Facility type
Nursing Home
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Grand Island
CMS overall rating
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.
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.
Tiffany Square
Nursing Home in Grand Island
CMS overall rating
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.
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.
Tiffany Square
Tiffany Square is a skilled nursing and rehabilitation facility located in Grand Island, Nebraska. It provides comprehensive skilled nursing and rehabilitation services, certified with both Medicaid and Medicare. The facility emphasizes a warm and nurturing environment, reflecting its mission of dignity in life.
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
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 community
Home revenue
$10.6M
Surplus of revenue
$901.5K
Voluntary non-profit community
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.
About this community
License details
County:
HALL
Additional licensing details
CMS Certification Number:
285087
Certification type:
Certification
Accreditations:
Medicare Certified
Awards:
65 awards & achievements since 1996
Ownership & operating entity
Tiffany Square is administrated by STEPHANIE OLSON.
Owner name:
VHS GRAND ISLAND, LLC
Care Services
All Levels of Care
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
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.
Show Inspection Reports
Health Inspection History
Inspections
Total health inspections
5
Nebraska average 4.3
Last Health inspection on Jan 2025
Total health citations
20
Nebraska average 18.2
Citations per inspection
4
Nebraska average 4.19
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
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 13, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 13, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 13, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 13, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 16, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 16, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 16, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
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.
Compare Nursing Homes around Grand Island The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Filter by care type
CHI Health St. Francis
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.
Grand Island
36
-
-
6.87
+54%
0
0
0.0
0
15
47
-
-
-
-
285081
Studio / 1 Bed / 2 Bed
Tiffany 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.
GRAND ISLAND
103
72.4%
+3%
4.29
-4%
0
20
4.0
0
79
-
Fruehling, Richard
$10.6M
$4.4M
41.4%
285087
-
Emerald Nursing & Rehab Lakeview
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.
GRAND ISLAND
111
60.8%
-14%
3.39
-24%
1
25
6.3
0
73
-
Grand Island Lakeview Operations Llc
$8.6M
$3.6M
41.6%
285106
-
Golden Living Center – Grand Island Park
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.
Grand Island
-
-
-
-
-
0
0
0.0
0
-
56
-
-
-
-
-
1 Bed
Good Samaritan Society – Grand Island Village
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.
GRAND ISLAND
67
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Places of interest near Tiffany Square
4.4 miles from city center
3119 West Faidley Avenue, GRAND ISLAND, NE 68803
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
133
Employees
112
Contractors
21
Staff to resident ratio
1.73:1
20% worse than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
50
Average shift
8.2 hours
5% better than Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
37,304
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
64
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
7%
2,601 contractor hours this quarter
Physical Therapy Aide: 5
Respiratory Therapy Technician: 5
Speech Language Pathologist: 4
Qualified Social Worker: 4
Physical Therapy Assistant: 3
Staff by category
| 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 |
64 Certified Nursing Assistant
% of Days
100%
15 Medication Aide/Technician
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
100%
5 Clinical Nurse Specialist
% of Days
79%
4 Speech Language Pathologist
% of Days
74%
5 Other Dietary Services Staff
% of Days
93%
2 Dental Services Staff
% of Days
73%
5 Physical Therapy Aide
% of Days
74%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 RN Director of Nursing
% of Days
65%
3 Physical Therapy Assistant
% of Days
55%
5 Respiratory Therapy Technician
% of Days
58%
4 Qualified Social Worker
% of Days
32%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
77 residents
Residents by payment source
Medicare
11 residents (14.3%)
Medicaid
34 residents (44.2%)
Private pay or other
32 residents (41.6%)
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.
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%
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%
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 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
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