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.
131
115 employees · 16 contractors · 37 on an average day Saunders Medical Center
Nursing Home, Memory Care & Skilled Nursing · Wahoo, NE
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.
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Saunders Medical Center
Nursing Home, Memory Care & Skilled Nursing · Wahoo, NE
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.
Overview of Saunders Medical Center
Saunders Medical Center provides nursing home, memory care, and skilled nursing in Wahoo, NE. Skilled nursing means licensed nursing care is available on site around the clock, while memory care provides a secured setting with supervision for a resident at risk of wandering.
Nursing home care supports ongoing residential care for people who need nursing attention. Saunders Medical Center may be a good fit for someone whose needs include ongoing nursing support and supervised memory care. The home has 60 beds and 98% occupancy, meaning nearly all beds are occupied at a given time.
Total nurse staffing is 5h 46m per resident per day, representing that amount of daily nurse time for each resident. Edge Therapy & Wellness gives residents access to therapy and wellness services at the facility, including the Be Well Education Series 2026, Stepping On Prevent Falls Workshop, Senior Connect, and Diabetes Support Group. These programs provide health education, fall prevention, connection, and diabetes related support, while administrator Julie Rezac oversees the community day to day.
A Walk Score of 80 means the area is very walkable, with most errands possible on foot. A resident who no longer drives can still complete many errands independently.
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: Q4 2025 (October 1 – December 31, 2025).
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 Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 6th out of 117 nursing homes we track in Nebraska for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 46m
This nursing home is ranked 6th out of 117 nursing homes we track in Nebraska for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 46mStandout metric: LPN / LVN is +57% 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. 7 total: 5 of the facility's own employees and 2 agency contractors.
7 staff · 8.5-hour shifts
38m
↓ 11% · NE 43mThis facility: 38m per resident per day, 11% below 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. 7 total: 5 of the facility's own employees and 2 agency contractors.
7 staff · 8.5-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. 15 total: 11 of the facility's own employees and 4 agency contractors.
15 staff · 8.6-hour shifts
1h 8m
↑ 57% · NE 43mThis facility: 1h 8m per resident per day, 57% above 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. 15 total: 11 of the facility's own employees and 4 agency contractors.
15 staff · 8.6-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. 59 total: 50 of the facility's own employees and 9 agency contractors.
59 staff · 8.5-hour shifts
4h 0m
↑ 45% · NE 2h 46mThis facility: 4h 0m per resident per day, 45% 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. 59 total: 50 of the facility's own employees and 9 agency contractors.
59 staff · 8.5-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
↓ 97% · NE 3mThis facility: 0m per resident per day, 97% 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
5h 20m
↑ 47% · NE 3h 37mThis facility: 5h 20m per resident per day, 47% 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
10m
↓ 66% · NE 29mThis facility: 10m per resident per day, 66% 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.
131
115 employees · 16 contractors · 37 on an average day
131 total staff / 53 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.47 : 1
↑ 26% · NE 1.97This facility: 2.47 staff per resident, 26% above the Nebraska average of 1.97 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
131 staff ÷ 53 residents
See full Nebraska ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.2 h
↑ 5% · NE 7.8 hThis facility: 8.2 h, 5% 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.
27,909 staff hours this quarter
See full Nebraska ranking →94% of staff hours were worked by the facility's own employees
Nebraska average: 89.8% · Contractors this quarter: Certified Nursing Assistant (9), Licensed Practical Nurse (4), Registered Nurse (2), Occupational Therapy Aide (1)
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.
60
Rank #76 / 130Bed count — State benchmarked This nursing home is ranked 76th out of 130 nursing homes we track in Nebraska for bed count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
60
Rank #76 / 130Bed count — State benchmarked This nursing home is ranked 76th out of 130 nursing homes we track in Nebraska for bed count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #9 / 138Walk Score — State benchmarked This nursing home is ranked 9th out of 138 nursing homes we track in Nebraska for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Nebraska facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #9 / 138Walk Score — State benchmarked This nursing home is ranked 9th out of 138 nursing homes we track in Nebraska for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Nebraska facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
80
/ 100
Occupancy rate
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #9 / 125Occupancy rate — State benchmarked This nursing home is ranked 9th out of 125 nursing homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 125. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #9 / 125Occupancy rate — State benchmarked This nursing home is ranked 9th out of 125 nursing homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 125. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
98.3%
This home is often near full
Based on 59 residents and 60 beds. Source: state inspection report (Oct 2025)
Higher than the Nebraska average: 74.9%About This Community
Facility TypeNursing Home
CountySaunders
Certification TypeCertification
Saunders Medical Center is administered by Administrator Julie Rezac.
