Westfield Quality Care of Aurora

Nursing Home, Hospice Care, Memory Care & Respite Care · Aurora, NE

CMS overall rating

1313 1St Street, Aurora, NE 68818 View map

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Westfield Quality Care of Aurora accepts Medicare, Medicaid, and private pay.

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Westfield Quality Care of Aurora accepts Medicare, Medicaid, and private pay.

Overview of Westfield Quality Care of Aurora

Westfield Quality Care of Aurora is a 64-bed skilled nursing facility in Aurora, Nebraska, providing long-term care, memory care, skilled nursing, respite care, hospice care, and short-term rehabilitation to residents in Hamilton County. The facility is privately owned by Kauffman Investments LLC.

CMS assigns the facility a 1-star overall rating, with all four sub-ratings below Nebraska averages. The Health Inspection score is 63.8% below the state average — the primary driver of the overall rating. Total nursing staffing averages 4 hours and 22 minutes per resident per day, nearly matching Nebraska’s average of 4 hours and 20 minutes, though staffing and quality measure scores each rank in the bottom third statewide.

The inspection record spans over a decade of recurring deficiencies. Over the 12-year reporting window, the facility averaged 10.3 deficiencies per year — 145% above Nebraska’s average of 4.2. Major annual surveys in 2016, 2018, and 2019 each produced 16 to 24 citations involving pressure ulcer prevention, infection control, care planning, medication administration, and fire safety. Enforcement actions include a 90-day probation in 2019 for failure to prevent pressure sores and a 180-day probation issued in April 2024 — accompanied by a prohibition on new admissions — after inspectors found glucometers were not being calibrated before use.

On-site services include a secured memory care unit, physical and speech therapy, and in-house physician visits. The facility accepts Medicare, Medicaid, and private pay, and its current occupancy rate is 89% — roughly 19 points above the Nebraska average.

Westfield Quality Care of Aurora is best suited for long-term and memory care residents in Aurora and Hamilton County, with secured dementia programming and a residential care model that has remained continuously licensed. Families should carefully review the facility’s long-term inspection history and prior enforcement actions before making a placement decision.

Facility Direct Line (402) 694-2128

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 22m per day

vs avg

3 of 5 metrics below state avg

Standout metric Nurse Aide is +22% above state avg

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.	25m per day	▼ 42% 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.	42m per day	■ Avg 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 23m per day	▲ 22% 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.	3h 3m per day	▼ 16% State avg: 3h 37m per day · National avg: 3h 26m 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.	24m per day	▼ 17% State avg: 29m per day · National avg: 28m per day

Capacity and availability

640 days

64-bed community

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

Walk Score: 63 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

89%

Higher than the Nebraska average: 70.3%

Occupied beds

57 / 64

Average occupied beds in Nebraska homes 54 beds

Facility TypeNursing Home

CountyHamilton

CMS Certification Number285263

Certification TypeCertification

Westfield Quality Care of Aurora is administered by Administrator Chad Thompson.

Rehabilitation Services

Respite Care

Short-Term Rehab

Skilled Nursing Care

Fax(402) 694-6366

Beauty Shop

Transportation Services

Recreational Activities

Physical Therapy

Speech Therapy

Touring HoursVisitors are welcome, without requiring an appointment.

Since 2011 · 15 years of data 123 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 April 15, 2024

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.	123	52	This facility has 137% more total deficiencies than a typical Nebraska assisted living residence (123 vs. NE avg 52).↑ 137% worse
Deficiencies per year Average deficiencies per year since 2011.	8.2	3.5	This facility has 134% more deficiencies per year than a typical Nebraska assisted living residence (8.2 vs. NE avg 3.5).↑ 134% worse

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

April 15, 2024 inspection resulted in probation and a ban on new admissions due to failure to calibrate glucometers before use.
May 14, 2019 annual survey found 24 deficiencies including failures in medication administration, staffing, infection control, care planning, and food safety.
January 25, 2024 licensure renewal confirmed facility met all statutory requirements with no deficiencies reported.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average N/A

