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Arbor Care Center-Valhaven, LLC

300 West Meigs Street, Valley, NE 68064 · Douglas County · (402) 359-2533

66 certified beds, about 55 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 285117 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 12, 2025, inspectors cited 9 health deficiencies (the Nebraska average is 7.4, the national average 9.2).

None of its 17 health citations since July 2023 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 3.33 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.

74.1% of nursing staff left within the year CMS measured (Nebraska average 48.7%).

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
1E
3F
Potential for minimal harm
0A
0B
1C
August 12, 2025Standard inspection · 9 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.9(I) Based on observation, interview and record review, the facility failed to ensure hot water was kept away from vulnerable residents in the dining room which had the potential to effect 1 (Resident 40) of 23 sampled residents; and the facility failed to implement interventions to prevent falls for 1 (Resident 40) of 1 sampled resident.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H) Based on observation, interview, and record review, the facility failed to notify the State Agency of an alleged elopement within the required time frame for 1 (Resident 17) of 1 sampled resident; and the facility failed to submit the written report for a resident-resident altercation within 5 days for 1 (Resident 5) of 1 sampled resident.
  3. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(G)(ii) Based on interview and record review, the facility failed to provide a report to the receiving facility for an emergency transfer for 2 (Residents 4 & 40) of 2 sampled residents and the facility failed to notify the Ombudsman of transfer for 4 (Residents 1, 40, 54 & 58) of 4 sampled resdients.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(D)Based on record review and interview, the facility failed to accurately enter pressure ulcer information on the Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) for 1 (Resident 6) of 20 residents sampled. The facility staff identified a census of 54.
  5. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.04 Based on record review and interview the facility failed to ensure staff were tested for competency of clinical skills for 5 (Medication Aides (MA) E, F, and G, Licensed Practical Nurse (LPN) H, and Registered Nurse (RN) I)of 5 sampled nursing staff files. The facility census was 54.
  6. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 Based on observation, interview, and record, review the facility failed to develop and implement a behavioral management plan for 1 (Resident 12) of 1 sampled resident. The facility census was 54.
  7. D
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    F943 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(B) and 175 NAC 12-006.04(B)(ii). Based on interview and record review, the facility failed to ensure that 2 (Nurse Aides (NA) D, and Medication Aide (MA) F) of 8 sampled staff files had ongoing abuse training; and failed to ensure ongoing dementia training for 5 (NA D, MA E, F, G, Licensed Practical Nurse (LPN) H) of 8 sampled staff files. The facility census was 54.
  8. D
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(B)(i)(ii)1 Based on interview and record review the facility failed to ensure nursing assistants had 12 hours of on-going training per year for 2 (Nurse Aide (NA) C, and D) of 2 sampled nursing assistant files. The facility census was 54.
  9. C
    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
    F606 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 6, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.04 Based on interview and record review, the facility failed to check the nurse aid registry for 2 of 5 sampled employee files. The facility census was 54.
July 23, 2024Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.11E Based on observations, interviews and record review; the facility failed to perform hand hygiene, wear hair and beard nets in the kitchen to prevent food-borne illness for all the residents. This had the potential to affect all resident that ate out of the kitchen. The facility census was 43.
  2. F
    Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.
    F906 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-007.04 (F) Based on observation, record review, and interview, the facility failed to ensure that the emergency electrical power system activated within 10 seconds to supply emergency power during a power outage for all residents. Facility census was 43.
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on observation, record review and interview; the facility failed to identify the use of personal alarms on the residents Minimum Data Set (MDS-a federally mandated comprehensive assessment tool used for care planning) for 1 (Resident 18) of 4 sampled residents.
  4. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a Preadmission Screening Resident Review (PASARR, a federally mandated screening process to ensure Nursing Home residents with mental illness and/or developmental disabilities) receive the care and services they need in the most appropriate setting was accurately completed for 1 (Resident 17) out of 4 record reviews of PASARR screens. The facility census was 43.
  5. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.10D Based on observation, record review and interview; the facility staff failed to ensure it was free of a medication error rate of 5% or greater. Observations of 30 medications administered revealed 2 errors resulting in a medication error rate of 6.67 %. The medication errors affected 2 (Resident 148 and 31) of 9 residents sampled. The facility identified a census of 43.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 1-005.06D Based on observation, interview and record review, the facility staff failed to ensure hand hygiene and glove changes were performed during personal cares for 1 (Resident 3) of 4 residents. The facility census was 43.
July 25, 2023Standard inspection · 2 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 8, 2023
    Inspectors wroteLicensure Reference 175 NAC 12- 006.17 Based on interviews, observations and record reviews; the facility failed to implement infection control measures to prevent the spread of COVID-19 for 23 out of 44 residents. The facility census was 44.
  2. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2023
    Inspectors wroteLicensure Reference Number 175 NAC-12-006.09C3 Based on record reviews and interviews the facility failed to complete a discharge summary as required for 3 sampled discharged residents (48, 100 and 101)of 3 residents. The facility census was 44.

Fire safety inspections

27 fire safety citations on file: 10 on August 12, 2025, 6 on July 23, 2024, 11 on July 25, 2023.

