The Palm at Regency Square

Q: Is The Palm at Regency Square in a walkable area?

The Palm at Regency Square has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

Q: What is the license number of The Palm at Regency Square?

According to NE state health department records, The Palm at Regency Square's license number is ALF438.

Q: What is the occupancy rate at The Palm at Regency Square?

The Palm at Regency Square's occupancy is 100%.

Q: Who is the administrator of The Palm at Regency Square?

Administrator Matthew Gieselman is the administrator of The Palm at Regency Square.

Q: How many beds does The Palm at Regency Square have?

The Palm at Regency Square has 38 beds.

Q: Are there photos of The Palm at Regency Square?

Yes — there are 6 photos of The Palm at Regency Square in the photo gallery on this page.

Q: What is the address of The Palm at Regency Square?

The Palm at Regency Square is located at 3501 Dakota Avenue, South Sioux City, NE 68776.

Nursing Home & Assisted Living · Nebraska, NE

CMS overall rating

3501 Dakota Avenue, South Sioux City, NE 68776 View map

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The Palm at Regency Square accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

The Palm at Regency Square accepts Medicare, Medicaid, and private pay.

Overview of The Palm at Regency Square

The Palm at Regency Square is a 38-bed skilled nursing facility in South Sioux City, Nebraska, providing skilled nursing, memory care, and rehabilitation. The building operates at full capacity with a 100% occupancy rate, serving a population primarily covered by Medicaid (71%), alongside private pay (18%) and Medicare (11%). Residents experience an average length of stay of 111 days in this highly walkable neighborhood property. Despite maximum utilization, financial reports highlight a challenging operating deficit of $231.5 thousand and a negative 8.3% profit margin.

Looking at recent state monitoring logs, the facility shows a clear positive shift in compliance despite running on lean staffing lines. A standard February 2025 licensing review came back completely clean with zero deficiencies, pointing to long-term operational turnarounds. This stands in contrast to a heavier older footprint of 77 citations over 16 years, a $34,000 regulatory fine in 2023, and a 2012 probation period for past accident prevention gaps.

Daily care hours are on the thin side, averaging 3 hours and 53 minutes per resident, which drops 11% below the Nebraska average due to lower certified nursing aide coverage. Long-stay clinical charts reveal high numbers for walking deterioration and general functional decline compared to state averages. Short-stay post-acute recovery metrics mirror these challenges, recording a 24% higher re-hospitalization rate and a discharge self-care success mark of just 28%, compared to the 54% state baseline.

Older adults comparing area nursing homes or short-term rehab options can use these state tracking files to see how the home performs. Since the official tracking shows maximum occupancy and excellent recent inspection scores alongside below-average nursing hours and tough recovery metrics, the data reflects a building making great regulatory strides but facing ongoing clinical workloads. Booking a personal tour is a great next step to check out the therapy departments, watch the staff on a daily shift, and ask the management team how they plan to address long-term physical preservation and short-term recovery outcomes.

(402) 494-1136

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Nebraska state averages

Total nursing care / resident

3h 53m per day

This facility Nebraska avg (4h 27m per day)

vs Nebraska avg

-13%

2 of 6 metrics below state avg

Standout metric Weekend RN is +81% above state avg

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.	54m per day	▲ 26% 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.	50m per day	▲ 16% 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.	2h 17m 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.	3h 35m per day	■ Avg 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.	2m per day	▼ 17% 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.	53m per day	▲ 81% State avg: 29m per day · National avg: 28m per day

Capacity and availability

111 days

38-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 73 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

100%

Higher than the Nebraska average: 70.3%

Occupied beds

38 / 38

Average occupied beds in Nebraska homes 54 beds

Facility TypeAssisted Living Facilities

StatusActive

CountyDakota

License NumberALF438

CMS Certification Number285076

The Palm at Regency Square is administered by Administrator Matthew Gieselman.

Staffing

Key information about the people who lead and staff this community.

ContactMr. Mikel Ardley, Interim Executive Director

Fax(402) 494-1239

Since 2010 · 16 years of data 77 deficiencies

Inspection Scorecard 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.