Last Health inspection on Apr 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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

18 of 21 citations resulted from standard inspections; 1 of 21 resulted from complaint investigations; and 2 of 21 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

1 critical citation State average: N/A

0 serious citations State average: N/A

20 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Administration moderate citation Apr 07, 2025

Corrected

Infection Control moderate citation Apr 07, 2025

Corrected

Nutrition moderate citation Apr 07, 2025

Corrected

Nutrition moderate citation Apr 07, 2025

Corrected

Total staff 88

Employees 72

Contractors 16

Staff to resident ratio 1.76 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 33

Average shift 7.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 23,646

Nursing staff breakdown

10.1 hours

8.6 hours

7.8 hours

Contractor staffing

1,251 contractor hours this quarter

Speech Language Pathologist: 3 Physical Therapy Assistant: 3 Registered Nurse: 2 Physical Therapy Aide: 2 Certified Nursing Assistant: 1 Occupational Therapy Aide: 1 Respiratory Therapy Technician: 1 Medical Director: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1

Staff by category


Medication Aide/Technician	27	0	27	9,846	92	100%	8.6
Certified Nursing Assistant	17	1	18	6,029	92	100%	7.8
Licensed Practical Nurse	13	0	13	2,453	91	99%	8.6
Administrator	3	0	3	1,156	83	90%	7.2
Registered Nurse	4	2	6	1,063	73	79%	10.1
RN Director of Nursing	3	0	3	811	71	77%	7.2
Dietitian	1	0	1	497	62	67%	8
Nurse Practitioner	2	0	2	456	57	62%	8
Clinical Nurse Specialist	1	0	1	434	58	63%	7.5
Other Dietary Services Staff	1	0	1	408	53	58%	7.7
Speech Language Pathologist	0	3	3	243	66	72%	3.2
Physical Therapy Assistant	0	3	3	105	46	50%	2.1
Physical Therapy Aide	0	2	2	43	21	23%	2
Occupational Therapy Aide	0	1	1	41	6	7%	6.8
Respiratory Therapy Technician	0	1	1	29	20	22%	1.4
Occupational Therapy Assistant	0	1	1	21	3	3%	7
Qualified Social Worker	0	1	1	6	3	3%	2.1
Medical Director	0	1	1	6	3	3%	2

