Show Inspection Reports
Total health inspections
5
Nebraska average 4.3
Last Health inspection on Jan 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Tiffany Square Care Center
Nursing Home
Tiffany Square Care Center
Nursing Home
Overview of Tiffany Square Care Center
Situated in Grand Island, Nebraska, Tiffany Square Care Center stands as a pillar of care, providing short-term rehabilitation and skilled nursing services. Their commitment to excellence encompasses a range of options, including independent and assisted living, all delivered with a personalized touch. The center offers specialized programs like outpatient therapies, restorative services, and hospice care. Boasting a legacy of over 45 years of devoted service, Tiffany Square Care Center is a name synonymous with exceptional care and support.
Beyond the medical care provided, Tiffany Square Care Center recognizes the importance of enriching residents’ lives through a variety of amenities. From transportation services to emotional support, the facility creates an environment that caters to the complete well-being of its residents. The availability of deluxe private rooms and companion options ensures a comfortable and personalized living experience. With modern amenities such as wireless technology in common areas, staying connected is seamless.
Stephanie Olson serves as the Administrator at Tiffany Square Care Center, ensuring the facility meets its mission, vision, and values through strong leadership and effective operation of all departments. She provides tactful supervision and works to accomplish approved goals and maintain quality services, fostering a supportive environment for residents and staff alike.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
103
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
72.4%
Residents per day (avg)
79
Occupancy rate
72.4%
Residents per day (avg)
79
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
40% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
37% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
23% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Voluntary non-profit home
Other
Home revenue
$10.6M
Surplus of revenue
$901.5K
Voluntary non-profit home
Other
Home revenue
$10,551,908.00
Surplus of revenue
$901,543.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
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.
$5.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.7M
103-bed community
A larger shared setting that may offer more common spaces and organized community services.
42 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 56 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Services
About this community
Occupancy Rate
80%
Occupied Beds
82 of 103
Percentage of available beds currently in use by residents.
Facility Type
NURSING HOME
Additional licensing details
County:
HALL
Accreditations:
Medicare Certified
Ownership & operating entity
Tiffany Square Care Center is legally operated by VHS GRAND ISLAND, LLC, and administrated by STEPHANIE OLSON.
Profit status:
for-profit
Type Of Units
Medicaid and Medicare
103 units
Total beds
103 units
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Karl Bieber, Sr. Director of Marketing, Sales and Communication
Care Services
Alzheimer's Certification
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
Contact Information
Fax:
(308) 384-3620
Programs & Activities
Specific Programs
Short-Term Rehab / Sub-Acute Care, Skilled Nursing / Long-Term Care, Specialized Options, Outpatient Therapies, Restorative Programs, Home Health, Hospice, Care Program, Amenities, Tours, Testimonials
Types of Care at Tiffany Square Care Center
Nursing Home
Hospice Care
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
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
4 visits/inspections triggered by complaints
4 life safety inspections
Results
7 with issues
15 without issues
Latest inspection
Date:February 28, 2024
Type:Renewal
65 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Grand Island
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
CHI Health St. Francis
+54%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Grand Island
36
No
-
47
-
-
-
-
-
15.20
6.8687
-
-
+54%
-
Studio / 1 Bed / 2 Bed
Tiffany Square Care Center
-45%
-4%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Grand Island
103
No
A+
56
FRUEHLING, RICHARD
72.4%
$10,550,421.00
$4,371,798.00
41.4%
78.50
4.2871
-
20
-45%-4%+3%1 Bed
Grand Island Lakeview Care and Rehabilitation Center
-34%
-24%
-14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
1405 US-34
111
No
-
15
GRAND ISLAND LAKEVIEW OPERATIONS LLC
60.8%
$8,570,635.00
$3,565,658.00
41.6%
73.20
3.3895
1
25
-34%-24%-14%3.3 miles from city center
Golden Living Center – Grand Island Park
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Grand Island
-
No
-
56
-
-
-
-
-
-
-
-
-
-
-
1 Bed
Wedgewood Care Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
3119 W Faidley Ave
-
No
-
50
-
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed / 2 Bed
CHI Health St. Francis
Type of care:
SNF
AL
Community:
Grand Island
Bed Count:
36
Pets Allowed:
No
CCN:
285081
Avg Residents/Day:
15.20
Overall Rating:
Adj Nurse Hours:
6.8687
Health Insp Rating:
Staffing Rating:
QM Rating:
Staffing vs State Avg:
+54%
+54%
Bed Options:
Studio / 1 Bed / 2 Bed
Tiffany Square Care Center
Type of care:
SNF
AL
Community:
Grand Island
Bed Count:
103
Pets Allowed:
No
Operator:
FRUEHLING, RICHARD
CCN:
285087
Occupancy:
72.4%
Home Revenue:
$10,550,421.00
Payroll Costs:
$4,371,798.00
Payroll %:
41.4%
Avg Residents/Day:
78.50
Overall Rating:
Adj Nurse Hours:
4.2871
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
20
RN share vs State Avg:
-45%
-45%
Staffing vs State Avg:
-4%
-4%
Occupancy vs State Avg:
+3%
+3%
Bed Options:
1 Bed
Grand Island Lakeview Care and Rehabilitation Center
Type of care:
SNF
AL
Community:
1405 US-34
Bed Count:
111
Pets Allowed:
No
Operator:
GRAND ISLAND LAKEVIEW OPERATIONS LLC
CCN:
285106
Occupancy:
60.8%
Home Revenue:
$8,570,635.00
Payroll Costs:
$3,565,658.00
Payroll %:
41.6%
Avg Residents/Day:
73.20
Overall Rating:
Adj Nurse Hours:
3.3895
