Saunders Medical Center
Nursing Home, Memory Care & Skilled Nursing · Wahoo, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Saunders Medical Center

Nursing Home, Memory Care & Skilled Nursing · Wahoo, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Inspection History

In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.

Since 2011 · 15 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes.
79 deficiencies 23 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2011 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (52% above)
• Deficiencies per inspection (28% above)
0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 7952 This facility has 52% more total deficiencies than a typical Nebraska nursing home (79 vs. NE avg 52).↑ 52% worse
Deficiencies per inspection Info Average deficiencies per inspection. 3.42.66 This facility has 28% more deficiencies per inspection than a typical Nebraska nursing home (3.4 vs. NE avg 2.66).↑ 28% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNE Averagevs. NE Avg
Total inspections Info Combined count of all inspections conducted at this facility. 2313 This facility has had 77% more total inspections than the Nebraska average (23 vs. NE avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 77% more

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 3

State average 4.5


Last Health inspection on Apr 2026

Total health citations
5 Rank #9 / 124Health citations — State benchmarkedThis home is ranked 9th out of 124 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 124 NE facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 18.6

Citations per inspection
1.67 Rank #7 / 124Citations per inspection — State benchmarkedThis home is ranked 7th out of 124 homes we track in Nebraska for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 124 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.1


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

All 5 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than State average

State average: 0.2


Serious health citations
0
100% better than State average

State average: 0.5

0 critical citations State average: 0.2

0 serious citations State average: 0.5

5 moderate citations State average: 17.7

0 minor citations State average: 0.3
Citations history (last 3 years)
Environmental moderate citation Apr 15, 2026
Corrected

Care Planning moderate citation Apr 15, 2026
Corrected

Infection Control moderate citation Oct 21, 2024
Corrected

Quality of Care moderate citation Nov 02, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 131
Employees 115
Contractors 16
Staff to resident ratio 2.34 : 1
15% more staff per resident than Nebraska average
Nebraska average ratio: 2.03 : 1 Nebraska average ratio: 2.03 : 1See full Nebraska ranking
Avg staff/day 37
Average shift 8.2 hours
5% better than Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 27,909

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 7 total: 5 full-time employees and 2 contractors. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 15 total: 11 full-time employees and 4 contractors. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 59 total: 50 full-time employees and 9 contractors. 59
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6%

1,677 contractor hours this quarter

Certified Nursing Assistant: 9 Licensed Practical Nurse: 4 Registered Nurse: 2 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant5095910,87392100%8.5
Medication Aide/Technician240246,59392100%9
Licensed Practical Nurse114154,90592100%8.6
Clinical Nurse Specialist3031,4426571%7.8
Registered Nurse5279768491%8.5
Dental Services Staff3039476470%8.6
Occupational Therapy Assistant2024885964%8
Other Dietary Services Staff4044785762%8
Dietitian1014726065%7.9
Nurse Practitioner1014696166%7.7
Occupational Therapy Aide0111121415%8
Physical Therapy Assistant202593639%1.1
Qualified Social Worker101382729%1.4
Medical Director101211112%1.9
Other Physician30315910%1.5
Respiratory Therapy Technician303132022%0.6
Speech Language Pathologist10191820%0.5
59 Certified Nursing Assistant
% of Days 100%
24 Medication Aide/Technician
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
3 Clinical Nurse Specialist
% of Days 71%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.5
34% better than Nebraska average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.1
10% better than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.1%
42% better than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.0%
32% better than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 36.1%
34% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.2%
7% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.7%
9% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.5%
85% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.6%
72% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.5%
17% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.58
68% better than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.17
40% better than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
24% better than Nebraska average

Nebraska average: 80.7%

Facility Characteristics

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

Total residents 56
Medicare
1
1.8% of residents
Medicaid
29
51.8% of residents
Private pay or other
26
46.4% of residents
Programs & Services
Residents Group

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

Active Resident Council

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

Places of interest near Saunders Medical Center

Address 0.0 miles from city center Info Estimated distance in miles from Wahoo's city center to Saunders Medical Center's address, calculated via Google Maps.