27 Medication Aide/Technician

% of Days 100%

18 Certified Nursing Assistant

% of Days 100%

13 Licensed Practical Nurse

% of Days 99%

3 Administrator

% of Days 90%

6 Registered Nurse

% of Days 79%

3 RN Director of Nursing

% of Days 77%

1 Dietitian

% of Days 67%

2 Nurse Practitioner

% of Days 62%

1 Clinical Nurse Specialist

% of Days 63%

1 Other Dietary Services Staff

% of Days 58%

3 Speech Language Pathologist

% of Days 72%

3 Physical Therapy Assistant

% of Days 50%

2 Physical Therapy Aide

% of Days 23%

1 Occupational Therapy Aide

% of Days 7%

1 Respiratory Therapy Technician

% of Days 22%

1 Occupational Therapy Assistant

% of Days 3%

1 Qualified Social Worker

% of Days 3%

1 Medical Director

% of Days 3%

View All Staffing Data

Total fines amount $55K

67% higher than State average

State average: $33K

Number of fines 2

38% more fines than State average

State average: 1.5

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $55K

State average $33K

Penalty History

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

1 penalty in the past 3 years

Apr 15, 2024 · $42K

Civil Money Penalty Apr 15, 2024

$42K

Last updated: Jan 2026

High-risk clinical events score 12.3

9% worse than State average

State average: 11.3

Functional decline score 23.6

In line with State average

State average: 23.3

Long-stay resident measures

Average State avg: 2.8

Need for Help with Daily Activities Increased 26.7%

28% worse than State average

State average: 20.8%

Walking Ability Worsened 25.4%

15% worse than State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 18.9%

30% better than State average

State average: 26.9%

Falls with Major Injury 2.6%

43% better than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers 2.0%

54% better than State average

State average: 4.3%

Urinary Tract Infection 2.6%

15% better than State average

State average: 3.1%

Lost Too Much Weight 5.0%

8% better than State average

State average: 5.4%

Depressive Symptoms 2.9%

34% better than State average

State average: 4.4%

Antipsychotic Use 22.8%

15% worse than State average

State average: 19.8%

Pneumococcal Vaccine 99.0%

6% better than State average

State average: 93.2%

Influenza Vaccine 98.0%

In line with State average

State average: 96.1%

Hospitalizations per 1,000 days 1.23

32% better than State average

State average: 1.80

ED visits per 1,000 days 1.61

17% better than State average

State average: 1.95

Short-stay resident measures

Significantly below average State avg: 2.2

Pneumococcal Vaccine 79.5%

In line with State average

State average: 80.7%

Antipsychotic medication increase 6.5%

172% worse than State average

State average: 2.4%

Influenza Vaccine 87.0%

15% better than State average

State average: 75.9%

Re-hospitalized after SNF stay 26.3%

26% worse than State average

State average: 20.9%

Emergency department visits 14.4%

24% worse than State average

State average: 11.6%

Falls with major injury 4.4%

465% worse than State average

State average: 0.8%

Successful return to home or community 33.8%

33% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

46% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

31% of new residents, often for short stays.

Typical stay 1 - 2 years

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 3 years

Total residents 50

Medicare

8% of residents

Medicaid

62% of residents

Private pay or other

30% 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 Westfield Quality Care of Aurora from 2012–2024, based on CMS SNF Cost Reports.

Occupancy Rate 76.5% ↓ 3.1pp vs 2023

Net Patient Income -$325.3K ↑ ~$110.2K vs 2023

Payroll Costs $3.7M ↑ ~$42.3K vs 2023

Operating Margin -5.9% ↑ 2.6pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	53.5%	47.0%	47.5%	40.2%	54.0%	59.3%	78.7%	92.3%	92.3%	72.1%	75.9%	79.6%	76.5%
Beds	107	107	107	107	60	60	64	64	64	64	64	64	64
Net Income	-$136,038	-$574,972	-$503,081	-$801,634	-$540,817	-$84,330	$19,958	-$37,306	-$4,908	$155,049	-$272,564	-$348,259	-$246,198
Gross Revenue	$3,378,747	$2,785,344	$3,032,472	$3,371,017	$2,365,802	$3,778,217	$2,052,570	$4,589,585	$4,527,746	$4,223,884	$4,463,784	$5,161,100	$5,538,585
Operating Expenses	$3,603,242	$3,409,458	$3,334,761	$3,855,536	$3,140,137	$2,952,546	$2,035,906	$4,635,425	$4,839,811	$4,899,008	$5,356,228	$5,596,539	$5,863,855
Net Patient Income	-$224,495	-$624,114	-$573,218	-$839,130	-$976,674	-$89,996	$16,664	-$45,840	-$312,065	-$675,124	-$892,444	-$435,439	-$325,270
Net Patient Revenue	$3,378,747	$2,785,344	$2,761,543	$3,016,406	$2,163,463	$2,862,550	$2,052,570	$4,589,585	$4,527,746	$4,223,884	$4,463,784	$5,161,100	$5,538,585
Payroll Costs	$2,334,909	$2,053,687	$2,134,742	$1,965,812	$1,767,982	$1,710,796	$1,341,404	$2,985,043	$3,248,600	$3,018,443	$3,559,293	$3,673,611	$3,715,932
Operating Margin %	-6.6%	-22.4%	-20.8%	-27.8%	-45.1%	-3.1%	0.8%	-1.0%	-6.9%	-16.0%	-20.0%	-8.4%	-5.9%
Medicare %	6.4%	7.1%	5.7%	6.3%	2.9%	12.0%	8.5%	7.2%	2.3%	4.9%	5.9%	9.5%	7.7%
Medicaid %	59.0%	59.2%	66.3%	69.2%	70.6%	62.9%	68.9%	59.2%	59.4%	61.7%	63.6%	52.2%	52.8%
Private %	34.6%	33.7%	28.0%	24.5%	26.4%	25.1%	22.6%	33.6%	38.3%	33.4%	30.5%	38.3%	39.5%
Net Patient Revenue/Day	$161	$152	$149	$192	$182	$220	$225	$213	$210	$251	$252	$278	$309
Cost/Day	$172	$186	$180	$246	$265	$227	$223	$215	$224	$291	$302	$301	$327
Avg Length of Stay	317.3 days	258.7 days	250.6 days	505.8 days	791.2 days	265.2 days	182.3 days	307.9 days	385.9 days	648.0 days	361.7 days	350.9 days	640.1 days