Diabetes Support Group
Fax(402) 443-1433
Pets not allowed
Wellness Center
Activities
Stepping On Prevent Falls Workshop
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
Includes all inspection records for this property, which could include management/ownership changes. 79 deficiencies 23 inspections
Inspection Scorecard
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 (26% above) 0 Better No metrics in this bucket.
• Total deficiencies (52% above)
• Deficiencies per inspection (26% above) 0 Better No metrics in this bucket.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 79 | 52.0 | This facility has 52% more total deficiencies than a typical Nebraska nursing home (79 vs. NE avg 52).↑ 52% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.4 | 2.7 | This facility has 26% more deficiencies per inspection than a typical Nebraska nursing home (3.4 vs. NE avg 2.7).↑ 26% worse |
Inspections
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 23 | 15.0 | This facility has had 53% more total inspections than the Nebraska average (23 vs. NE avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 53% 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.
Total health inspections
3
State avg 4.6
Total health citationsState avg 18.8 (73% better than State average)
5
Rank #6 / 124Health citations — State benchmarked This nursing home is ranked 6th out of 124 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 124 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.
State avg 18.8 (73% better than State average)
Citations per inspectionState avg 4.07 (59% better than State average)
1.67
Rank #5 / 124Citations per inspection — State benchmarked This nursing home is ranked 5th out of 124 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 124 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.
State avg 4.07 (59% better than State average)Citation severity
100% corrected
5 of 5 citations corrected
Critical
J–L
0
State avg 0.2 (100% better than State average)
Immediate jeopardyState avg 0.2 (100% better than State average)
Serious
G–I
0
State avg 0.5 (100% better than State average)
Actual harmState avg 0.5 (100% better than State average)
Moderate
D–F
5
State avg 17.8 (72% better than State average)
No harm, more than minimal riskState avg 17.8 (72% better than State average)
Minor
A–C
0
State avg 0.3 (100% better than State average)
No harm, minimal riskState avg 0.3 (100% better than State average)Citations history
Most recent first
Apr 15, 2026
2 citations
Environmental moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Oct 21, 2024
1 citation
Infection Control moderate citation
Corrected
Corrected
Nov 02, 2023
2 citations
Quality of Care moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 5 citations
Infection Control
1 deficiency (20%)
Resident Rights
1 deficiency (20%)
Resident Assessment & Care Planning
1 deficiency (20%)
Quality of Life & Care
1 deficiency (20%)
Environmental
1 deficiency (20%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 5 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
25% better than Nebraska averageNebraska average: 10.1
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.5
12% better than Nebraska averageNebraska average: 21.0
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
12.6%
Percent of long-stay residents whose need for help with daily activities has increased
12.6%
34% better than Nebraska averageNebraska average: 19.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.1%
Percent of long-stay residents whose ability to move independently worsened
16.1%
11% better than Nebraska averageNebraska average: 18.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
In line with Nebraska averageNebraska average: 25.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
20% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.2%
Percent of long-stay high risk residents with pressure ulcers
4.2%
5% worse than Nebraska averageNebraska average: 4.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
68% better than Nebraska averageNebraska average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.0%
Percent of long-stay residents who lose too much weight
1.0%
81% better than Nebraska averageNebraska average: 5.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.9%
Percent of long-stay residents who received an antipsychotic medication
14.9%
28% better than Nebraska averageNebraska average: 20.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
7% better than Nebraska averageNebraska average: 93.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.58
Number of hospitalizations per 1,000 long-stay resident days.
