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1/5
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.
1/5
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.
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.
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.
This home is ranked 50th out of 117 homes in Nebraska for nurse hours. 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.
| 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 |
Higher than the Nebraska average: 70.3%Westfield Quality Care of Aurora is administrated by Administrator Chad Thompson.
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.
This scorecard compares key inspection, citation, 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
| 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 nursing home (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 nursing home (8.2 vs. NE avg 3.5).↑ 134% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Nebraska average 4.3
Last Health inspection on Apr 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.
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).
400% worse than Nebraska averageNebraska average: 0.2
100% better than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: July 1 – September 30, 2025 (Q3 2025). Source: CMS Payroll-Based Journal report.
13% fewer staff per resident than Nebraska average
0% compared with Nebraska average
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Manages medical care and health needs.
6 total: 4 full-time employees and 2 contractors.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
18 total: 17 full-time employees and 1 contractor.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Total hours from contractors
1,251 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
| 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 |
Includes penalties issued in 2024
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)
67% higher than Nebraska averageNebraska average: $33K
38% more fines than Nebraska averageNebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Nebraska averageNebraska average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 15, 2024 · $42K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 15, 2024Last updated: Jan 2026
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.
12.3
9% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.6
In line with 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
26.7%
28% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
25.4%
15% worse than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.9%
30% better than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
43% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
2.0%
54% better than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
2.6%
15% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
5.0%
8% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
2.9%
34% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
22.8%
15% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
6% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
1.23
32% better than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.61
17% better than Nebraska averageNebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
79.5%
In line with Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
6.5%
172% worse than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.0%
15% better than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.3%
26% worse than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
24% worse than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
4.4%
465% worse than Nebraska averageNebraska average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
33.8%
33% worse than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
46% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50Residents 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.
Historical financial and operational data for Westfield Quality Care of Aurora from 2012–2024, based on CMS SNF Cost Reports.
Based on the 2024 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #59 / 120Payroll — State benchmarkedThis home is ranked 59th out of 120 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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.
Coverage residents most often leave under.
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.
Add your location
Westfield Quality Care of Aurora is located in AURORA, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Gateway Vista |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
PC Palliative Care
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Lincoln (Culler) | 80
Facility
80
NE AVG
82
Rank
#84 / 228 |
90.0%
Facility
90.0%
NE AVG
70.3%
Rank
#38 / 194 | +28% | 4.84
Facility
4.84
NE AVG
4.45
Rank
#28 / 117 | -20% | +9% | $8.7k
Facility
$8.7k
NE AVG
$38.1k
Rank
#87 / 122 | 10
Facility
10
NE AVG
18.2
Rank
#28 / 122 | 3.3
Facility
3.3
NE AVG
4.2
Rank
#34 / 122 | 1 | 72 | - |
71
Facility
71
NE AVG
46
Rank
#43 / 298 | Mikel Ardley | $25.2M
Facility
$25.2M
NE AVG
$7.6M
Rank
#4 / 120 | $7.0M
Facility
$7.0M
NE AVG
$3.5M
Rank
#14 / 120 | 27.7%
Facility
27.7%
NE AVG
49.4%
Rank
#117 / 120 | 285266 | ||||
| Emerald Columbus |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
PC Palliative Care | Columbus (40Th Avenue) | 145
Facility
145
NE AVG
82
Rank
#25 / 228 |
56.6%
Facility
56.6%
NE AVG
70.3%
Rank
#161 / 194 | -20% | 3.78
Facility
3.78
NE AVG
4.45
Rank
#78 / 117 | -37% | -15% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 122 | 20
Facility
20
NE AVG
18.2
Rank
#75 / 122 | 3.3
Facility
3.3
NE AVG
4.2
Rank
#34 / 122 | - | 72 | A+ |
57
Facility
57
NE AVG
46
Rank
#101 / 298 | Columbus Operations LLC | $11.3M
Facility
$11.3M
NE AVG
$7.6M
Rank
#22 / 120 | $6.1M
Facility
$6.1M
NE AVG
$3.5M
Rank
#22 / 120 | 54%
Facility
54%
NE AVG
49.4%
Rank
#78 / 120 | 285092 | ||||
| Bethany Home |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NC Nursing Care | Minden | 64
Facility
64
NE AVG
82
Rank
#123 / 228 |
79.7%
Facility
79.7%
NE AVG
70.3%
Rank
#90 / 194 | +13% | 4.75
Facility
4.75
NE AVG
4.45
Rank
#35 / 117 | +53% | +7% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 122 | 19
Facility
19
NE AVG
18.2
Rank
#70 / 122 | 6.3
Facility
6.3
NE AVG
4.2
Rank
#107 / 122 | - | 59 | - |
47
Facility
47
NE AVG
46
Rank
#155 / 298 | Bethany Home Inc | $8.4M
Facility
$8.4M
NE AVG
$7.6M
Rank
#41 / 120 | $5.0M
Facility
$5.0M
NE AVG
$3.5M
Rank
#34 / 120 | 59.9%
Facility
59.9%
NE AVG
49.4%
Rank
#54 / 120 | 285270 | ||||
| Tabitha at Prairie Commons |
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).
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Grand Island | 36
Facility
36
NE AVG
82
Rank
#206 / 228 |
27.2%
Facility
27.2%
NE AVG
70.3%
Rank
#188 / 194 | -61% | 5.72
Facility
5.72
NE AVG
4.45
Rank
#7 / 117 | +44% | +28% | $10.3k
Facility
$10.3k
NE AVG
$38.1k
Rank
#100 / 122 | 15
Facility
15
NE AVG
18.2
Rank
#53 / 122 | 5.0
Facility
5.0
NE AVG
4.2
Rank
#91 / 122 | 1 | 24 | - |
14
Facility
14
NE AVG
46
Rank
#267 / 298 | Tabitha Grand Island, Inc. | $5.0M
Facility
$5.0M
NE AVG
$7.6M
Rank
#79 / 120 | $2.7M
Facility
$2.7M
NE AVG
$3.5M
Rank
#86 / 120 | 52.9%
Facility
52.9%
NE AVG
49.4%
Rank
#81 / 120 | 285307 | ||||
| Westfield Quality Care of Aurora |
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).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Aurora | 64
Facility
64
NE AVG
82
Rank
#123 / 228 |
89.1%
Facility
89.1%
NE AVG
70.3%
Rank
#1 / 194 | +27% | 4.37
Facility
4.37
NE AVG
4.45
Rank
#50 / 117 | -29% | -2% | $42.0k
Facility
$42.0k
NE AVG
$38.1k
Rank
#113 / 122 | 21
Facility
21
NE AVG
18.2
Rank
#80 / 122 | 7.0
Facility
7.0
NE AVG
4.2
Rank
#116 / 122 | 1 | 52 | - |
63
Facility
63
NE AVG
46
Rank
#67 / 298 | Kauffman Investments LLC | $5.6M
Facility
$5.6M
NE AVG
$7.6M
Rank
#65 / 120 | $3.7M
Facility
$3.7M
NE AVG
$3.5M
Rank
#59 / 120 | 66.1%
Facility
66.1%
NE AVG
49.4%
Rank
#39 / 120 | 285263 |
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.
Westfield Quality Care of Aurora's occupancy is 89%.
Administrator Chad Thompson is the administrator of Westfield Quality Care of Aurora.
Westfield Quality Care of Aurora has 64 beds.
Yes — there are 2 photos of Westfield Quality Care of Aurora in the photo gallery on this page.
Westfield Quality Care of Aurora is located at 1313 1st Street.
(402) 694-2128 will put you in contact with the team at Westfield Quality Care of Aurora.
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