Wauneta Care and Therapy Center

Nursing Home, Adult Day Care & Skilled Nursing · Wauneta, NE

CMS overall rating

427 Legion Street, Wauneta, NE 69045 View map

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Wauneta Care and Therapy Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Wauneta Care and Therapy Center accepts Medicaid, Medicare, and private pay.

Overview of Wauneta Care and Therapy Center

Located in the rural community of Wauneta, Nebraska, Wauneta Care and Therapy Center is a skilled nursing facility owned and operated by the Village of Wauneta. The 36-bed home serves residents recovering from hospitalization or surgery, as well as those needing ongoing skilled care and rehabilitation. The facility has an occupancy rate of 78%. Residents stay for an average of nearly two years, reflecting a stable population of longer-term residents.

The facility focuses on rehabilitation and therapy. It offers both inpatient and outpatient services to support recovery from acute events. Daily nurse staffing averages about 4 hours per resident. There is a registered nurse on duty for 36 minutes per day, and nursing aides provide 3 hours and 6 minutes of direct care. With these combined, staff can provide hands-on assistance residents need with activities of daily living and medical oversight.

The facility accepts Medicare, Medicaid, and private pay, ensuring multiple ways for families to cover care. When it comes to dining, residents are served three meals daily, including a choice of entrée, and snacks are available throughout the day. The home has a certified dietitian on-site to oversee nutritional care.

Residents have a full activity schedule run by a full-time certified director, alongside religious services, family and resident councils, and a patient education program. Private and semiprivate rooms have private bathrooms, bedside call lights, and access to wireless internet and telephone service. A beauty salon and barber shop are also available on site. Residents who need space can go to the landscaped grounds and courtyards.

Located in a rural setting with a Walk Score of 18, the neighborhood is car-dependent, which is common in small towns in Nebraska.

In recent years, state inspections have examined infection control practices, care planning documentation, staffing credentials, and environmental safety standards. The facility’s residential setting and longer resident stays mean many people live here for extended periods rather than coming only for short-term rehabilitation.

Facility Direct Line (308) 394-5738

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Staff type	Hours / Day / Resident	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.	34m per day	▼ 20% 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.	14m per day	▼ 67% 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.	2h 30m per day	▼ 10% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	2h 57m per day	▼ 19% 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	▼ 44% State avg: 3m per day · National avg: 4m per day
Weekend RN 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.	23m per day	▼ 22% State avg: 29m per day · National avg: 28m per day

Capacity and availability

843 days

36-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 18 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

78%

Higher than the Nebraska average: 70.3%

Occupied beds

28 / 36

Average occupied beds in Nebraska homes 54 beds

Facility TypeNursing Home

CountyChase

CMS Certification Number285220

Certification TypeCertification

Wauneta Care and Therapy Center is administered by Administrator Ranae Richardson.

Owner NameVillage Of Wauneta

Emergency Systems24-hour security and fire safety systems

Accept Medicaid

Accept Medicare

Rehabilitation Services

24-Hour Staffing

Fax(308) 394-5733

Pets not allowed

HousekeepingYes

Linen ServiceYes

Beauty Salon And Barber Shop

Bedside And Bathroom Call Lights

Certified Dietitian

Wireless Internet

Daily Activity Schedule

Family/Resident Councils

Fine Dining Program

Flexible Visiting Hours

Full-Time

Certified Activity Director

Homelike Setting

Housekeeping And Laundry Services

Landscaped Grounds And Courtyards

Non-Smoking Facility

Pet Visitors Allowed

Private And Semiprivate Rooms

Private Bathrooms

Religious Services

Patient/Family Education Program

Telephone And Cable Television Hookups

Transportation Services

Religious Services

Since 2011 · 15 years of data 87 deficiencies

Inspection Scorecard 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 2011 vs. Nebraska state average

Overall vs. NE average

Latest Inspection March 13, 2025 Renewal

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NE Average	vs. NE Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	87	52	This facility has 67% more total deficiencies than a typical Nebraska assisted living residence (87 vs. NE avg 52).↑ 67% worse
Deficiencies per year Average deficiencies per year since 2011.	5.8	3.5	This facility has 66% more deficiencies per year than a typical Nebraska assisted living residence (5.8 vs. NE avg 3.5).↑ 66% worse

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

The most recent inspection on March 13, 2025, found no deficiencies or violations, and the facility’s license was renewed without complaint.
The August 1, 2018 inspection identified 12 deficiencies including infection control lapses, incomplete care plans, expired CPR certifications, and environmental safety hazards.
A July 20, 2017 survey found 9 deficiencies involving dietary certification, medication delays, infection control, and emergency lighting, showing ongoing compliance challenges.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on May 2025

Total health citations

State average N/A

Citations per inspection

3.5

State average N/A

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).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

13 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Nursing Services moderate citation May 13, 2025

