Medium-capacity home · Offers a balance of services and community atmosphere.
Tiffany Square Care Center
Tiffany Square Care Center is a nursing home and skilled nursing facility in Grand Island, Nebraska. Skilled nursing services provide licensed nursing care on site around the clock. Long term care supports residents who need ongoing care rather than a short stay.
Short term rehabilitation and subacute care are available for temporary recovery needs. Outpatient therapies let residents receive rehabilitation without an inpatient stay, while restorative programs support people working to maintain or regain daily abilities. Medicaid and Medicare are accepted: Medicaid can help when savings may not cover a long stay, while Medicare covers short term skilled care after a hospital stay rather than long term residence. Stephanie Olson administers the community, which is operated by Vhs Grand Island. Tiffany Square Care Center may be a good fit for someone who needs either ongoing nursing support or a temporary rehabilitation stay.
Community insights.
Based on 82 residents and 103 beds. Source: state inspection report (Mar 2018)
About This Community
Tiffany Square Care Center is legally operated by Vhs Grand Island, LLC, and administered by Stephanie Olson.
- Anytime / all-day dining.
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.
Includes all inspection records for this property, which could include management/ownership changes. 65 deficiencies 15 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• Total deficiencies (25% above)
• Deficiencies per inspection (65% above) 0 Better No metrics in this bucket.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
| 65 | 52.0 | This facility has 25% more total deficiencies than a typical Nebraska nursing home (65 vs. NE avg 52).↑ 25% worse |
|
Deficiencies per inspection
| 4.3 | 2.6 | This facility has 65% more deficiencies per inspection than a typical Nebraska nursing home (4.3 vs. NE avg 2.6).↑ 65% worse |
Inspections
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total inspections
| 15 | 13.0 | This facility has had 15% more total inspections than the Nebraska average (15 vs. NE avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 15% more |
Places of interest near Tiffany Square Care Center
2.1 miles from city center
Estimated distance in miles from Grand Island's city center to Tiffany Square Care Center's address, calculated via Google Maps.
Calculate Travel Distance to Tiffany Square Care Center
Add your location
Compare Nursing Homes around Grand Island
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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.
|
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: 61.2% 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.
|
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tiffany Square | NH SNF | Grand Island | 103
Facility
103
NE AVG
81
Rank
#31 / 127 |
88.0%
Facility
88.0%
NE AVG
73.8%
Rank
#26 / 121 | +19% | 4.06
Facility
4.06
NE AVG
4.56
Rank
#67 / 113 | -40% | -11% | $0
Facility
$0
NE AVG
$49.9k
Rank
#1 / 121 | 18
Facility
18
NE AVG
19.3
Rank
#67 / 121 | 3.0
Facility
3.0
NE AVG
4.2
Rank
#27 / 121 | - | 91 | - | - | Vhs Grand Island, LLC | $10.5MFiscal year ending 06/2025
Facility
$10.5MFiscal year ending 06/2025
NE AVG
$8.0M
Rank
#21 / 117 | $6.3MFiscal year ending 06/2025
Facility
$6.3MFiscal year ending 06/2025
NE AVG
$4.8M
Rank
#23 / 117 | 59.6%Fiscal year ending 06/2025
Facility
59.6%Fiscal year ending 06/2025
NE AVG
61.2%
Rank
#72 / 117 | 285087 | ||||
| Emerald Nursing & Rehab Lakeview | NH AL MC SNF | Grand Island | 95
Facility
95
NE AVG
81
Rank
#37 / 127 |
79.3%
Facility
79.3%
NE AVG
73.8%
Rank
#51 / 121 | +8% | 3.52
Facility
3.52
NE AVG
4.56
Rank
#97 / 113 | -42% | -23% | $13.4k
Facility
$13.4k
NE AVG
$49.9k
Rank
#95 / 121 | 22
Facility
22
NE AVG
19.3
Rank
#77 / 121 | 7.3
Facility
7.3
NE AVG
4.2
Rank
#116 / 121 | 1 | 75 | - | - | Grand Island Lakeview Operations LLC | $8.4MFiscal year ending 12/2024
Facility
$8.4MFiscal year ending 12/2024
NE AVG
$8.0M
Rank
#35 / 117 | $4.4MFiscal year ending 12/2024
Facility
$4.4MFiscal year ending 12/2024
NE AVG
$4.8M
Rank
#47 / 117 | 52%Fiscal year ending 12/2024
Facility
52%Fiscal year ending 12/2024
NE AVG
61.2%
Rank
#96 / 117 | 285106 | ||||
| Good Samaritan Society – Grand Island Village | NH AL IL RC SNF | Grand Island | 67
Facility
67
NE AVG
81
Rank
#60 / 127 |
83.4%
Facility
83.4%
NE AVG
73.8%
Rank
#38 / 121 | +13% | 4.68
Facility
4.68
NE AVG
4.56
Rank
#30 / 113 | -14% | +3% | $10.0k
Facility
$10.0k
NE AVG
$49.9k
Rank
#93 / 121 | 23
Facility
23
NE AVG
19.3
Rank
#80 / 121 | 3.3
Facility
3.3
NE AVG
4.2
Rank
#39 / 121 | 1 | 56 | - |
2
Facility
2
NE AVG
48
Rank
#135 / 136 | Steven Husen | $7.5MFiscal year ending 12/2024
Facility
$7.5MFiscal year ending 12/2024
NE AVG
$8.0M
Rank
#43 / 117 | $4.7MFiscal year ending 12/2024
Facility
$4.7MFiscal year ending 12/2024
NE AVG
$4.8M
Rank
