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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.
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 is a 103-bed Nursing Home at 3119 West Faidley Avenue, Grand Island, Hall County, Nebraska. Administrated by STEPHANIE OLSON and owned by Fruehling, Richard, the facility is a voluntary non-profit organization certified by the Centers for Medicare & Medicaid Services (CMS Certification Number 285087). 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.
Tiffany Square is a mid-sized urban nursing home in Grand Island providing skilled nursing and rehabilitation services. The facility serves mostly short-term rehab residents who typically stay for a few weeks or months before returning home or moving on. Medicare admissions (40%) typically stay 1-2 months for short-term rehab. Private pay admissions (37%) typically stay 3-4 months. Medicaid admissions (23%) typically stay 7-8 months. Average length of stay is 106 days. Occupancy rate is 72.4%, ranked #76 out of 134 in Nebraska, slightly above the state average of 70.3%.
The CMS Overall Rating of 3/5 stars is at or slightly above the Nebraska average of 2.8/5 stars. The Health Inspection Rating of 3/5 stars is at or slightly above the Nebraska average of 2.8/5 stars. The Staffing Rating of 4/5 stars exceeds the Nebraska average of 3.1/5 stars. The Quality Measures Rating of 2/5 stars falls below the Nebraska average of 2.7/5 stars, indicating potential care delivery concerns.
Staffing levels are near-average with notable disparities between positions. Total nursing hours reach 4 hours 17 minutes per day, ranked #63 out of 129 in Nebraska, 1% below the Nebraska average of 4 hours 20 minutes. Registered Nurse hours total 39 minutes per day, 9% below the state average of 43 minutes. Licensed Practical Nurse hours total 32 minutes per day, 26% below the state average of 43 minutes, representing a significant gap. Certified Nursing Aide hours total 3 hours 24 minutes per day, 23% above the state average of 2 hours 46 minutes, representing strong CNA presence. Weekend nursing hours total 3 hours 38 minutes per day, at the state average of 3 hours 37 minutes. Weekend Registered Nurse hours total 19 minutes per day, 34% below the state average of 29 minutes, significantly below average. Physical Therapist hours are at state average (3 minutes per day). Three of six staffing metrics fall below state average.
Tiffany Square operates as a voluntary non-profit community with annual revenue of $10.6 million, ranked #34 out of 132 in Nebraska. The facility reports an operating surplus of $901.5 thousand, indicating strong financial performance. Payroll comprises $4.4 million, ranked #33 out of 132 in Nebraska, representing 41.4% of revenue, below the typical SNF range of 55–65%.
Families considering Tiffany Square should ask about the below-average Quality Measures rating (2/5), and protocols for clinical oversight with limited LPN and RN coverage before placement.
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.
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.
This home is ranked 51st out of 108 homes in Nebraska.| Staff type | Hours / Day / Resident | vs state avg |
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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.
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39m per day | ▼ 9% State avg: 43m per day · National avg: 41m per day |
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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.
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32m per day | ▼ 26% State avg: 43m per day · National avg: 52m per day |
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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.
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3h 24m per day | ▲ 23% State avg: 2h 46m per day · National avg: 2h 20m per day |
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Total Nursing (Weekend)
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.
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3h 38m per day | ■ Avg State avg: 3h 37m per day · National avg: 3h 26m per day |
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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.
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3m per day | ■ Avg State avg: 3m per day · National avg: 4m per day |
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RN (Weekend)
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.
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19m per day | ▼ 34% State avg: 29m per day · National avg: 28m per day |
Occupancy lower than 85% suggests more openings may be available.
Most residents typically stay for a few weeks or months before returning home or moving on.
40% of new residents, usually for short-term rehab.
37% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #18 / 111Payroll — State benchmarkedThis home is ranked 18th out of 111 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Tiffany Square is administrated by Stephanie Olson.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Jan 2025
Nebraska average 18.2
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.
100% better than Nebraska average
Nebraska average: 0.2
100% better than Nebraska average
Nebraska average: 0.5
Corrected
Corrected
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Tiffany Square is located in GRAND ISLAND, Nebraska.
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4.4 miles from city center
Estimated distance in miles from Grand Island's city center to Tiffany Square's address, calculated via Google Maps.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
20% worse than Nebraska average
5% better than Nebraska average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
No contractors work on this role.
Helps with daily care and mobility.
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.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
2,601 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77
Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
38.5%
74% worse than Nebraska average
Nebraska average: 22.1%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
35% better than Nebraska average
Nebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
5.7%
31% worse than Nebraska average
Nebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
3.0%
In line with Nebraska average
Nebraska average: 3.1%
Percent of long-stay residents who lose too much weight
4.8%
11% better than Nebraska average
Nebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.8%
82% better than Nebraska average
Nebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
13.2%
34% better than Nebraska average
Nebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.9%
14% worse than Nebraska average
Nebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska average
Nebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
1.97
9% worse than Nebraska average
Nebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.12
43% better than Nebraska average
Nebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.8%
In line with Nebraska average
Nebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska average
Nebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.4%
In line with Nebraska average
Nebraska average: 75.9%
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%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.4%
33% worse than Nebraska average
Nebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
2.6%
232% worse than Nebraska average
Nebraska average: 0.8%
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%
Rate of successful return to home or community from a skilled nursing facility.
56.1%
11% better than Nebraska average
Nebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
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| 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 | +272% | +54% | $0 | 7 | 2.3 | - | 15 | 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 Island | 103 | 72.4% | +3% | 4.29 | -45% | -4% | $0 | 20 | 4.0 | - | 79 | 0 | Richard Fruehling | $10.6M | $6.6M | 62.8% | 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 | 95 | 60.8% | -14% | 3.39 | -34% | -24% | $13.0k | 25 | 6.3 | - | 73 | 0 | Grand Island Lakeview Operations LLC | $8.7M | $5.0M | 57.2% | 285106 | ||||
| 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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. |
Grand Island | 89 | 71.2% | +1% | 3.45 | -31% | -23% | $15.4k | 23 | 3.3 | 2 | 51 | 2 | Steven Husen | $11.0M | $5.0M | 45.3% | 285285 |
Historical financial and operational data for Tiffany Square based on CMS SNF Cost Reports.
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The legal owner and operator of Tiffany Square is Vhs Grand Island, Llc.
Stephanie Olson is the administrator of Tiffany Square.
Tiffany Square has 103 beds.
Yes — there are 4 photos of Tiffany Square in the photo gallery on this page.
Tiffany Square is located at 3119 West Faidley Avenue.
(308) 384-2333 will put you in contact with the team at Tiffany Square.
Tiffany Square is in Hall County.
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