0.58
68% better than Nebraska averageNebraska average: 1.80
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.17
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.17
40% better than Nebraska averageNebraska average: 1.95
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
17% better than Nebraska averageNebraska average: 80.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
53
Medicaid
35
66% of residents
Private pay or other
18
34% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Places of interest near Saunders Medical Center
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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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.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
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.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative 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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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: 61.5% 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
#17 / 130 |
91.4%
Facility
91.4%
NE AVG
74.9%
Rank
#22 / 125 | +22% | 4.71
Facility
4.71
NE AVG
4.48
Rank
#35 / 117 | -18% | +5% | $0
Facility
$0
NE AVG
$37.2k
Rank
#1 / 124 | 3
Facility
3
NE AVG
18.8
Rank
#1 / 124 | 1.5
Facility
1.5
NE AVG
4.1
Rank
#3 / 124 | - | 128 | - |
6
Facility
6
NE AVG
48
Rank
#134 / 138 | Vsl Elkhorn, LLC | $22.3MFiscal year ending 06/2025
Facility
$22.3MFiscal year ending 06/2025
NE AVG
$7.6M
Rank
#4 / 113 | $13.7MFiscal year ending 06/2025
Facility
$13.7MFiscal year ending 06/2025
NE AVG
$4.5M
Rank
#4 / 113 | 61.4%Fiscal year ending 06/2025
Facility
61.4%Fiscal year ending 06/2025
NE AVG
61.5%
Rank
#75 / 113 | 285276 | ||||
| St Joseph’s Hillside Villa | NH AL HOS RC SNF | West Point | 54
Facility
54
NE AVG
81
Rank
#87 / 130 |
98.7%
Facility
98.7%
NE AVG
74.9%
Rank
#8 / 125 | +32% | 5.47
Facility
5.47
NE AVG
4.48
Rank
#9 / 117 | -32% | +22% | $0
Facility
$0
NE AVG
$37.2k
Rank
#1 / 124 | 12
Facility
12
NE AVG
18.8
Rank
#39 / 124 | 3.0
Facility
3.0
NE AVG
4.1
Rank
#27 / 124 | - | 53 | - |
66
Facility
66
NE AVG
48
Rank
#31 / 138 | St. Joseph's Elder Services, Inc | $8.7MFiscal year ending 12/2024
Facility
$8.7MFiscal year ending 12/2024
NE AVG
$7.6M
Rank
#33 / 113 | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
NE AVG
$4.5M
Rank
#26 / 113 | 62.8%Fiscal year ending 12/2024
Facility
62.8%Fiscal year ending 12/2024
NE AVG
61.5%
Rank
#50 / 113 | 285303 | ||||
| Saunders Medical Center | NH MC SNF | J Wahoo | 60
Facility
60
NE AVG
81
Rank
#76 / 130 |
98.3%
Facility
98.3%
NE AVG
74.9%
Rank
#9 / 125 | +31% | 5.77
Facility
5.77
NE AVG
4.48
Rank
#6 / 117 | -45% | +29% | $0
Facility
$0
NE AVG
$37.2k
Rank
#1 / 124 | 5
Facility
5
NE AVG
18.8
Rank
#6 / 124 | 1.7
Facility
1.7
NE AVG
4.1
Rank
#5 / 124 | - | 59 | - |
80
Facility
80
NE AVG
48
Rank
#9 / 138 | - | - | - | - | 285296 | ||||
| The Mulberry at Waverly | NH AL | Waverly (Waverly Precinct) | 54
Facility
54
NE AVG
81
Rank
#87 / 130 |
83.3%
Facility
83.3%
NE AVG
74.9%
Rank
#47 / 125 | +11% | 3.62
Facility
3.62
NE AVG
4.48
Rank
#94 / 117 | -15% | -19% | $25.6k
Facility
$25.6k
NE AVG
$37.2k
Rank
#105 / 124 | 32
Facility
32
NE AVG
18.8
Rank
#105 / 124 | 3.2
Facility
3.2
NE AVG
4.1
Rank
#42 / 124 | 2 | 45 | - |
58
Facility
58
NE AVG
48
Rank
#47 / 138 | The Mulberry At Waverly LLC | $6.7MFiscal year ending 12/2024 | $2.2MFiscal year ending 12/2024 | 32.8%Fiscal year ending 12/2024 | 285143 | ||||
| Emerald Columbus | NH AL HOS MC PC SNF | Columbus | 145
Facility
145
NE AVG
81
Rank
#16 / 130 |
56.6%
Facility
56.6%
NE AVG
74.9%
Rank
#106 / 125 | -24% | 3.15
Facility
3.15
NE AVG
4.48
Rank
#113 / 117 | -37% | -30% | $0
Facility
$0
NE AVG
$37.2k
Rank
#1 / 124 | 22
Facility
22
NE AVG
18.8
Rank
#80 / 124 | 2.8
Facility
2.8
NE AVG
4.1
Rank
#23 / 124 | - | 82 | - |
57
Facility
57
NE AVG
48
Rank
#53 / 138 | Columbus Operations, LLC | $11.1MFiscal year ending 12/2024
Facility
$11.1MFiscal year ending 12/2024
NE AVG
$7.6M
Rank
#19 / 113 | $4.7MFiscal year ending 12/2024
Facility
$4.7MFiscal year ending 12/2024
NE AVG
$4.5M
Rank
#30 / 113 | 42%Fiscal year ending 12/2024
Facility
42%Fiscal year ending 12/2024
NE AVG
61.5%
Rank
#100 / 113 | 285092 |
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
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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