown County Care, and administered by Administrator Penny Jacobs.
02 Is Sandhills Care Center in a walkable area?
Sandhills Care Center has a walk score of 51. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
03 What is the occupancy rate at Sandhills Care Center?
Sandhills Care Center's occupancy is 70%.
04 Are pets allowed at Sandhills Care Center?
No, Sandhills Care Center has a no-pet policy.
05 What is the best email address for Sandhills Care Center?
The team at Sandhills Care Center can be reached at admin@sandhillscarecenter.com.
06 Is Sandhills Care Center a government-operated facility?
Sandhills Care Center is a government-operated nursing facility in NE.
07 Who is the administrator of Sandhills Care Center?
Administrator Penny Jacobs is the administrator of Sandhills Care Center.
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