Wakefield Health Care Center
Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Wakefield, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Wakefield Health Care Center

Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Wakefield, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Wakefield Health Care Center accepts Medicaid, Medicare, and private pay.

Overview of Wakefield Health Care Center

Located on Ash Street in the rural Nebraska community of Wakefield, Wakefield Health Care Center is a skilled nursing facility with 40 beds. It serves residents who require nursing care, rehabilitation, and ongoing medical support. Its current occupancy is 55%. Owned by Wakefield Care Center, it accepts Medicaid, Medicare, and private pay, providing families several ways to cover both short-term rehabilitation and longer-term skilled care.

The facility provides daily nurse staffing averaging 5 hours and 25 minutes per resident. It includes registered nursing care, nurse aide care, and licensed practical nursing. This nursing support is an important part of the care provided at the facility.

The home also offers rehabilitation services and partners with PMC Outpatient Therapy. This allows residents to receive therapeutic care either on-site or through outpatient appointments. Those transitioning toward greater independence will benefit from the facility’s Independent Ash Street Apartments on the same campus.

Residents stay an average of 372 days, suggesting that many remain for ongoing care rather than short-term recovery. Wakefield is located in a moderately walkable community with a Walk Score of 50. Visiting family members can run some errands on foot, but most trips require a short drive.

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.
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.
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.
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.

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 state averages

Total nursing care / resident Info 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
Rank #12 / 128Nurse hours — State benchmarkedThis home is ranked 12th out of 128 homes in Nebraska for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 128 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

3 of 6 metrics below state avg

Standout metric Nurse Aide is +41% above state avg
Staff typeHours / Day / Residentvs 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. 41m per day ▼ 5% 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. 31m per day ▼ 27% 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 54m per day ▲ 41% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing 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. 4h 43m per day ▲ 31% 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. 1m per day ▼ 67% State avg: 3m per day · National avg: 4m per day
Weekend RN 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. 36m per day ▲ 24% State avg: 29m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
372 days
Bed community size
40-bed community Rank #194 / 228Bed count — State benchmarkedThis home is ranked 194th out of 228 homes in Nebraska for Bed Count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 50 / 100 Rank #141 / 296Walk Score — State benchmarkedThis home is ranked 141st out of 296 homes in Nebraska for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nebraska facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
55%
Rank #150 / 183Occupancy rate — State benchmarkedThis home is ranked 150th out of 183 homes in Nebraska for Occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 183. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Nebraska average: 70.3%
Occupied beds
22 / 40
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyDixon
CMS Certification Number285209
Certification TypeCertification

Ownership & Operating Entity

Wakefield Health Care Center is administered by Administrator Traci Haglund.

Owner NameCity Of Wakefield

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Services

1 service
Outpatient Therapy

Contact Information

Fax(402) 287-2245

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

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

Contact Wakefield Health Care Center

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.

Since 2012 · 14 years of data 46 deficiencies

Inspection Scorecard Info 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 2012 vs. Nebraska state average
Overall vs. NE average 0 Worse No metrics in this bucket. 2 Better Metrics better than Nebraska average:
• Total deficiencies (12% below)
• Deficiencies per year (11% below)
Latest Inspection February 7, 2019 Enforcement

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4652 This facility has 12% fewer total deficiencies than a typical Nebraska assisted living residence (46 vs. NE avg 52).↓ 12% better
Deficiencies per year Info Average deficiencies per year since 2012. 3.33.7 This facility has 11% fewer deficiencies per year than a typical Nebraska assisted living residence (3.3 vs. NE avg 3.7).↓ 11% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • February 7, 2019 enforcement action placed the facility on 180-day probation for violations related to accidents and administrator responsibilities, including a prohibition on new admissions until compliance.
  • January 16, 2019 complaint investigation found four deficiencies including failure to implement elopement prevention interventions, incomplete criminal background checks, and inadequate nurse aide training.
  • April 24, 2018 inspection identified 13 deficiencies across resident care, fall prevention, behavioral health, medication monitoring, and multiple life safety code violations.