Finances and operations

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

Net patient revenue

$5.5M

Net patient income

-$325.3K

For-profit Operated by a single business entity.

Net patient revenue

$5.5M

Net patient income

-$325.3K

Other income

$79.1K

Payroll costs

$3.7M 67.1% of net patient revenue

Other operating costs

$2.1M

Total costs

$5.9M

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 (46% of admissions), and a typical Medicare stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 46%

Private pay 31%

Medicaid 23%

Coverage residents most often leave under.

Medicare 25%

Private pay 45%

Medicaid 29%

0.0 miles from city center Estimated distance in miles from Aurora's city center to Westfield Quality Care of Aurora'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.


Westfield Quality Care of Aurora	NH HC MC RC	Aurora	-	64	-	63	-
Emerald Columbus	NH AL HC MC PC	Columbus (40Th Avenue)	-	145	A+	57	1 Bed
Risen Son Christian Village	NH AL IL MC	Council Bluffs (Risen Son Boulevard)	-	102	A+	8	-
Good Samaritan Society – Albion	NH ADC AL HC IL MC RC	Albion	-	60	-	50	-
Northfield Retirement Communities Care	NH AL IL	Scottsbluff	-	66	A+	80	-

Nursing Home Explorer

Is Westfield Quality Care of Aurora in a walkable area?

Westfield Quality Care of Aurora has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Westfield Quality Care of Aurora?

Westfield Quality Care of Aurora's occupancy is 89%.

Does Westfield Quality Care of Aurora operate as a for-profit or non-profit?

Westfield Quality Care of Aurora is registered as a for-profit in NE.

Who is the administrator of Westfield Quality Care of Aurora?

Administrator Chad Thompson is the administrator of Westfield Quality Care of Aurora.

How many beds does Westfield Quality Care of Aurora have?

Westfield Quality Care of Aurora has 64 beds.

Are there photos of Westfield Quality Care of Aurora?

Yes — there are 2 photos of Westfield Quality Care of Aurora in the photo gallery on this page.

What is the address of Westfield Quality Care of Aurora?

Westfield Quality Care of Aurora is located at 1313 1St Street, Aurora, NE 68818.

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Westfield Quality Care of Aurora

Overview of Westfield Quality Care of Aurora

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Services

Contact Information

Amenities & Lifestyle

Contact Westfield Quality Care of Aurora

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

27 Medication Aide/Technician

18 Certified Nursing Assistant

13 Licensed Practical Nurse

3 Administrator

6 Registered Nurse

3 RN Director of Nursing

1 Dietitian

2 Nurse Practitioner

1 Clinical Nurse Specialist

1 Other Dietary Services Staff

3 Speech Language Pathologist

3 Physical Therapy Assistant

2 Physical Therapy Aide

1 Occupational Therapy Aide

1 Respiratory Therapy Technician

1 Occupational Therapy Assistant

1 Qualified Social Worker

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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