Since 2010 vs. Nebraska state average

Overall vs. NE average

Latest Inspection February 19, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NE Average	vs. NE Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	77	52	This facility has 48% more total deficiencies than a typical Nebraska assisted living residence (77 vs. NE avg 52).↑ 48% worse
Deficiencies per year Average deficiencies per year since 2010.	4.8	3.3	This facility has 45% more deficiencies per year than a typical Nebraska assisted living residence (4.8 vs. NE avg 3.3).↑ 45% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on February 19, 2025, found no deficiencies and approved renewal of licensure and occupancy permits for 72 beds.
A June 19, 2019 complaint investigation found the facility protected residents from abuse and was compliant with abuse reporting requirements.
The December 14, 2017 survey identified eight deficiencies including medication errors above 10%, delayed abuse investigations, and multiple fire safety code violations.

Show Inspection Reports

Inspections since 2023

Total health inspections 8

State average 4.3

Last Health inspection on Sep 2025

Total health citations

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

400% worse than State average

State average: 0.2

Serious health citations

100% better than State average

State average: 0.5

1 critical citation State average: 0.2

0 serious citations State average: 0.5

32 moderate citations State average: 17.2

0 minor citations State average: 0.2

Citations history (last 3 years)

Quality of Care moderate citation Sep 23, 2025

Corrected

Infection Control moderate citation Aug 20, 2025

Corrected

Nursing Services moderate citation Aug 20, 2025

Corrected

Pharmacy moderate citation Aug 20, 2025

Corrected

Total staff 62

Employees 49

Contractors 13

Staff to resident ratio 1.41 : 1

30% fewer staff per resident than Nebraska average

Avg staff/day 23

Average shift 8.5 hours

9% better than Nebraska average

Total staff hours (quarter) 18,011

Nursing staff breakdown

9.6 hours

9.2 hours

9.1 hours

Contractor staffing

4,727 contractor hours this quarter

Certified Nursing Assistant: 6 Licensed Practical Nurse: 3 Medication Aide/Technician: 2 Clinical Nurse Specialist: 1 Registered Nurse: 1

Staff by category


Certified Nursing Assistant	21	6	27	6,766	92	100%	9.1
Licensed Practical Nurse	4	3	7	3,141	92	100%	9.2
Registered Nurse	6	1	7	2,592	92	100%	9.6
Medication Aide/Technician	3	2	5	1,833	91	99%	8.1
Dietitian	1	0	1	518	61	66%	8.5
Mental Health Service Worker	1	0	1	509	64	70%	8
Physical Therapist	1	0	1	460	57	62%	8.1
Administrator	1	0	1	456	57	62%	8
Nurse Practitioner	1	0	1	432	54	59%	8
Physical Therapy Assistant	2	0	2	387	65	71%	5.7
Clinical Nurse Specialist	1	1	2	380	65	71%	5.2
Speech Language Pathologist	3	0	3	285	65	71%	4.3
Respiratory Therapy Technician	2	0	2	157	32	35%	4.5
Other Dietary Services Staff	1	0	1	95	16	17%	6
Qualified Social Worker	1	0	1	1	1	1%	0.5

27 Certified Nursing Assistant

% of Days 100%

7 Licensed Practical Nurse

% of Days 100%

7 Registered Nurse

% of Days 100%

5 Medication Aide/Technician

% of Days 99%

1 Dietitian

% of Days 66%

1 Mental Health Service Worker

% of Days 70%

1 Physical Therapist

% of Days 62%

1 Administrator

% of Days 62%

1 Nurse Practitioner

% of Days 59%

2 Physical Therapy Assistant

% of Days 71%

2 Clinical Nurse Specialist

% of Days 71%

3 Speech Language Pathologist

% of Days 71%

2 Respiratory Therapy Technician

% of Days 35%

1 Other Dietary Services Staff

% of Days 17%

1 Qualified Social Worker

% of Days 1%

View All Staffing Data

Total fines amount $34K

In line with Nebraska average

Nebraska average: $33K

Number of fines 1

31% fewer fines than Nebraska average

Nebraska average: 1.5

Payment Denials 0

100% fewer payment denials than Nebraska average

Nebraska average: 0.7

Fines amount comparison

This facility $34K

Nebraska average $33K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Nov 1, 2023 · $34K

