1/5
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.
1/5
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.
The Meadows at Ashland is a privately owned, 97-bed skilled nursing facility that offers memory care and rehabilitation services. Business logs indicate extreme operational and financial strain, with occupancy collapsing to just 9%, representing only seven active residents, compared to 88% utilization in 2023. This severe reduction in resident volume drastically impacts incoming revenue and limits the home’s operational sustainability, contributing to its lower overall state and federal quality ratings.
A look at government regulatory records reveals critical, recurring compliance challenges and frequent disciplinary interventions from state authorities. The facility faced a Notice of Disciplinary Action following a May 2025 inspection that cited systemic failures to implement proper fall prevention interventions, which echoed similar mistakes that triggered multiple state probations earlier that same year. Over a 12-year tracking history, the property has accumulated 102 total deficiencies, 96% above the Nebraska baseline, including three high-severity citations and two separate government payment blocks that suspended new admissions.
Everyday direct care staffing runs 9% below the state norm at 3 hours and 56 minutes per resident daily, with registered nurse availability dropping 56% below standard state benchmarks. This thin coverage aligns with lean financial allocation, as payroll commands only 40.5% of overall revenue, while clinical charts reveal poor outcomes across both long-term and short-term metrics, specifically showing high rates of resident hospitalizations, depression, and severe post-acute fall injuries.
Prospective representatives investigating regional skilled nursing or memory care units can evaluate these public tracking files to assess the home’s recent history. Since the state paperwork documents critical underutilization, thin daily clinical oversight, and multiple rapid-succession government probations alongside elevated physical safety risks, the files show a facility experiencing severe, ongoing operational distress.
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 80th out of 130 homes 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.
| Staff type | Hours / Day / Resident | 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.
| 24m per day | ▼ 44% 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.
| 43m per day | ■ Avg 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 16m per day | ▲ 18% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 5m per day | ▲ 13% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
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.
| 4m per day | ▲ 30% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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.
| 19m per day | ▼ 35% State avg: 29m per day · National avg: 28m per day |
The Meadows at Ashland is administered by Administrator Jeffrey Baker.
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
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 102 | 52 | This facility has 96% more total deficiencies than a typical Nebraska nursing home (102 vs. NE avg 52).↑ 96% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 6.8 | 3.5 | This facility has 94% more deficiencies per year than a typical Nebraska nursing home (6.8 vs. NE avg 3.5).↑ 94% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Nebraska average 4.3
Last Health inspection on Jul 2025
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.
11 of 19 citations resulted from standard inspections; 6 of 19 resulted from complaint investigations; and 2 of 19 came from combined inspections (standard and complaint).
100% better than Nebraska averageNebraska average: 0.2
500% worse than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
35% fewer staff per resident than Nebraska average
14% better than Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
9 total: 5 full-time employees and 4 contractors.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.9 hoursAssists with medical care and medications.
11 total: 8 full-time employees and 3 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursHelps with daily care and mobility.
49 total: 46 full-time employees and 3 contractors.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,123 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 46 | 3 | 49 | 18,299 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 8 | 3 | 11 | 4,511 | 92 | 100% | 10.3 |
| Medication Aide/Technician | 9 | 1 | 10 | 3,604 | 92 | 100% | 10.1 |
| Registered Nurse | 5 | 4 | 9 | 2,083 | 91 | 99% | 10.9 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,103 | 69 | 75% | 8.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 981 | 83 | 90% | 6.8 |
| Speech Language Pathologist | 2 | 0 | 2 | 641 | 66 | 72% | 5.4 |
| Qualified Social Worker | 4 | 0 | 4 | 563 | 65 | 71% | 6.9 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 484 | 66 | 72% | 7.3 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Physical Therapist | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Respiratory Therapist | 1 | 0 | 1 | 447 | 63 | 68% | 7.1 |
| Respiratory Therapy Technician | 1 | 1 | 2 | 436 | 65 | 71% | 6.7 |
| Physical Therapy Assistant | 1 | 0 | 1 | 385 | 54 | 59% | 7.1 |
| RN Director of Nursing | 1 | 0 | 1 | 304 | 38 | 41% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 88 | 11 | 12% | 8 |
Includes penalties issued in 2023-2025
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 Jan 2026)
100% lower than Nebraska averageNebraska average: $33K
100% fewer fines than Nebraska averageNebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
176% more payment denials than Nebraska averageNebraska average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 5, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 12, 2023Last updated: Jan 2026
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.
15.2
35% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
32.4
39% worse 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
32.5%
56% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
30.6%
38% worse than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.0%
26% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
37% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
5.9%
37% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
4.4%
20% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
10.2%
130% worse than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
28.1%
42% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.1%
7% worse than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.9%
6% worse than Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.54
41% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.04
56% worse than Nebraska averageNebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.2%
63% worse than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
6% better than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
14.8%
80% worse than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
38.3%
83% worse than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.1%
In line with Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
5.8%
649% worse than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
24.1%
55% worse than Nebraska averageNebraska average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
23% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
46% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Meadows at Ashland from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 08/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #106 / 133Payroll — State benchmarkedThis home is ranked 106th out of 133 homes in Nebraska. Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #123 / 133Payroll % — State benchmarkedThis home is ranked 123rd out of 133 homes in Nebraska. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (46% of admissions), and a typical Medicaid stay runs around 11 - 12 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Ashland's city center to The Meadows at Ashland's address, calculated via Google Maps.