Every fire safety citation27 citations
  1. F
    Implement emergency and standby power systems.
    E 41 · August 12, 2025 · Corrected (the home has a date of correction)
  2. F
    Install an approved automatic sprinkler system.
    K 351 · August 12, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 12, 2025 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 12, 2025 · Corrected (the home has a date of correction)
  5. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 12, 2025 · Corrected (the home has a date of correction)
  6. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 12, 2025 · Corrected (the home has a date of correction)
  7. F
    Have proper medical gas storage and administration areas.
    K 923 · August 12, 2025 · Corrected (the home has a date of correction)
  8. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 12, 2025 · Corrected (the home has a date of correction)
  9. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 12, 2025 · Corrected (the home has a date of correction)
  10. E
    Ensure proper usage of power strips and extension cords.
    K 920 · August 12, 2025 · Corrected (the home has a date of correction)
  11. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 23, 2024 · Corrected (the home has a date of correction)
  12. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · July 23, 2024 · Corrected (the home has a date of correction)
  13. F
    Meet requirements for the use and maintenance of medical gas equipment.
    K 922 · July 23, 2024 · Corrected (the home has a date of correction)
  14. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 23, 2024 · Corrected (the home has a date of correction)
  15. E
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · July 23, 2024 · Corrected (the home has a date of correction)
  16. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 23, 2024 · Corrected (the home has a date of correction)
  17. F
    Meet other general requirements that are deficient.
    K 300 · July 25, 2023 · Corrected (the home has a date of correction)
  18. F
    Provide properly protected cooking facilities.
    K 324 · July 25, 2023 · Corrected (the home has a date of correction)
  19. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 25, 2023 · Corrected (the home has a date of correction)
  20. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · July 25, 2023 · Corrected (the home has a date of correction)
  21. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 25, 2023 · Corrected (the home has a date of correction)
  22. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 25, 2023 · Corrected (the home has a date of correction)
  23. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 25, 2023 · Corrected (the home has a date of correction)
  24. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · July 25, 2023 · Corrected (the home has a date of correction)
  25. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 25, 2023 · Corrected (the home has a date of correction)
  26. E
    Install an approved automatic sprinkler system.
    K 351 · July 25, 2023 · Corrected (the home has a date of correction)
  27. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 25, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeNebraskaUnited States
All nursing staff (RN, LPN and aides)3.333.983.86
Registered nurses0.480.670.69
All nursing staff on weekends3.053.483.42
Nurse aides2.49
Licensed practical nurses0.36
Nursing staff turnover (share who left in a year)74.1%48.7%45.8%
Registered nurse turnover84.6%44.1%42.9%
Administrators who left0

CMS expects 3.32 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 3.44 on weekdays and 3.05 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.54 in April to June 2025 to 3.33 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.330.483.443.05 0.9%0 of 9055
Oct to Dec 20252.570.422.612.47 3.9%0 of 9257
Jul to Sep 20253.240.553.362.95 16.2%0 of 9254
Apr to Jun 20253.540.473.673.21 14.9%0 of 9150
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Nebraska, Jan to Mar 20264.010.664.213.537.1%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.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNebraskaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
20.619.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.81.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.22.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.14.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.218.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.04.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.920.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
5.620.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.411.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.91.8

Owners and operators

Legal business name: ARBOR CARE CENTERS - VALHAVEN LLC.

NameRoleTypeShareSince
Klaasmeyer, AaronDirect ownership interestIndividual07/01/2019
Klaasmeyer, JessicaDirect ownership interestIndividual05/01/2023
Klaasmeyer, KennethDirect ownership interestIndividual07/01/2019
Klaasmeyer, LindaDirect ownership interestIndividual07/01/2019
Klaasmeyer, AaronOperational/managerial controlIndividual07/01/2019
Klaasmeyer, JessicaOperational/managerial controlIndividual05/01/2023
Klaasmeyer, KennethOperational/managerial controlIndividual07/01/2019
Klaasmeyer, LindaOperational/managerial controlIndividual07/01/2019
Mc Carville, PatrickOperational/managerial controlIndividual07/01/2019
McWhorter, EverettOperational/managerial controlIndividual07/01/2019
Muckey, ToddOperational/managerial controlIndividual07/01/2019
Arbor Care Centers LLCAdp of the SNFOrganization08/01/2019
Klaasmeyer, AaronAdp of the SNFIndividual07/01/2019
Klaasmeyer, JessicaAdp of the SNFIndividual05/01/2023
Klaasmeyer, KennethAdp of the SNFIndividual07/01/2019
Klaasmeyer, LindaAdp of the SNFIndividual07/01/2019
Mc Carville, PatrickAdp of the SNFIndividual07/01/2019
McWhorter, EverettAdp of the SNFIndividual07/01/2019
Muckey, ToddAdp of the SNFIndividual07/01/2019

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on August 12, 2025: "Ensure each resident receives an accurate assessment."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on August 12, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  3. 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 August 12, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on August 12, 2025: "Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the Nebraska average of 3.48.

Other nursing homes nearby

Nebraska contacts for a concern about a nursing home

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Common questions

What is Arbor Care Center-Valhaven, LLC's Medicare star rating?
CMS rates Arbor Care Center-Valhaven, LLC 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Arbor Care Center-Valhaven, LLC get at its last inspection?
9 health deficiencies at the standard inspection on August 12, 2025. The Nebraska average is 7.4.
Has Arbor Care Center-Valhaven, LLC been fined?
CMS lists no fines in the last three years.
Does Arbor Care Center-Valhaven, LLC 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 Arbor Care Center-Valhaven, LLC?
CMS lists 19 owners and managers. Legal business name: ARBOR CARE CENTERS - VALHAVEN LLC.

Sources

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