Alpine Village Retirement Center
706 James Street, Verdigre, NE 68783 · Knox County · (402) 668-2209
45 certified beds, about 29 residents a day · Government - City · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285190 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 3, 2026, inspectors cited 2 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 7 health citations since April 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.01 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 1.07 of those hours.
44.4% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
CMS links it to Rural Health Development, an affiliated group of 9 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
August 3, 2026Standard inspection · 2 citations
- E Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(E)Based on record review and interview; the facility failed to present the resident/resident representative with a nonpharmacological treatment option along with the consent for the use of psychotropic medications (medications that alter consciousness, mood and thoughts) for 4 (Resident's 1, 4, 21 and 25) of 5 sampled residents. The facility census was 24.
- E Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18Based on record review and interview; the facility failed to test Residents for COVID-19 when they presented with signs and symptoms of a respiratory illness, to prevent the potential spread of infection for 3 (Residents 1, 19, and 26) of 12 sampled residents. The facility census was 24.
May 15, 2025Standard inspection · 4 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(H)(ii)(1) Based on record review and interview; the facility failed to employ a qualified Dietary Manager (DM). This had the potential to affect the food service provided to all residents who were served food from the kitchen. The facility census was 33.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(F)(i)(5) & 12-006.09 Based on record reviews and interviews; the facility failed to ensure a change of condition for Resident 12 was identified, and the resident's Primary Care Provider (PCP) was notified in a timely manner. The sample size was 2 and the facility census was 33.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09(J)(i)(1) Based on observations, record reviews and interviews, the facility failed to implement assessed interventions to prevent weight loss for 2 (Residents 12 and 31) of 3 sampled residents. The facility had a census of 33.
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-00618 Based on observations, record review and interview; the facility failed to ensure the appropriate use of Personal Protective Equipment (PPE) gown and gloves, during the provision of care for Residents 15 and 27. The sample size was 13 with a census of 33.
April 9, 2024Standard inspection · 1 citation
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on record review and interview, the facility failed to ensure 1 resident (Resident 14) was free of unnecessary medications related to long term use of an antibiotic medication. The antibiotic did not specify a duration and had no supporting documentation for clinical use based on laboratory results. The sample size was 1 and the facility census was 31.
Fire safety inspections
7 fire safety citations on file: 1 on August 3, 2026, 2 on May 15, 2025, 4 on April 9, 2024.
Every fire safety citation7 citations
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Provide family notifications of emergency plan.
- F Install emergency lighting that can last at least 1 1/2 hours.
- D Meet requirements for the installation and maintenance of electrical systems.
- D Meet requirements for the use and maintenance of medical gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.01 | 3.98 | 3.86 |
| Registered nurses | 1.07 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.45 | 3.48 | 3.42 |
| Nurse aides | 2.56 | ||
| Licensed practical nurses | 0.39 | ||
| Nursing staff turnover (share who left in a year) | 44.4% | 48.7% | 45.8% |
| Registered nurse turnover | 30.0% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.09 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.24 on weekdays and 3.45 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 18.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.76 in April to June 2025 to 4.01 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.01 | 1.07 | 4.24 | 3.45 | 18.9% | 0 of 90 | 29 |
| Oct to Dec 2025 | 3.91 | 1.10 | 4.14 | 3.32 | 20.9% | 0 of 92 | 31 |
| Jul to Sep 2025 | 3.52 | 1.00 | 3.73 | 3.00 | 16.4% | 0 of 92 | 34 |
| Apr to Jun 2025 | 3.76 | 1.16 | 4.02 | 3.10 | 17.4% | 0 of 91 | 32 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home 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. If you work here, your report helps start one.