Health Inspection History

Inspections since 2023
Total health inspections 3

State average N/A


Last Health inspection on Jul 2025

Total health citations
17 Rank #68 / 131Health citations — State benchmarkedThis home is ranked 68th out of 131 homes in Nebraska for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 131 NE facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
5.67 Rank #110 / 131Citations per inspection — State benchmarkedThis home is ranked 110th out of 131 homes in Nebraska for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 131 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

16 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 3 years)
Abuse/Neglect moderate citation Jul 22, 2025
Corrected

Pharmacy moderate citation Jul 22, 2025
Corrected

Pharmacy moderate citation Jul 22, 2025
Corrected

Quality of Care moderate citation Jul 22, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 83
Employees 83
Contractors 0
Staff to resident ratio 2.59 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23
Average shift 6.8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,290

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 5 LPN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 38 CNA Staff are full-time employees. No contractors work on this role. 38
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant380386,38392100%6.5
Medication Aide/Technician140143,98492100%7.2
Registered Nurse8081,5409199%8.6
Licensed Practical Nurse5051,3878592%9.4
Administrator2024526368%6.8
Nurse Practitioner2022744043%6.5
Physical Therapy Assistant2021166166%1.9
Respiratory Therapy Technician202433235%1.1
Speech Language Pathologist101272426%1.1
Other Dietary Services Staff1012578%3.6
Dental Services Staff1012567%4.2
Qualified Social Worker101182022%0.9
Occupational Therapy Aide101833%2.8
Other Physician404589%0.5
Medical Director101544%1.1
38 Certified Nursing Assistant
% of Days 100%
14 Medication Aide/Technician
% of Days 100%
8 Registered Nurse
% of Days 99%
5 Licensed Practical Nurse
% of Days 92%
2 Administrator
% of Days 68%
2 Nurse Practitioner
% of Days 43%
2 Physical Therapy Assistant
% of Days 66%
2 Respiratory Therapy Technician
% of Days 35%
1 Speech Language Pathologist
% of Days 26%
1 Other Dietary Services Staff
% of Days 8%
1 Dental Services Staff
% of Days 7%
1 Qualified Social Worker
% of Days 22%
1 Occupational Therapy Aide
% of Days 3%
4 Other Physician
% of Days 9%
1 Medical Director
% of Days 4%

Penalties and fines

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.

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 State average

State 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 State average

State average: 23.3

Long-stay resident measures
Below average State 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 24.1%
16% worse than State average

State average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 23.3%
5% worse than State average

State 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 State average

State 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 State average

State 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 State average

State average: 4.3%

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

State average: 3.1%

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

State average: 5.4%

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

State average: 4.4%

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

State average: 19.8%

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

State average: 93.2%

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

State average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.25
31% better than State average

State average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.52
22% better than State average

State average: 1.95

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

State average: 80.7%

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

State average: 2.4%

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

State average: 75.9%

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Government
City
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$148.1K
Government City
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.7M Rank #107 / 129Revenue — State benchmarkedThis home is ranked 107th out of 129 homes in Nebraska for Revenue. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$148.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$303.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #103 / 129Payroll — State benchmarkedThis home is ranked 103rd out of 129 homes in Nebraska for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.6M 69.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #48 / 129Payroll % — State benchmarkedThis home is ranked 48th out of 129 homes in Nebraska for Payroll %. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.8M

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.

New residents most often arrive under Medicare (41% of admissions), and a typical Medicare stay runs around 11 days.

Admissions
49 total

Coverage residents most often arrive under.

Medicare 41%
Private pay 41%
Medicaid 18%
Discharges
31 total

Coverage residents most often leave under.

Medicare 13%
Private pay 55%
Medicaid 32%

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.

Calculate Travel Distance to Wakefield Health Care Center

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Address

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Frequently Asked Questions about Wakefield Health Care Center

Who is the owner of Wakefield Health Care Center?

Wakefield Health Care Center is legally operated by City Of Wakefield, and administered by Administrator Traci Haglund.

Is Wakefield Health Care Center in a walkable area?

Wakefield Health Care Center has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Wakefield Health Care Center?

Wakefield Health Care Center's occupancy is 55%.

Are pets allowed at Wakefield Health Care Center?

No, Wakefield Health Care Center has a no-pet policy.

Is Wakefield Health Care Center a government-operated facility?

Wakefield Health Care Center is a government-operated nursing facility in NE.

Who is the administrator of Wakefield Health Care Center?

Administrator Traci Haglund is the administrator of Wakefield Health Care Center.

How many beds does Wakefield Health Care Center have?

Wakefield Health Care Center has 40 beds.

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