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
25
RN share vs State Avg:
-34%
-34%
Staffing vs State Avg:
-24%
-24%
Occupancy vs State Avg:
-14%
-14%
Bed Options:
3.3 miles from city center
Places of interest near Tiffany Square Care Center
2.1 miles from city center — 0.2 miles to nearest hospital (Twin Rivers Sports Medicine)
3119 W Faidley Ave, Grand Island, NE 68803
Calculate Travel Distance to Tiffany Square Care Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
133
Total Staff
112
Employees
21
Contractors
37,304
Total Hours (Quarter)
50
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 7 | 9 | No |
| Licensed Practical Nurse | 11 | 9 | No |
| Certified Nursing Assistant | 64 | 8.1 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
98 staff
8.4hs shift avg
Physicians & Practitioners ⓘ
6 staff
7.8hs shift avg
Therapy Services ⓘ
17 staff
6.5hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
4 staff
3.6hs shift avg
Dietary Services ⓘ
5 staff
7.9hs shift avg
Other Services ⓘ
2 staff
8.5hs shift avg
Contractor Analysis
7%
of total hours from contractors
2,601 contractor hours this quarter
Physical Therapy Aide: 5
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 5
Speech Language Pathologist: 4
Qualified Social Worker: 4
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 64 | 0 | 64 | 19,644 | 91 | 100% | 8.1 |
| Medication Aide/Technician | 15 | 0 | 15 | 4,228 | 91 | 100% | 9.1 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,176 | 91 | 100% | 9 |
| Registered Nurse | 7 | 0 | 7 | 2,191 | 91 | 100% | 9 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,671 | 72 | 79% | 7.7 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,305 | 67 | 74% | 7.1 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,261 | 85 | 93% | 7.9 |
| Dental Services Staff | 2 | 0 | 2 | 1,019 | 66 | 73% | 8.5 |
| Physical Therapy Aide | 0 | 5 | 5 | 578 | 67 | 74% | 6.9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 474 | 59 | 65% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 321 | 50 | 55% | 6.2 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 292 | 53 | 58% | 4.7 |
| Qualified Social Worker | 0 | 4 | 4 | 105 | 29 | 32% | 3.6 |
Health Inspection History
Inspections
Total health citations
20
Citations per inspection
4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 20 citations resulted from standard inspections; and 3 of 20 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
0
0
100% better than Nebraska averageNebraska average: 0.5
0 critical citations
0 serious citations
19 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Jan 13, 2025
Corrected
Quality of Care moderate citation
Jan 13, 2025
Corrected
Infection Control moderate citation
Oct 16, 2024
Corrected
Nutrition moderate citation
Oct 16, 2024
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit - Other Nonprofit
Part of: Vetter Health Services
Resident Census by Payment Source
77
Total Residents
Medicare
11
(14.3%)
ⓘ
Medicaid
34
(44.2%)
ⓘ
Private Pay/Other
32
(41.6%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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.
15.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.7
39% 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.
32.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
32.6
40% 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
26.3%
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
27% worse than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
38.5%
Percent of long-stay residents whose ability to move independently worsened
38.5%
74% 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
33.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.0%
23% worse than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
35% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.7%
Percent of long-stay high risk residents with pressure ulcers
5.7%
31% worse than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.0%
Percent of long-stay residents with a urinary tract infection
3.0%
In line with Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.8%
Percent of long-stay residents who lose too much weight
4.8%
11% better than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
82% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.2%
Percent of long-stay residents who received an antipsychotic medication
13.2%
34% better than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.9%
14% worse than Nebraska averageNebraska average: 93.2%
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.
1.97
Number of hospitalizations per 1,000 long-stay resident days.
1.97
9% worse 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.
1.12
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.12
43% 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
82.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.8%
In line with 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
78.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.4%
In line with Nebraska averageNebraska average: 75.9%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.9%
In line with Nebraska averageNebraska average: 20.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
15.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.4%
33% worse than Nebraska averageNebraska average: 11.6%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.6%
Percentage of SNF residents who experience falls with major injury during their stay.
2.6%
232% worse than Nebraska averageNebraska average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
12.7%
Percentage of residents at or above expected ability to care for themselves at discharge.
12.7%
76% worse than Nebraska averageNebraska average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
56.1%
Rate of successful return to home or community from a skilled nursing facility.
56.1%
11% better than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Tiffany Square Care Center based on CMS SNF Cost Reports.
Occupancy Rate
72.4%
↑ 0.4pp vs 2023
Net Income
$901,543
↑ ~$403K vs 2023
Total Payroll
$6,631,093
↓ ~$622K vs 2023
Profit Margin
8.6%
↑ 3.8pp vs 2023
Loading trend charts...
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