Corrected

Nursing Services moderate citation May 13, 2025

Corrected

Nursing Services moderate citation May 13, 2025

Corrected

Pharmacy moderate citation May 13, 2025

Corrected

Total staff 66

Employees 41

Contractors 25

Staff to resident ratio 2.20 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 17

Average shift 7.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 11,821

Nursing staff breakdown

9.6 hours

9.9 hours

7.8 hours

Contractor staffing

1,163 contractor hours this quarter

Certified Nursing Assistant: 17 Physical Therapy Assistant: 2 Speech Language Pathologist: 2 Registered Nurse: 1 Respiratory Therapy Technician: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	19	17	36	4,440	92	100%	7.8
Medication Aide/Technician	9	0	9	2,824	91	99%	7.9
Registered Nurse	3	1	4	1,282	88	96%	9.6
Licensed Practical Nurse	4	0	4	692	60	65%	9.9
Occupational Therapy Aide	1	0	1	465	60	65%	7.8
Mental Health Service Worker	1	0	1	394	58	63%	6.8
Nurse Practitioner	2	0	2	388	57	62%	6.8
Administrator	1	0	1	369	56	61%	6.6
Dietitian	1	0	1	342	53	58%	6.5
Speech Language Pathologist	0	2	2	305	61	66%	5
Physical Therapy Assistant	0	2	2	207	60	65%	3.1
Respiratory Therapy Technician	0	1	1	82	16	17%	5.1
Occupational Therapy Assistant	0	1	1	30	10	11%	3
Medical Director	0	1	1	2	1	1%	2

36 Certified Nursing Assistant

% of Days 100%

9 Medication Aide/Technician

% of Days 99%

4 Registered Nurse

% of Days 96%

4 Licensed Practical Nurse

% of Days 65%

1 Occupational Therapy Aide

% of Days 65%

1 Mental Health Service Worker

% of Days 63%

2 Nurse Practitioner

% of Days 62%

1 Administrator

% of Days 61%

1 Dietitian

% of Days 58%

2 Speech Language Pathologist

% of Days 66%

2 Physical Therapy Assistant

% of Days 65%

1 Respiratory Therapy Technician

% of Days 17%

1 Occupational Therapy Assistant

% of Days 11%

1 Medical Director

% of Days 1%

View All Staffing Data

Total fines amount $0

100% lower than State average

State average: $33K

Number of fines 0

100% fewer fines than State average

State average: 1.5

Payment Denials 1

38% more payment denials than State average

State average: 0.7

Fines amount comparison

This facility $0

State average $33K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

May 16, 2024 · 15 days

Payment Denial May 16, 2024

15 days

Last updated: Jan 2026

High-risk clinical events score 12.9

14% worse than State average

State average: 11.3

Functional decline score 27.7

19% worse than State average

State average: 23.3

Long-stay resident measures

Significantly below average State avg: 2.8

Need for Help with Daily Activities Increased 24.8%

19% worse than State average

State average: 20.8%

Walking Ability Worsened 23.0%

In line with State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 35.2%

31% worse than State average

State average: 26.9%

Falls with Major Injury 6.4%

41% worse than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers 3.8%

12% better than State average

State average: 4.3%

Urinary Tract Infection 4.1%

33% worse than State average

State average: 3.1%

Lost Too Much Weight 6.6%

21% worse than State average

State average: 5.4%

Depressive Symptoms 1.7%

62% better than State average

State average: 4.4%

Antipsychotic Use 15.6%

22% better than State average

State average: 19.8%

Pneumococcal Vaccine 100.0%

7% better than State average

State average: 93.2%

Influenza Vaccine 97.1%

In line with State average

State average: 96.1%

Hospitalizations per 1,000 days 1.63

9% better than State average

State average: 1.80

ED visits per 1,000 days 2.94

51% worse than State average

State average: 1.95

Short-stay resident measures

Pneumococcal Vaccine 89.7%

11% better than State average

State average: 80.7%

Breakdown by payment type

Medicare

38% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

31% of new residents, often for short stays.

Typical stay 2 - 3 years

Medicaid

31% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Total residents 30

Medicaid

50% of residents

Private pay or other

50% 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.

Financial Trends

Historical financial and operational data for Wauneta Care and Therapy Center from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 89.6% ↑ 13.4pp vs 2023

