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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 13th out of 117 homes in Nebraska.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
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.
| 28m per day | ▼ 35% State avg: 43m per day · National avg: 41m per day |
|
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.
| 51m per day | ▲ 19% State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 3h 25m per day | ▲ 23% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 4h 28m per day | ▲ 24% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
RN (Weekend)
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.
| 10m per day | ▼ 66% State avg: 29m per day · National avg: 28m per day |
Higher than the Nebraska average: 70.3%Saunders Medical Center is administrated by Administrator Julie Rezac.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 79 | 52 | This facility has 52% more total deficiencies than a typical Nebraska nursing home (79 vs. NE avg 52).↑ 52% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 5.3 | 3.5 | This facility has 51% more deficiencies per year than a typical Nebraska nursing home (5.3 vs. NE avg 3.5).↑ 51% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection documents from October 2, 2025, showed no deficiencies and confirmed that Saunders Medical Center is licensed for 60 beds with 59 occupied. Earlier inspections generally reflected compliance with licensing requirements, with no deficiencies noted in renewal applications from recent years. However, prior complaint investigations and surveys identified deficiencies related mainly to resident protection from adverse behaviors, reporting accuracy, and some life safety and infection control issues. Notable substantiated complaints included failures to protect residents from adverse behaviors and incomplete abuse reporting, as well as some safety concerns involving fire drills, electrical wiring, and medication management, but no fines or enforcement actions were listed in the available reports. The facility’s inspection history indicates improvement over time, with recent reports showing no deficiencies after earlier citations.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Oct 2024
Nebraska average 18.2
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 6 citations resulted from standard inspections.
100% better than Nebraska averageNebraska average: 0.2
0
100% better than Nebraska averageNebraska average: 0.5
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 21, 2024
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 02, 2023
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 02, 2023
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 06, 2022
Corrected
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.
Saunders Medical Center is located in WAHOO, Nebraska.
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0.0 miles from city center
Estimated distance in miles from Wahoo's city center to Saunders Medical Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Nebraska averageNebraska average ratio: 2.15:1
0% compared with Nebraska averageNebraska average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Total hours from contractors
691 contractor hours this quarter
| Certified Nursing Assistant | 45 | 8 | 53 | 10,389 | 91 | 100% | 7.8 |
| Medication Aide/Technician | 24 | 3 | 27 | 7,440 | 91 | 100% | 8.6 |
| Licensed Practical Nurse | 9 | 5 | 14 | 4,458 | 91 | 100% | 8.8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,464 | 67 | 74% | 8.1 |
| Registered Nurse | 3 | 3 | 6 | 898 | 77 | 85% | 8.6 |
| Dental Services Staff | 1 | 0 | 1 | 554 | 63 | 69% | 8.8 |
| Dietitian | 1 | 0 | 1 | 487 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 410 | 53 | 58% | 7.7 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 400 | 50 | 55% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Physical Therapy Assistant | 3 | 0 | 3 | 41 | 54 | 59% | 0.6 |
| Speech Language Pathologist | 1 | 0 | 1 | 15 | 33 | 36% | 0.5 |
| Qualified Social Worker | 1 | 0 | 1 | 9 | 26 | 29% | 0.3 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 8 | 21 | 23% | 0.4 |
| Other Physician | 2 | 0 | 2 | 6 | 4 | 4% | 1.4 |
| Medical Director | 1 | 0 | 1 | 5 | 5 | 5% | 1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.1
10% better than Nebraska averageNebraska average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.1%
42% better than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
15.0%
32% better than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.1%
34% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
7% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
4.7%
9% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.5%
85% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
1.6%
72% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
16.5%
17% better than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
0.58
68% better than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.17
40% better than Nebraska averageNebraska average: 1.95
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
24% better than Nebraska averageNebraska average: 80.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Saunders Medical Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Wahoo | 60 | - | - | 5.48 | -50% | +23% | 0 | 6 | 2.0 | - | 56 | - | 80 | - | - | - | - | 285296 | ||||
| Accura HealthCare of Hartington |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Hartington (Precinct 9) | 47 | 63.6% | -10% | 4.13 | -7% | -7% | 0 | 7 | 2.3 | - | 31 | - | 52 | Kenneth Klaasmeyer | $4.5M | $2.1M | 47.1% | 285088 | ||||
| Accura HealthCare of Tekamah |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Tekamah | 46 | 72.0% | +2% | 3.83 | +19% | -14% | 0 | 12 | 4.0 | - | 30 | - | 59 | Heather Geis | $3.1M | $2.1M | 66.3% | 285118 | ||||
| Arbor Care Center-Valhaven, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Valley (Platte Valley Precinct) | 66 | 72.4% | +3% | 4.08 | -2% | -8% | 0 | 18 | 4.5 | 1 | 50 | A+ | 43 | - | $5.0M | $3.2M | 63.9% | 285117 | ||||
| Arbor Care Centers – Ord, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Ord | 60 | 51.8% | -26% | 3.76 | +15% | -16% | 0 | 29 | 7.3 | 1 | 35 | - | 62 | Kurt Luth | $2.9M | $1.5M | 52.8% | 285294 |
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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.
Saunders Medical Center's occupancy is 98%.
Administrator Julie Rezac is the administrator of Saunders Medical Center.
Saunders Medical Center has 60 beds.
Yes — there are 3 photos of Saunders Medical Center in the photo gallery on this page.
Saunders Medical Center is located at 1760 County Rd J.
(402) 443-4685 will put you in contact with the team at Saunders Medical Center.
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