Tiffany Square

Nursing Home in Grand Island

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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 Info The Overall CMS Rating is scored from 1 to 5 stars and 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.

Overview of 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

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
3/5 ▲ 0.2 Nebraska average: 2.8/5
Health Inspection Info 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.
3/5 ▲ 0.2 Nebraska average: 2.8/5
Staffing Info 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.
4/5 ▲ 0.9 Nebraska average: 3.1/5
Quality Measures Info 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.
2/5 ▼ 0.7 Nebraska average: 2.7/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Nebraska state averages

Total nursing care / resident Info This home is ranked 63rd out of 129 homes in Nebraska.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 17m per day
Rank #63 / 129Nurse hours — state benchmarkedThis home is ranked 63rd out of 129 homes in Nebraska.Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 129 Nebraska SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Nebraska avg (4h 20m per day)
vs Nebraska avg
-1%

3 of 6 metrics below state avg

Standout metric Nurse Aide is +23% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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. 39m per day ▼ 9% State avg: 43m per day · National avg: 41m per day
LPN / LVN Info 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. 32m per day ▼ 26% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info 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. 3h 24m per day ▲ 23% State avg: 2h 46m per day · National avg: 2h 20m per day
Total Nursing (Weekend) Info 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 38m per day ■ Avg State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 3m per day ■ Avg State avg: 3m per day · National avg: 4m per day
RN (Weekend) Info 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. 19m per day ▼ 34% State avg: 29m per day · National avg: 28m per day

Capacity and availability

This home usually has availability

Occupancy lower than 85% suggests more openings may be available.

Higher occupancy than the Nebraska average: 70.3%
Occupancy rate 72.4% Rank #76 / 134Occupancy rate — state benchmarkedThis home is ranked 76th out of 134 homes in Nebraska.Shows this facility's occupancy rate versus the Nebraska average, with its statewide rank out of 134. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay 106 days
Occupancy rate
72.4% Rank #76 / 134Occupancy rate — state benchmarkedThis home is ranked 76th out of 134 homes in Nebraska.Shows this facility's occupancy rate versus the Nebraska average, with its statewide rank out of 134. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
106 days

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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
$10.6M Rank #34 / 132Revenue — state benchmarkedThis home is ranked 34th out of 132 homes in Nebraska.Shows this facility's annual revenue compared to the Nebraska SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$901.5K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #33 / 132Payroll — state benchmarkedThis home is ranked 33rd out of 132 homes in Nebraska.Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$4.4M
41.4% of revenue Rank #82 / 132Payroll % — state benchmarkedThis home is ranked 82nd out of 132 homes in Nebraska.Shows payroll as a percentage of revenue versus the Nebraska average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.3M
Total costs $9.7M
Bed community size
103-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

License Details

Facility TypeNursing Home
CountyHall
CMS Certification Number285087
Certification TypeCertification
AccreditationsMedicare Certified
Awards65 awards & achievements since 1996

Ownership & Operating Entity

Tiffany Square is administrated by Stephanie Olson.

Owner NameVHS GRAND ISLAND, LLC

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Additional Services

1 service
Short-Term Rehabilitation

Contact Information

Fax(308) 384-3620

Amenities & Lifestyle

Specific ProgramsShort-Term Rehab / Sub-Acute Care, Skilled Nursing / Long-Term Care, Specialized Options, Outpatient Therapies, Restorative Programs, Home Health, Hospice, Care Program, Amenities, Tours, Testimonials

Contact Tiffany Square

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.

Payment & Funding Options

Medicaid Medicare

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.

Health Inspection History

Inspections
Total health inspections 5

Nebraska average 4.3


Last Health inspection on Jan 2025

Total health citations
20 Rank #77 / 134Health citations — state benchmarkedThis home is ranked 77th out of 134 homes in Nebraska.Shows this facility's total health deficiency citations benchmarked to the Nebraska state average, with a ranking across all 134 NE SNFs. Lower citation counts earn a better rank.

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 More info
0
100% better than Nebraska average

Nebraska average: 0.2


Serious Health citations More info 0
100% better than Nebraska average

Nebraska average: 0.5

0 critical citations More info Nebraska average: 0.2

0 serious citations More info Nebraska average: 0.5

19 moderate citations More info Nebraska average: 17.2

1 minor citation More info Nebraska average: 0.2
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 13, 2025
Corrected

Quality of Care moderate citation Info 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 Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Oct 16, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Oct 16, 2024
Corrected

Compare Nursing Homes around Grand Island The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

5 facilities compared · CMS & NE Dept. of Health data · Updated Apr 2026

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 (West Faidley Avenue)36--6.87 -+54%000.0015- 47 ----285081
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 Island103 72.4% +3%4.29 -45%-4%0204.0079--Fruehling, Richard$10.6M$4.4M41.4%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 Island95 60.8% -14%3.39 -34%-24%1256.3073--Grand Island Lakeview Operations Llc$8.7M$3.6M40.9%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 (North Darr Avenue)---------000.00-- 56 -----
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 Island67--------000.00--------

Financial Assistance for
Nursing Home in Nebraska

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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
NE

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.
NE

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).
NE

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).
NE

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).
NE

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

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

Senior Community Service Employment Program (SCSEP)

Nebraska SCSEP

Age 55+
General unemployed, low-income, Nebraska resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
NE

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

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
NE

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)

Places of interest near Tiffany Square

Address 4.4 miles from city center Info Estimated distance in miles from GRAND ISLAND's city center to Tiffany Square's address, calculated via Google Maps.

Calculate Travel Distance to Tiffany Square

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Address

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 average

Nebraska average ratio: 2.15:1

Avg staff/day 50
Average shift 8.2 hours
5% better than Nebraska average

Nebraska 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 Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 64
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

No 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 Assistant6406419,64491100%8.1
Medication Aide/Technician150154,22891100%9.1
Licensed Practical Nurse110113,17691100%9
Registered Nurse7072,19191100%9
Clinical Nurse Specialist5051,6717279%7.7
Speech Language Pathologist0441,3056774%7.1
Other Dietary Services Staff5051,2618593%7.9
Dental Services Staff2021,0196673%8.5
Physical Therapy Aide0555786774%6.9
Administrator1015206571%8
Nurse Practitioner1015206571%8
RN Director of Nursing1014745965%8
Physical Therapy Assistant0333215055%6.2
Respiratory Therapy Technician0552925358%4.7
Qualified Social Worker0441052932%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 residents 77
Medicare
11
14.3% of residents
Medicaid
34
44.2% of residents
Private pay or other
32
41.6% 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.

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 Info 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 average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 32.6
40% worse than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Below average Nebraska avg: 2.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 26.3%
27% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 38.5%
74% worse than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 33.0%
23% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.9%
35% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.7%
31% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.0%
In line with Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.8%
11% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.8%
82% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.2%
34% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 79.9%
14% worse than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.97
9% worse than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.12
43% better than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Below average Nebraska avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 82.8%
In line with Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 78.4%
In line with Nebraska average

Nebraska average: 75.9%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.9%
In line with Nebraska average

Nebraska average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 15.4%
33% worse than Nebraska average

Nebraska average: 11.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.6%
232% worse than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 12.7%
76% worse than Nebraska average

Nebraska average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 56.1%
11% better than Nebraska average

Nebraska average: 50.6%

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