Net Patient Income -$483.1K ↓ ~$219.1K vs 2023

Payroll Costs $2.1M ↑ ~$363.2K vs 2023

Operating Margin -15.6% ↓ 6.2pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	82.6%	35.4%	87.6%	92.5%	86.0%	95.1%	84.8%	83.3%	79.8%	81.9%	84.9%	76.2%	89.6%
Beds	38	36	36	36	36	36	36	36	36	36	36	36	36
Net Income	$85,917	$425,595	$56,027	$138,250	-$81,535	-$56,148	-$141,011	-$22,872	$132,188	$624,535	-$27,055	$328,903	-$321,914
Gross Revenue	$2,371,378	$2,079,272	$2,199,474	$2,438,707	$2,231,263	$2,449,857	$2,361,969	$2,405,968	$2,451,954	$2,773,283	$2,727,828	$2,814,448	$3,106,727
Operating Expenses	$1,943,901	$2,026,216	$2,121,988	$2,285,430	$2,302,863	$2,497,984	$2,499,408	$2,471,439	$2,449,903	$2,735,912	$3,018,160	$3,067,320	$3,576,352
Net Patient Income	$153,425	$53,056	$52,250	$132,635	-$86,401	-$60,842	-$148,603	-$78,117	-$9,030	$27,208	-$302,514	-$263,929	-$483,063
Net Patient Revenue	$2,097,326	$2,079,272	$2,174,238	$2,418,065	$2,216,462	$2,437,142	$2,350,805	$2,393,322	$2,440,873	$2,763,120	$2,715,646	$2,803,391	$3,093,289
Payroll Costs	$1,242,887	$1,405,734	$1,284,234	$1,321,068	$1,408,791	$1,574,983	$1,615,487	$1,526,922	$1,566,321	$1,716,724	$1,628,047	$1,717,169	$2,080,393
Operating Margin %	7.3%	2.6%	2.4%	5.5%	-3.9%	-2.5%	-6.3%	-3.3%	-0.4%	1.0%	-11.1%	-9.4%	-15.6%
Medicare %	7.6%	6.1%	9.6%	6.7%	3.7%	4.2%	4.8%	5.5%	5.5%	6.4%	3.3%	3.3%	1.8%
Medicaid %	39.8%	41.0%	41.0%	40.4%	47.2%	49.0%	46.9%	47.3%	45.7%	49.7%	48.9%	58.4%	57.0%
Private %	52.6%	52.9%	49.4%	52.8%	49.1%	46.8%	48.4%	47.1%	48.8%	43.9%	47.8%	38.3%	41.2%
Net Patient Revenue/Day	$183	$177	$189	$199	$196	$195	$211	$219	$232	$257	$244	$280	$262
Cost/Day	$169	$173	$184	$188	$204	$200	$224	$226	$233	$254	$271	$306	$303
Avg Length of Stay	574.3 days	419.4 days	500.4 days	419.1 days	418.3 days	520.8 days	464.2 days	377.5 days	292.0 days	347.3 days	464.7 days	476.8 days	843.1 days

Finances and operations

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

Net patient revenue

$3.1M

Net patient income

-$483.1K

Government City

Net patient revenue

$3.1M

Net patient income

-$483.1K

Other income

$161.1K

Payroll costs

$2.1M 67.3% of net patient revenue

Other operating costs

$1.5M

Total costs

$3.6M

TYPE OF STAY

Mostly short-term rehab stays

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

New residents most often arrive under Medicare (38% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 38%

Private pay 31%

Medicaid 31%

Coverage residents most often leave under.

Medicare 7%

Private pay 64%

Medicaid 29%

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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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.


Brookestone Village	NH SNF	Omaha (Millard)	-	140	-	58	-
Brookestone of Papillion	NH SNF	Papillion	-	110	-	35	-
Southlake Village Rehabilitation & Care Center	NH SNF	Lincoln	-	126	-	15	-
Brookestone Acres	NH SNF	Columbus	-	80	-	70	-
Wauneta Care and Therapy Center	NH ADC SNF	Wauneta	-	36	-	18	-

Nursing Home Explorer

Who is the owner of Wauneta Care and Therapy Center?

Wauneta Care and Therapy Center is legally operated by Village Of Wauneta, and administered by Administrator RANAE RICHARDSON.

Is Wauneta Care and Therapy Center in a walkable area?

Wauneta Care and Therapy Center has a walk score of 18. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Wauneta Care and Therapy Center?

Wauneta Care and Therapy Center's occupancy is 78%.

Are pets allowed at Wauneta Care and Therapy Center?

No, Wauneta Care and Therapy Center has a no-pet policy.

Is Wauneta Care and Therapy Center a government-operated facility?

Wauneta Care and Therapy Center is a government-operated nursing facility in NE.

Who is the administrator of Wauneta Care and Therapy Center?

Administrator RANAE RICHARDSON is the administrator of Wauneta Care and Therapy Center.

How many beds does Wauneta Care and Therapy Center have?

Wauneta Care and Therapy Center has 36 beds.

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Wauneta Care and Therapy Center

Overview of Wauneta Care and Therapy Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Safety & Compliance

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Wauneta Care and Therapy Center

Inspection History

Inspection Scorecard 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

36 Certified Nursing Assistant

9 Medication Aide/Technician

4 Registered Nurse

4 Licensed Practical Nurse

1 Occupational Therapy Aide

1 Mental Health Service Worker

2 Nurse Practitioner

1 Administrator

1 Dietitian

2 Speech Language Pathologist

2 Physical Therapy Assistant

1 Respiratory Therapy Technician

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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