Occupancy rate
121%
In line with Nebraska averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Assisted Living Home
The Palm at Regency Square
The Palm at Regency Square is a senior living facility located in South Sioux City, NE. It offers assisted living services to support residents in their daily activities while promoting independence. The facility is part of Avid Healthcare Group, which is committed to providing quality care.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
38
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
121.1%
Residents per day (avg)
42
Occupancy rate
121.1%
Residents per day (avg)
42
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
20% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
38% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
42% of new residents, often for long-term daily care.
Typical stay
4 - 5 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$2.8M
Operating loss
-$231.5K
Privately-owned community
Operated by a business corporation.
Home revenue
$2,813,542.00
Operating loss
$-231,524.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.0M
38-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Nebraska averageOccupied beds
46 / 38
Average residents
54 per day
License details
Facility type
Assisted Living Facilities
Status
Active
County:
DAKOTA
Additional licensing details
License number:
ALF438
CMS Certification Number:
285076
Ownership & operating entity
The Palm at Regency Square is administrated by MATTHEW GIESELMAN, ADMINISTRATOR.
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Mikel Ardley
Contact Information
Fax:
(402) 494-1239
Programs & Activities
Specific Programs
Assisted Living
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.
22 visits/inspections
10 visits/inspections triggered by complaints
2 routine inspections
Results
11 with issues
11 without issues
Show Inspection Reports
Latest inspection
Date:February 19, 2025
77 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
8
State average 4.3
Last Health inspection on Sep 2025
Total health citations
33
State average 18.2
Citations per inspection
4.12
State average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 33 citations resulted from standard inspections; 8 of 33 resulted from complaint investigations; and 8 of 33 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
400% worse than State averageState average: 0.2
Serious Health citations
0
0
100% better than State averageState average: 0.5
1 critical citation
0 serious citations
32 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 23, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 23, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 20, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 20, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 20, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 20, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 20, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 20, 2025
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.
Compare Assisted Living around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Cedarhurst of La Vista
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.
LA VISTA
156
No
-
The Palm at Regency Square
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.
SOUTH SIOUX CITY
77
No
-
Bailey Pointe Assisted Living at Plattsmouth
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.
Plattsmouth
45
Yes
43
Beaver City Manor
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.
Beaver City
30
No
35
Carl T Curtis Health Education Center Nursing Home
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.
Macy
-
No
12
Places of interest near The Palm at Regency Square
126.8 miles from city center
3501 DAKOTA AVENUE, SOUTH SIOUX CITY, NE 68776
Calculate Travel Distance to The Palm at Regency Square
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
77
Employees
57
Contractors
20
Staff to resident ratio
1.75:1
19% worse than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
25
Average shift
8.2 hours
5% better than Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
18,577
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
36
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
22%
4,095 contractor hours this quarter
Certified Nursing Assistant: 13
Licensed Practical Nurse: 3
Registered Nurse: 2
Medication Aide/Technician: 1
Clinical Nurse Specialist: 1
Staff by category
| Certified Nursing Assistant | 23 | 13 | 36 | 7,315 | 91 | 100% | 8.4 |
| Licensed Practical Nurse | 7 | 3 | 10 | 3,579 | 91 | 100% | 9.4 |
| Registered Nurse | 6 | 2 | 8 | 1,749 | 89 | 98% | 8.4 |
| Medication Aide/Technician | 5 | 1 | 6 | 1,622 | 90 | 99% | 8 |
| Dietitian | 1 | 0 | 1 | 526 | 64 | 70% | 8.2 |
| Physical Therapist | 1 | 0 | 1 | 511 | 60 | 66% | 8.5 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 471 | 63 | 69% | 7.5 |
| Physical Therapy Assistant | 3 | 0 | 3 | 461 | 68 | 75% | 6.1 |
| Speech Language Pathologist | 4 | 0 | 4 | 460 | 68 | 75% | 5 |
| Mental Health Service Worker | 1 | 0 | 1 | 396 | 49 | 54% | 8.1 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 313 | 66 | 73% | 4.6 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 197 | 44 | 48% | 4.2 |
36 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
98%
6 Medication Aide/Technician
% of Days
99%
1 Dietitian
% of Days
70%
1 Physical Therapist
% of Days
66%
1 Nurse Practitioner
% of Days
68%
1 Administrator
% of Days
66%
1 Other Dietary Services Staff
% of Days
69%
3 Physical Therapy Assistant
% of Days
75%
4 Speech Language Pathologist
% of Days
75%
1 Mental Health Service Worker
% of Days
54%
2 Clinical Nurse Specialist
% of Days
73%
2 Respiratory Therapy Technician
% of Days
48%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
44 residents
Residents by payment source
Medicare
5 residents (11.4%)
Medicaid
31 residents (70.5%)
Private pay or other
8 residents (18.2%)
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.
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.
17.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.6
56% worse than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.9
37% worse than Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.0%
Percent of long-stay residents whose need for help with daily activities has increased
24.0%
16% worse than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
46.0%
Percent of long-stay residents whose ability to move independently worsened
46.0%
108% worse than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
In line with Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
49% worse than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.6%
Percent of long-stay high risk residents with pressure ulcers
2.6%
39% better than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.1%
Percent of long-stay residents with a urinary tract infection
3.1%
In line with Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.6%
Percent of long-stay residents who lose too much weight
8.6%
58% worse than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
7.1%
Percent of long-stay residents who have depressive symptoms
7.1%
59% worse than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
28.8%
Percent of long-stay residents who received an antipsychotic medication
28.8%
45% worse than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.7%
In line with Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.0%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.6%
11% worse than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.8%
17% worse than Nebraska averageNebraska average: 75.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$34K
In line with Nebraska averageNebraska average: $33K
Number of fines
1
31% fewer fines than Nebraska averageNebraska average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Nebraska averageNebraska average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$34K
Nebraska average
$33K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 1, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 1, 2023
$34K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for The Palm at Regency Square based on CMS SNF Cost Reports.
Occupancy Rate
64.5%
↑ 5.7pp vs 2022
Net Income
-$231,524
↓ ~$229K vs 2022
Total Payroll
$1,400,850
↓ ~$2.2M vs 2022
Profit Margin
-8.3%
↓ 8.2pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Nebraska Seniors
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