Calculate Travel Distance to Saunders Medical Center

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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.
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.
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. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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: 61.4% 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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Brookestone Meadows Rehabilitation and
NH
HC
HOS
IL
SNF
Elkhorn
140
Facility 140
NE AVG 79
Rank #15 / 130
91.4%
Facility 91.4%
NE AVG 74%
Rank #17 / 119
+23%
4.71
Facility 4.71
NE AVG 4.45
Rank #36 / 121
-18%+6%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 126
3
Facility 3
NE AVG 18.2
Rank #4 / 124
1.5
Facility 1.5
NE AVG 4.2
Rank #7 / 124
-128-
6
Facility 6
NE AVG 48
Rank #134 / 138
Vsl Elkhorn, LLC
$21.8MFiscal year ending 06/2024
Facility $21.8MFiscal year ending 06/2024
NE AVG $7.6M
Rank #4 / 115
$12.6MFiscal year ending 06/2024
Facility $12.6MFiscal year ending 06/2024
NE AVG $4.5M
Rank #4 / 115
58%Fiscal year ending 06/2024
Facility 58%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #76 / 115
285276
Saunders Medical Center
NH
MC
SNF
J Wahoo
60
Facility 60
NE AVG 79
Rank #75 / 130
98.3%
Facility 98.3%
NE AVG 74%
Rank #5 / 119
+33%
5.77
Facility 5.77
NE AVG 4.45
Rank #6 / 121
-45%+30%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 126
5
Facility 5
NE AVG 18.2
Rank #9 / 124
1.7
Facility 1.7
NE AVG 4.2
Rank #7 / 124
-59-
80
Facility 80
NE AVG 48
Rank #9 / 138
----285296
Emerald Columbus
NH
AL
HOS
MC
PC
SNF
Columbus
145
Facility 145
NE AVG 79
Rank #14 / 130
56.6%
Facility 56.6%
NE AVG 74%
Rank #100 / 119
-24%
3.15
Facility 3.15
NE AVG 4.45
Rank #116 / 121
-37%-29%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 126
22
Facility 22
NE AVG 18.2
Rank #78 / 124
2.8
Facility 2.8
NE AVG 4.2
Rank #36 / 124
-82-
57
Facility 57
NE AVG 48
Rank #53 / 138
Columbus Operations, LLC
$10.4MFiscal year ending 12/2023
Facility $10.4MFiscal year ending 12/2023
NE AVG $7.6M
Rank #19 / 115
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
NE AVG $4.5M
Rank #30 / 115
48%Fiscal year ending 12/2023
Facility 48%Fiscal year ending 12/2023
NE AVG 61.4%
Rank #101 / 115
285092
The Mulberry at Waverly
NH
AL
Waverly (Waverly Precinct)
54
Facility 54
NE AVG 79
Rank #86 / 130
83.3%
Facility 83.3%
NE AVG 74%
Rank #43 / 119
+13%
3.62
Facility 3.62
NE AVG 4.45
Rank #97 / 121
-15%-19%
$25.6k
Facility $25.6k
NE AVG $38.1k
Rank #108 / 126
41
Facility 41
NE AVG 18.2
Rank #114 / 124
4.1
Facility 4.1
NE AVG 4.2
Rank #68 / 124
245-
58
Facility 58
NE AVG 48
Rank #48 / 138
The Mulberry At Waverly LLC$6.1M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$3.0M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.48.8%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.285143
The Pines at Blue Hill
NH
AL
Blue Hill
62
Facility 62
NE AVG 79
Rank #73 / 130
50.0%
Facility 50.0%
NE AVG 74%
Rank #108 / 119
-32%
4.24
Facility 4.24
NE AVG 4.45
Rank #61 / 121
-71%-5%
$13.6k
Facility $13.6k
NE AVG $38.1k
Rank #102 / 126
37
Facility 37
NE AVG 18.2
Rank #112 / 124
7.4
Facility 7.4
NE AVG 4.2
Rank #114 / 124
131A+
41
Facility 41
NE AVG 48
Rank #88 / 138
The Pines At Blue Hill LLC$4.7M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$2.4M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.52%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.285144

Rank badges are statewide: each nursing home is ranked against every NE nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

Frequently Asked Questions about Saunders Medical Center

Is Saunders Medical Center in a walkable area?

Saunders Medical Center has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at Saunders Medical Center?

Saunders Medical Center's occupancy is 98.3%.

Are pets allowed at Saunders Medical Center?

No, Saunders Medical Center has a no-pet policy.

Is Saunders Medical Center a government-operated facility?

Saunders Medical Center is a government-operated nursing facility in NE.

Who is the administrator of Saunders Medical Center?

Administrator Julie Rezac is the administrator of Saunders Medical Center.

What is the overall rating for Saunders Medical Center?

Saunders Medical 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.

How many beds does Saunders Medical Center have?

Saunders Medical Center has 60 beds.

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