Wakefield Health Care Center

Nursing Home in Nebraska

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.
Wakefield Health Care Center

Nursing Home in Nebraska

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.

Overview of Wakefield Health Care Center

Wakefield Health Care Center is a community-owned skilled nursing and assisted living facility located in Wakefield, Nebraska. It offers a variety of services including outpatient therapy, independent living, and compassionate care. The center is dedicated to providing a supportive environment for its residents.

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.
4/5 ▲ 1.2 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.
5/5 ▲ 1.9 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 15th 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.
5h 25m per day
This facility Nebraska avg (4h 20m per day)
vs Nebraska avg
+25%

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 40
Avg. Length of Stay
372 days

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 11 days

Private pay

41% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

18% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Governmental community
Operated by a subsidized facility district.
Home revenue
$4.0M
Surplus of revenue
$148.3K
Governmental community Operated by a subsidized facility district.
Home revenue
$4.0M
Surplus of revenue
$148.3K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.3M
56.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.6M
Total costs $3.8M
Bed community size
40-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy

Occupancy rate
55%
In line with Nebraska average
Occupied beds
22 / 40
Average residents 54 per day

License Details

Facility TypeNursing Home
CountyDixon
CMS Certification Number285209
Certification TypeCertification

Ownership & Operating Entity

Wakefield Health Care Center is administrated by Traci Haglund, Administrator.

Owner NameCITY OF WAKEFIELD

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
Skilled Nursing

Additional Services

1 service
Outpatient Therapy

Contact Information

Fax(402) 287-2245

Amenities & Lifestyle

0 amenities
Specific ProgramsSkilled Nursing Facility, PMC Outpatient Therapy, Independent Ash Street Apartments

Contact Wakefield Health Care Center

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.

11 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date February 7, 2019
Enforcement

46 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Nebraska average: 52 deficiencies

Inspection Report Summary for Wakefield Health Care Center

The most recent inspection on February 7, 2019, identified deficiencies related to accident reporting and administrator responsibilities, resulting in a 180-day probation and a prohibition on admitting new residents until compliance is demonstrated. Earlier inspections showed a pattern of issues including failure to implement elopement prevention interventions, incomplete staff background checks, inadequate injury prevention measures, and various concerns with resident care, safety, and life safety code compliance. Complaint investigations substantiated some allegations, such as failure to prevent injuries and address resident grievances, while others were found unsubstantiated. Enforcement actions included the probation mentioned above, but fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with regulatory compliance, particularly in resident safety and administrative oversight, with no clear trend of improvement in the most recent reports.

Health Inspection History

Inspections
Total health inspections 3

Nebraska average 4.3


Last Health inspection on Jul 2025

Total health citations 17

Nebraska average 18.2

Citations per inspection
5.67

Nebraska average 4.19


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 17 citations resulted from standard inspections; and 3 of 17 came from combined inspections (standard and complaint).

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

16 moderate citations More info Nebraska average: 17.2

1 minor citation More info Nebraska average: 0.2
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jul 22, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jul 22, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jul 22, 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. Jul 22, 2025
Corrected

Compare Nursing Homes around Nebraska 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
Accura HealthCare of Hartington
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.

Hartington (Precinct 9)67 63.6% -10%4.13 -7%-7%072.3031--Klaasmeyer, Kenneth$3.7M$2.1M57.9%285088
Wakefield Health Care Center
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.

Wakefield40 78.8% +12%5.42 +40%+22%0175.7033--Wakefield Care Center$3.7M$2.3M61.3%285209
Accura HealthCare of Tekamah
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.

Tekamah46 72.0% +2%3.83 +19%-14%0124.0030--Geis, Heather$3.1M$2.1M66.4%285118
Arbor Care Center-Valhaven, LLC
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.

Valley (Platte Valley Precinct)66 72.4% +3%4.08 -2%-8%0184.5150A+--$5.0M$3.2M64%285117
Arbor Care Centers – Ord, LLC
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.

Ord60 51.8% -26%3.76 +15%-16%0297.3135--Luth, Kurt$2.9M$1.5M52.9%285294

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 Wakefield Health Care Center

Address 0.0 miles from city center Info Estimated distance in miles from WAKEFIELD's city center to Wakefield Health Care Center's address, calculated via Google Maps.

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 89
Employees 89
Contractors 0
Staff to resident ratio 2.78:1
29% better than Nebraska average

Nebraska average ratio: 2.15:1

Avg staff/day 25
Average shift 6.7 hours
14% worse than Nebraska average

Nebraska average: 7.8 hours

Total staff hours (quarter) 15,341
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 12
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.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 50
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.7 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0%

0 contractor hours this quarter

No contractor roles were reported this quarter.

Staff by category
Certified Nursing Assistant500507,88391100%6.7
Medication Aide/Technician110112,95191100%7.3
Registered Nurse120122,14491100%8.1
Licensed Practical Nurse4041,3007886%8.9
Nurse Practitioner1014436268%7.1
Administrator1014406066%7.3
Physical Therapy Assistant101624651%1.3
Respiratory Therapy Technician202503842%1.3
Speech Language Pathologist101242426%1
Other Dietary Services Staff1012478%3.4
Qualified Social Worker101755%1.4
Occupational Therapy Aide101522%2.7
Medical Director101544%1.1
Other Physician202367%0.6
50 Certified Nursing Assistant
% of Days 100%
11 Medication Aide/Technician
% of Days 100%
12 Registered Nurse
% of Days 100%
4 Licensed Practical Nurse
% of Days 86%
1 Nurse Practitioner
% of Days 68%
1 Administrator
% of Days 66%
1 Physical Therapy Assistant
% of Days 51%
2 Respiratory Therapy Technician
% of Days 42%
1 Speech Language Pathologist
% of Days 26%
1 Other Dietary Services Staff
% of Days 8%
1 Qualified Social Worker
% of Days 5%
1 Occupational Therapy Aide
% of Days 2%
1 Medical Director
% of Days 4%
2 Other Physician
% of Days 7%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 32
Medicare
1
3.1% of residents
Medicaid
21
65.6% of residents
Private pay or other
10
31.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

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. 13.5
20% 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. 25.1
8% worse than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 24.1%
16% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 23.3%
5% 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 27.8%
In line with Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 11.6%
158% worse than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.4%
45% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.6%
51% worse than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.2%
13% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.9%
79% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 30.8%
55% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better 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%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
22% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 7.1%
201% worse than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
32% better than Nebraska average

Nebraska average: 75.9%

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