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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.
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.
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
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.
| 36m per day | ▼ 16% State avg: 43m per day · National avg: 41m per day |
|
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.
| 25m per day | ▼ 42% State avg: 43m per day · National avg: 52m per day |
|
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.
| 3h 6m per day | ▲ 12% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
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.
| 3h 37m per day | ■ Avg State avg: 3h 37m per day · National avg: 3h 26m per day |
|
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.
| 2m per day | ▼ 33% State avg: 3m per day · National avg: 4m per day |
|
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.
| 28m per day | ▼ 3% State avg: 29m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
38% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
31% 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 #110 / 132Payroll — state benchmarkedThis home is ranked 110th 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Nebraska average: 70.3%Wauneta Care and Therapy Center is administrated by RANAE RICHARDSON, Administrator.
Ways to qualify for care at this community, including accepted programs and payment options.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
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.
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.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
The most recent inspection on March 13, 2025, found no deficiencies at Wauneta Care and Therapy Center. Earlier inspections showed a pattern of deficiencies primarily related to resident care planning, infection control, environmental maintenance, and medication management. Complaint investigations were mostly unsubstantiated, with one substantiated enforcement action in 2016 placing the facility’s license on probation due to failure to prevent unplanned weight loss, but no fines or license revocations are listed in the available reports. Prior reports noted issues such as incomplete care plans, housekeeping problems, and safety concerns, but these have not recurred in recent inspections. The overall trend suggests improvement, with the facility meeting licensure requirements and showing no deficiencies in its latest renewal application.
Nebraska average 4.3
Last Health inspection on May 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.
12 of 14 citations resulted from standard inspections; 1 of 14 resulted from complaint investigations; and 1 of 14 came from combined inspections (standard and complaint).
100% better than Nebraska averageNebraska average: 0.2
1
100% worse than Nebraska averageNebraska average: 0.5
Issues related to the availability and quality of nursing staff and the care they provide.
May 13, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
May 13, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
May 13, 2025
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 13, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
| 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) | 47 | 63.6% | -10% | 4.13 | -7% | -7% | 0 | 7 | 2.3 | 0 | 31 | - | - | Klaasmeyer, Kenneth | $4.5M | $2.1M | 47.1% | 285088 | ||||
| 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. | Tekamah | 46 | 72.0% | +2% | 3.83 | +19% | -14% | 0 | 12 | 4.0 | 0 | 30 | - | - | Geis, Heather | $3.1M | $2.1M | 66.3% | 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% | 0 | 18 | 4.5 | 1 | 50 | A+ | - | - | $5.0M | $3.2M | 63.9% | 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. | Ord | 60 | 51.8% | -26% | 3.76 | +15% | -16% | 0 | 29 | 7.3 | 1 | 35 | - | - | Luth, Kurt | $2.9M | $1.5M | 52.8% | 285294 | ||||
| Wauneta Care and Therapy 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. | Wauneta | 36 | 89.6% | +27% | - | -39% | - | 0 | 14 | 3.5 | 1 | 31 | - | - | Village Of Wauneta | $3.3M | $1.8M | 56.3% | 285220 |
0.0 miles from city center
Estimated distance in miles from WAUNETA's city center to Wauneta Care and Therapy Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
5% better than Nebraska averageNebraska average ratio: 2.15:1
5% worse than Nebraska averageNebraska average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Total hours from contractors
1,051 contractor hours this quarter
| Certified Nursing Assistant | 21 | 11 | 32 | 5,383 | 91 | 100% | 8.2 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,865 | 91 | 100% | 8.2 |
| Registered Nurse | 3 | 1 | 4 | 1,265 | 89 | 98% | 7.7 |
| Licensed Practical Nurse | 5 | 6 | 11 | 972 | 75 | 82% | 8.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 442 | 62 | 68% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 61 | 67% | 6.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 412 | 61 | 67% | 6.8 |
| Administrator | 1 | 0 | 1 | 323 | 52 | 57% | 6.2 |
| Dietitian | 1 | 0 | 1 | 300 | 45 | 49% | 6.7 |
| Speech Language Pathologist | 0 | 2 | 2 | 164 | 40 | 44% | 4.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 126 | 46 | 51% | 2.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 72 | 20 | 22% | 3.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 10 | 11% | 3.5 |
| Medical Director | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
30Residents 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.
12.9
14% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.7
19% worse than Nebraska averageNebraska 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
24.8%
19% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
23.0%
In line with Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
35.2%
31% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
41% worse than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
3.8%
12% better than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
4.1%
33% worse than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
6.6%
21% worse than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
1.7%
62% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
15.6%
22% better than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
1.63
9% better than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.94
51% worse than Nebraska averageNebraska average: 1.95
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.7%
11% better than Nebraska averageNebraska average: 80.7%
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 (Data as of Jan 2026)
100% lower than Nebraska averageNebraska average: $33K
100% fewer fines than Nebraska averageNebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
38% more payment denials than Nebraska averageNebraska average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 16, 2024Last updated: Jan 2026
Historical financial and operational data for Wauneta Care and Therapy Center based on CMS SNF Cost Reports.
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