Add your location
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Gateway Vista | NH AL IL PC RC | Lincoln (Culler) | 80
Facility
80
NE AVG
82
Rank
#84 / 228 |
90.0%
Facility
90.0%
NE AVG
70.3%
Rank
#38 / 196 | +28% | 4.84
Facility
4.84
NE AVG
4.45
Rank
#30 / 130 | -20% | +9% | $8.7k
Facility
$8.7k
NE AVG
$38.1k
Rank
#100 / 135 | 10
Facility
10
NE AVG
18.2
Rank
#31 / 135 | 3.3
Facility
3.3
NE AVG
4.2
Rank
#37 / 135 | 1 | 72 | - |
71
Facility
71
NE AVG
46
Rank
#43 / 298 | Mikel Ardley | $14.8M
Facility
$14.8M
NE AVG
$7.6M
Rank
#4 / 133 | $7.0M
Facility
$7.0M
NE AVG
$3.5M
Rank
#18 / 133 | 47.1%
Facility
47.1%
NE AVG
49.4%
Rank
#130 / 133 | 285266 | ||||
| Emerald Columbus | NH AL HC MC PC | Columbus (40Th Avenue) | 145
Facility
145
NE AVG
82
Rank
#25 / 228 |
56.6%
Facility
56.6%
NE AVG
70.3%
Rank
#163 / 196 | -20% | 3.78
Facility
3.78
NE AVG
4.45
Rank
#87 / 130 | -37% | -15% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 20
Facility
20
NE AVG
18.2
Rank
#82 / 135 | 3.3
Facility
3.3
NE AVG
4.2
Rank
#37 / 135 | - | 72 | A+ |
57
Facility
57
NE AVG
46
Rank
#101 / 298 | Columbus Operations LLC | $10.4M
Facility
$10.4M
NE AVG
$7.6M
Rank
#27 / 133 | $5.0M
Facility
$5.0M
NE AVG
$3.5M
Rank
#27 / 133 | 48%
Facility
48%
NE AVG
49.4%
Rank
#88 / 133 | 285092 | ||||
| Keystone Villas | NH AL IL | Omaha (Keystone) | 68
Facility
68
NE AVG
82
Rank
#111 / 228 |
79.5%
Facility
79.5%
NE AVG
70.3%
Rank
#92 / 196 | +13% | 3.35
Facility
3.35
NE AVG
4.45
Rank
#114 / 130 | -56% | -25% | $70.1k
Facility
$70.1k
NE AVG
$38.1k
Rank
#128 / 135 | 24
Facility
24
NE AVG
18.2
Rank
#100 / 135 | 4.0
Facility
4.0
NE AVG
4.2
Rank
#55 / 135 | 2 | 70 | - |
55
Facility
55
NE AVG
46
Rank
#113 / 298 | Sandra Leimer | $9.0M
Facility
$9.0M
NE AVG
$7.6M
Rank
#37 / 133 | $5.4M
Facility
$5.4M
NE AVG
$3.5M
Rank
#29 / 133 | 60.6%
Facility
60.6%
NE AVG
49.4%
Rank
#73 / 133 | 285238 | ||||
| Bethany Home | NH AL MC NC | Minden | 64
Facility
64
NE AVG
82
Rank
#123 / 228 |
79.7%
Facility
79.7%
NE AVG
70.3%
Rank
#90 / 196 | +13% | 4.75
Facility
4.75
NE AVG
4.45
Rank
#39 / 130 | +53% | +7% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 19
Facility
19
NE AVG
18.2
Rank
#77 / 135 | 6.3
Facility
6.3
NE AVG
4.2
Rank
#120 / 135 | - | 59 | - |
47
Facility
47
NE AVG
46
Rank
#155 / 298 | Bethany Home Inc | $8.2M
Facility
$8.2M
NE AVG
$7.6M
Rank
#48 / 133 | $5.0M
Facility
$5.0M
NE AVG
$3.5M
Rank
#40 / 133 | 60.9%
Facility
60.9%
NE AVG
49.4%
Rank
#61 / 133 | 285270 | ||||
| The Meadows at Ashland | NH AL | Ashland | 97
Facility
97
NE AVG
82
Rank
#68 / 228 | - | - | 3.94
Facility
3.94
NE AVG
4.45
Rank
#80 / 130 | -9% | -12% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 19
Facility
19
NE AVG
18.2
Rank
#77 / 135 | 2.4
Facility
2.4
NE AVG
4.2
Rank
#17 / 135 | 3 | 7 | - |
61
Facility
61
NE AVG
46
Rank
#76 / 298 | - | $5.9M
Facility
$5.9M
NE AVG
$7.6M
Rank
#73 / 133 | $2.5M
Facility
$2.5M
NE AVG
$3.5M
Rank
#106 / 133 | 42.1%
Facility
42.1%
NE AVG
49.4%
Rank
#123 / 133 | 285140 |
The Meadows at Ashland is located in ASHLAND, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The Meadows at Ashland has a walk score of 61. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Meadows at Ashland's occupancy is 87.9%.
Administrator Jeffrey Baker is the administrator of The Meadows at Ashland.
The Meadows at Ashland has 97 beds.
Yes — there are 4 photos of The Meadows at Ashland in the photo gallery on this page.
The Meadows at Ashland is located at 1700 Furnas Street, Ashland, NE 68003.
(402) 944-7031 will put you in contact with the team at The Meadows at Ashland.
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