Official wage estimates for Nebraska
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nebraska, all employers | |||
| CNAs (nursing assistants) | $19.23 | $18.29 to $22.31 | 16,450 |
| LPNs and LVNs | $30.13 | $28.41 to $34.55 | 4,580 |
| Registered nurses | $40.74 | $38.09 to $47.90 | 24,720 |
| United States, 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 |
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. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.1 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.2 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.5 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.1 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.4 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.7 | 20.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.9 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Alpine Village Retirement Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: ALPINE VILLAGE RETIREMENT CENTER. CMS links this home to Rural Health Development, a group of 9 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Village of Verdige | 5% or greater direct ownership interest | Organization | 100% | 04/01/1972 |
| Alpine Village Retirement Center | Direct ownership interest | Organization | 04/01/2010 | |
| Rural Health Development Inc. | 5% or greater indirect ownership interest | Organization | 03/01/2014 | |
| Kucera, Charles | Managing control - governing body | Individual | 01/01/2024 | |
| Mastalir, Mitchell | Managing control - governing body | Individual | 04/01/2010 | |
| Paesl, Regina | Managing control - governing body | Individual | 01/01/2024 | |
| Pierce, Lori | Managing control - governing body | Individual | 01/01/2024 | |
| Vesely, Shannon Rose | Managing control - governing body | Individual | 01/01/2024 | |
| Kucera, Charles | Corporate officer | Individual | 01/01/2024 | |
| Mastalir, Mitchell | Corporate officer | Individual | 01/01/2024 | |
| Paesl, Regina | Corporate officer | Individual | 01/01/2024 | |
| Pierce, Lori | Corporate officer | Individual | 01/01/2024 | |
| Vesely, Shannon Rose | Corporate officer | Individual | 01/01/2024 | |
| Rural Health Development Inc. | Operational/managerial control | Organization | 03/01/2014 | |
| Kaup, Lucas | Operational/managerial control | Individual | 01/01/2024 | |
| Strehle, Adam | Operational/managerial control | Individual | 01/01/2024 | |
| Vakoc, Joan | Operational/managerial control | Individual | 01/01/2024 | |
| Alpine Village Retirement Center | Trustee of the SNF | Organization | 04/01/1972 | |
| Kucera, Charles | Trustee of the SNF | Individual | 01/01/2024 | |
| Mastalir, Mitchell | Trustee of the SNF | Individual | 01/01/2024 | |
| Paesl, Regina | Trustee of the SNF | Individual | 01/01/2024 | |
| Pierce, Lori | Trustee of the SNF | Individual | 01/01/2024 | |
| Vesely, Shannon Rose | Trustee of the SNF | Individual | 01/01/2024 | |
| Alpine Village Retirement Center | Adp of the SNF | Organization | 04/01/1972 | |
| Rural Health Development Inc. | Adp of the SNF | Organization | 07/31/2025 | |
| Village of Verdige | Adp of the SNF | Organization | 04/01/1972 | |
| Kaup, Lucas | Adp of the SNF | Individual | 01/01/2024 | |
| Strehle, Adam | Adp of the SNF | Individual | 01/01/2024 | |
| Vakoc, Joan | Adp of the SNF | Individual | 01/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on August 3, 2026: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 15, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 3, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 15, 2025: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.45 hours per resident per day, below the Nebraska average of 3.48.
Other nursing homes nearby
- Avera Creighton Care Centre Creighton, 10.7 mi · 4 of 5 stars · 11 citations
- Good Samaritan Society - Bloomfield Bloomfield, 19.7 mi · 3 of 5 stars · 20 citations
- Plainview Manor Plainview, 20.6 mi · 2 of 5 stars · 15 citations
Nebraska contacts for a concern about a nursing home
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Nebraska Department of Health and Human Services, Licensure Unit, Long Term Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Nebraska Long-Term Care Ombudsman Program, (800) 942-7830. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Alpine Village Retirement Center's Medicare star rating?
- CMS rates Alpine Village Retirement Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Alpine Village Retirement Center get at its last inspection?
- 2 health deficiencies at the standard inspection on August 3, 2026. The Nebraska average is 7.4.
- Has Alpine Village Retirement Center been fined?
- CMS lists no fines in the last three years.
- Does Alpine Village Retirement Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Alpine Village Retirement Center?
- CMS lists 29 owners and managers, and links the home to Rural Health Development. Legal business name: ALPINE VILLAGE RETIREMENT CENTER.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.