Civil Money Penalty Nov 1, 2023

$34K

Last updated: Jan 2026

High-risk clinical events score 17.6

56% worse than Nebraska average

Nebraska average: 11.3

Functional decline score 31.9

37% worse than Nebraska average

Nebraska average: 23.3

Long-stay resident measures

Significantly below average Nebraska avg: 2.8

Need for Help with Daily Activities Increased 24.0%

16% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened 46.0%

108% worse than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 25.8%

In line with Nebraska average

Nebraska average: 26.9%

Falls with Major Injury 6.7%

49% worse than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers 2.6%

39% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection 3.1%

In line with Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight 8.6%

58% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms 7.1%

59% worse than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use 28.8%

45% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine 92.7%

In line with Nebraska average

Nebraska average: 93.2%

Influenza Vaccine 92.0%

In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days 2.01

12% worse than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days 2.96

52% worse than Nebraska average

Nebraska average: 1.95

Short-stay resident measures

Significantly below average Nebraska avg: 2.2

Pneumococcal Vaccine 71.6%

11% worse than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase 0.0%

100% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine 62.8%

17% worse than Nebraska average

Nebraska average: 75.9%

Re-hospitalized after SNF stay 25.9%

24% worse than Nebraska average

Nebraska average: 20.9%

Emergency department visits 14.4%

24% worse than Nebraska average

Nebraska average: 11.6%

Falls with major injury 0.0%

100% better than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge 27.9%

48% worse than Nebraska average

Nebraska average: 53.7%

Successful return to home or community 37.0%

27% worse than Nebraska average

Nebraska average: 50.6%

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

Total residents 44

Medicare

11.4% of residents

Medicaid

70.5% of residents

Private pay or other

18.2% 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.

Financial Trends

Historical financial and operational data for The Palm at Regency Square from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 130.6% ↑ 71.8pp vs 2022

Net Patient Income -$246.6K ↑ ~$336.7K vs 2022

Payroll Costs $1.4M ↓ ~$2.2M vs 2022

Operating Margin -8.8% ↑ 1.3pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	70.3%	68.9%	74.3%	87.6%	88.4%	92.0%	72.9%	72.8%	78.4%	62.9%	67.1%	58.8%	130.6%
Beds	88	88	69	71	72	72	72	72	72	72	72	77	38
Net Income	$524,393	$300,102	$354,986	$3,677,196	-$137,250	-$365,985	-$387,553	-$404,913	-$768,516	-$468,745	-$66,583	-$2,036	-$231,524
Gross Revenue	$5,556,751	$5,686,102	$7,176,161	$7,527,894	$7,944,603	$8,783,753	$8,537,568	$8,981,829	$9,426,898	$6,249,018	$3,791,440	$6,061,980	$2,798,430
Operating Expenses	$4,489,939	$4,772,163	$4,858,245	$5,761,358	$6,156,435	$6,413,787	$6,114,842	$6,517,619	$7,210,605	$6,173,702	$3,970,090	$6,378,155	$3,056,524
Net Patient Income	$490,668	$265,216	$376,201	-$297,495	-$159,723	-$367,789	-$390,434	-$407,543	-$769,072	-$1,091,157	-$307,276	-$583,341	-$246,636
Net Patient Revenue	$4,980,607	$5,037,379	$5,234,446	$5,463,863	$5,996,712	$6,045,998	$5,724,408	$6,110,076	$6,441,533	$5,082,545	$3,662,814	$5,794,814	$2,809,888
Payroll Costs	$2,403,503	$2,548,081	$2,619,490	$2,757,819	$2,777,062	$2,991,626	$2,959,569	$2,846,838	$3,093,979	$3,276,841	$2,054,095	$3,555,626	$1,400,850
Operating Margin %	9.9%	5.3%	7.2%	-5.4%	-2.7%	-6.1%	-6.8%	-6.7%	-11.9%	-21.5%	-8.4%	-10.1%	-8.8%
Medicare %	9.8%	9.7%	10.5%	8.6%	10.1%	8.9%	9.6%	8.7%	7.7%	5.8%	6.2%	10.1%	4.9%
Medicaid %	53.9%	55.6%	54.1%	51.5%	56.8%	50.2%	48.0%	44.9%	54.6%	58.1%	61.3%	58.9%	56.5%
Private %	36.3%	34.7%	35.4%	39.9%	33.1%	40.9%	42.4%	46.5%	37.7%	36.0%	32.5%	30.9%	38.6%
Net Patient Revenue/Day	$220	$227	$232	$242	$258	$249	$299	$319	$313	$307	$309	$351	$373
Cost/Day	$199	$215	$215	$256	$265	$264	$319	$341	$350	$372	$335	$386	$405
Avg Length of Stay	122.8 days	140.5 days	136.0 days	147.3 days	108.1 days	166.1 days	139.9 days	174.0 days	166.2 days	186.2 days	157.9 days	142.4 days	110.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$2.8M

Net patient income

-$246.6K

Privately-owned community Operated by a single business entity.

Net patient revenue

$2.8M

Net patient income

-$246.6K

Other income

$15.1K

Payroll costs

$1.4M 49.9% of net patient revenue

Other operating costs

$1.7M

Total costs

$3.1M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (42% of admissions), and a typical Medicaid stay runs around 4 - 5 months.

Coverage residents most often arrive under.

Medicare 20%

Private pay 38%

Medicaid 42%

Coverage residents most often leave under.

Medicare 10%

Private pay 53%

Medicaid 37%

126.8 miles from city center Estimated distance in miles from South Sioux City's city center to The Palm at Regency Square's address, calculated via Google Maps.

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Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled

General Nebraska resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $4,000 individual, higher than most states

Higher asset limit; rural access focus.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Nebraska Respite Network

NE Respite Network

Age Caregiver of someone 60+

General Nebraska resident.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Lifespan respite focus; limited funding.

Benefits

In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus)

General Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).

Income Limits (2025) ~$1,255/month (100% FPL, individual); spenddown allowed.

Asset Limits $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).

Family can be paid caregivers; statewide via DHHS.

Benefits

Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+

General Nebraska resident (specific counties), NFLOC, safe with PACE support.

Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.

Asset Limits $4,000 (individual), $6,000 (couple).

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Benefits

Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled

General Nebraska resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits $9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General Nebraska resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth limit

High veteran demand in rural areas.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Is The Palm at Regency Square in a walkable area?

The Palm at Regency Square has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of The Palm at Regency Square?

According to NE state health department records, The Palm at Regency Square's license number is ALF438.

What is the occupancy rate at The Palm at Regency Square?

The Palm at Regency Square's occupancy is 100%.

Who is the administrator of The Palm at Regency Square?

Administrator Matthew Gieselman is the administrator of The Palm at Regency Square.

How many beds does The Palm at Regency Square have?

The Palm at Regency Square has 38 beds.

Are there photos of The Palm at Regency Square?

Yes — there are 6 photos of The Palm at Regency Square in the photo gallery on this page.

What is the address of The Palm at Regency Square?

The Palm at Regency Square is located at 3501 Dakota Avenue, South Sioux City, NE 68776.

Guides for Better Senior Living

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The Palm at Regency Square

Overview of The Palm at Regency Square

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Contact Information

Contact The Palm at Regency Square

Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

27 Certified Nursing Assistant

7 Licensed Practical Nurse

7 Registered Nurse

5 Medication Aide/Technician

1 Dietitian

1 Mental Health Service Worker

1 Physical Therapist

1 Administrator

1 Nurse Practitioner

2 Physical Therapy Assistant

2 Clinical Nurse Specialist

3 Speech Language Pathologist

2 Respiratory Therapy Technician

1 Other Dietary Services Staff

1 Qualified Social Worker

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near The Palm at Regency Square

Calculate Travel Distance to The Palm at Regency Square

Financial Assistance for Assisted Living in Nebraska

Aged and Disabled Waiver

Nebraska Respite Network

Personal Assistance Services (PAS)

Program of All-Inclusive Care for the Elderly (PACE)

Medicare Savings Program (MSP)

VA Aid and Attendance (A&A) and Housebound Benefits

Guides for Better Senior Living

Financial Assistance for
Assisted Living in Nebraska