#40 / 117 | 61.8%Fiscal year ending 12/2024
Facility
61.8%Fiscal year ending 12/2024
NE AVG
61.2%
Rank
#62 / 117 | 285285 | ||||
| Tabitha at Prairie Commons | NH IL MC RC SNF | Grand Island | 36
Facility
36
NE AVG
81
Rank
#117 / 127 |
82.5%
Facility
82.5%
NE AVG
73.8%
Rank
#43 / 121 | +12% | 5.35
Facility
5.35
NE AVG
4.56
Rank
#16 / 113 | -3% | +17% | $24.7k
Facility
$24.7k
NE AVG
$49.9k
Rank
#101 / 121 | 16
Facility
16
NE AVG
19.3
Rank
#57 / 121 | 4.0
Facility
4.0
NE AVG
4.2
Rank
#60 / 121 | 2 | 30 | - |
14
Facility
14
NE AVG
48
Rank
#129 / 136 | Tabitha Grand Island, Inc | $6.4MFiscal year ending 12/2024
Facility
$6.4MFiscal year ending 12/2024
NE AVG
$8.0M
Rank
#58 / 117 | $4.0MFiscal year ending 12/2024
Facility
$4.0MFiscal year ending 12/2024
NE AVG
$4.8M
Rank
#53 / 117 | 62.1%Fiscal year ending 12/2024
Facility
62.1%Fiscal year ending 12/2024
NE AVG
61.2%
Rank
#58 / 117 | 285307 |
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 4 on this page. See how we rank facilities
Programs that may help with care and living costs in Nebraska
Tiffany Square Care Center is in Grand Island, Nebraska. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Aid and Attendance (A&A) and Housebound Benefits
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- 2026 · Countable income is compared with the applicable maximum annual pension rate (MAPR), which varies by dependents and benefit category. For a veteran with one dependent and Aid and Attendance, MAPR is $34,488/year.
- Asset limit
- VA pension net-worth ceiling is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus income for VA purposes; exclusions and transfer rules apply.
Eligibility
- General
- Aid and Attendance or Housebound is an increased VA pension rate for eligible veterans or surviving spouses who meet pension and additional care/disability requirements; it is not a stand-alone state benefit.
- NE specifics
- Federal VA pension rules apply nationwide.
What it provides
- Monthly pension is based on the applicable MAPR less countable annual income; divided by 12. Maximum annual veteran Aid and Attendance rates are $29,093 without dependents and $34,488 with one dependent; actual payments may be lower.
Aged and Disabled Waiver
Aged and Disabled Waiver
Eligibility
- General
- Receive Nebraska Medicaid, have a disability or be over age 65, meet nursing-facility level of care, and need waiver services.
What it provides
- Assessed waiver services may include adult day services; assisted living; respite and supports in the home.
Lifespan Respite Services
Lifespan Respite Services
Eligibility
- General
- Lifespan Respite supports eligible unpaid caregivers of a person of any age with a qualifying special need, not only caregivers of people age 60+.
What it provides
- Eligible respite assistance provides temporary caregiver relief. The official program describes an additional $2,000 per eligibility period for qualifying exceptional circumstances.
Personal Assistance Services (PAS)
Personal Assistance Services (PAS)
Eligibility
- General
- Medicaid Personal Assistance Services help people with a chronic medical condition or disability with activities such as bathing or dressing; financial and authorization requirements are determined by Medicaid.
What it provides
- Assessed assistance with daily activities such as bathing and dressing. The participant may choose the provider and direct care.
Social Services for Aged and Disabled Adults (SSAD)
Social Services for Aged and Disabled Adults (SSAD)
Eligibility
- General
- People who are aged, blind or disabled and meet program income and assessed service-need rules; assistance is coordinated with other available programs.
What it provides
- Authorized help may include chores; adult day services; meals; homemaker instruction and transportation.
Disabled Persons and Family Support (DPFS)
Disabled Persons and Family Support (DPFS)
Eligibility
- General
- Nebraska residents of any age with a professionally documented severe, chronic disability and qualifying disability-related needs; income and resource rules and other available funding are considered.
What it provides
- Funding for approved disability-related services or equipment; potentially including personal care; housekeeping; adaptive equipment and home modifications; up to $400 monthly or $4,800 annually.
Medicare Savings Program (MSP)
Medicare Savings Program (MSP)
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiary; the state determines the applicable Medicare Savings Program. QMB helps with premiums and Medicare cost sharing; SLMB and QI generally help with Part B premiums.
- NE specifics
- QI requires annual application and is funded first-come, first-served with priority for prior recipients. QMB, SLMB and QI confer Part D Extra Help.
What it provides
- QMB pays eligible Part A/Part B premiums and Medicare deductibles and cost sharing; SLMB and QI pay Part B premiums. The exact benefit depends on the approved program.




