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Rural Health Development nursing homes
9 nursing homes with 410 beds in Nebraska (8), South Dakota (1).
CMS affiliated entity 879 · data as of September 1, 2026
The group's record in brief
CMS links 9 certified nursing homes in 2 states to Rural Health Development: 0 for profit, 2 nonprofit, 7 government run. 9 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 91 health citations; 1 citation was rated actual harm or immediate jeopardy, 1 of them immediate jeopardy. At their latest standard inspections the homes averaged 3.9 health deficiencies (national average 9.2).
1 home in the group was fined in the last three years, $27,115 in all across 1 fine. Average nursing staff turnover across its homes was 46.7% (national 45.8%).
Staffing across the group
Daily payroll records from 9 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 19% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.79 | 3.75 |
| Registered nurses | 0.60 | 0.62 |
| Weekdays | 4.01 | 3.92 |
| Weekends | 3.26 | 3.33 |
| Share of nursing hours by contract staff | 8.5% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
Rural Health Development homes by state
| State | Homes | Average stars | Fines, 3 years | Special focus |
|---|---|---|---|---|
| Nebraska | 8 | 3.6 | $27,115 | |
| South Dakota | 1 | 5.0 | $0 |
How the group's homes are rated
9 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 3.8 overall, 3.6 health inspections, 3.7 staffing, 3.6 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 5 | |
| 4 of 5 | 0 | |
| 3 of 5 | 1 | |
| 2 of 5 | 3 | |
| 1 of 5 | 0 |
Across the group: 1 citation rated actual harm or immediate jeopardy, and an average of 3.85 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Colonial Haven | Beemer | NE | 5 | 5 | |
| Bertrand Nursing Home | Bertrand | NE | 5 | 3 | |
| St. Joseph's Villa, Inc. | David City | NE | 2 | 14 | $27,115 |
| Colonial Acres of Humboldt | Humboldt | NE | 2 | 15 | |
| Mitchell Care Center | Mitchell | NE | 3 | 20 | |
| Parkside Manor | Stuart | NE | 5 | 8 | |
| Alpine Village Retirement Center | Verdigre | NE | 5 | 7 | |
| Wilber Care Center | Wilber | NE | 2 | 14 | |
| Walworth County Care Center, Inc | Selby | SD | 5 | 5 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Staff pay reports
Staff pay at Rural Health Development homes
No staff pay figure at Rural Health Development homes has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review, and, for a group, from at least 2 homes.
Official wage estimates, United States
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
| All employers | |||
| CNAs (nursing assistants) | $20.32 | $17.91 to $22.70 | 1,448,910 |
| LPNs and LVNs | $30.96 | $28.37 to $36.55 | 648,410 |
| Registered nurses | $46.90 | $38.62 to $54.02 | 3,379,720 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides.