Beatrice Health and Rehabilitation
1800 Irving Street, Beatrice, NE 68310 · Gage County · (402) 223-2311
87 certified beds, about 57 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285130 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 21, 2026, inspectors cited 0 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 10 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 3.80 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.
43.5% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
CMS links it to The Ensign Group, an affiliated group of 344 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.
704/24
304/25
007/26
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
4E
1F
Potential for minimal harm
0A
0B
0C
July 21, 2026Standard inspection · 0 citations
April 9, 2025Standard inspection, Complaint inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.11C The facility failed to ensure hand hygiene was performed in the kitchen in order to prevent the spread of food borne illness. This had the potential to affect all the resident that reside in the facility. The facility census was 55.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review and interview, the facility failed to ensure an as needed antipsychotic medication had a 14-day stop date as required for Resident 38. This affected 1 of 5 residents reviewed for unnecessary medication use. The facility census was 55.
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure reference number 175 NAC 12-006.18(B) The facility failed to ensure hand hygiene was performed during catheter and peri-cares for Residents 28 and 54, failed to ensure wipes were not removed from the wipes container with contaminated gloves for Residents 28 and 54, failed to ensure the drainage catheter bag was kept below the level of the bladder during a transfer for Resident 28, and failed to perform hand hygiene after removal of gloves for Resident 28 to prevent the potential for cross contamination. The facility census was 55.
April 23, 2024Standard inspection · 7 citations
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteLicensure Reference Number 175 NAC 12.006. 18B Based on observation, and interview; the facility failed to maintain the cleanliness and condition of vents located in rooms 7, 16, 17, 29, 33, 38, 39, 40, 47, 48. This affected a total of 10 rooms. The facility census was 61.
- E Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 D3 Based on observation, interview and record review; the facility failed to maintain indwelling catheter (a tube inserted into the bladder) drainage bag below bladder level during toileting and catheter cares for Resident 39. Facility census was 61.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.10D Based on observations, record reviews and interviews; the facility failed to administer the correct medication and give within the time frame prescribed by the physician for 1 (Resident 46) of 3 sampled residents. The facility census was 61.
- E Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspectors wroteLicensure Reference Number 175 NAC 12.007. 04D Based on observation, and interviews; the facility failed to maintain mechanical ventilation in residents' bathrooms located in rooms 38, 39, 40, 47, 48. The facility census was 61.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D6 Based on observations, record review and interviews; the facility failed to obtain a physician's order for a CPAP (Continuous Positive Airway Pressuretreatment that uses mild air pressure to keep your breathing airways open) for 1 (Resident 70) of 1 sampled resident. The facility census was 61.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteLicensure Reference Number 175 NAC 12.006019D Based on record reviews, observation, and interviews; the facility failed to ensure that Resident 25 was free from unnecessary medications by attempting a gradual dosage reduction. Sampled resident total 1 of 1. Facility census 61. A record review for Resident 25s face sheet revealed that admission was 05/09/2020. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.17D Based on observation, record review, and interview; the facility failed to perform hand hygiene during wound cares for 1 (Resident 16) of 1 sampled resident, and during catheter cares for 1 (Resident 39) of 1 sampled resident. Facility census was 61.
Fire safety inspections
35 fire safety citations on file: 7 on July 21, 2026, 15 on April 9, 2025, 13 on April 23, 2024.
Every fire safety citation35 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Install corridor and hallway doors that block smoke.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Meet requirements for the use of electrical equipment.
- E Ensure proper usage of power strips and extension cords.
- F Have properly located and lighted "Exit" signs.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Have proper medical gas storage and administration areas.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Construct fire resistant interior walls.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Meet other general requirements that are deficient.
- E Meet requirements for the use of electrical equipment.
- E Ensure proper usage of power strips and extension cords.
- F Implement emergency and standby power systems.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have properly installed electrical wiring and gas equipment.
- F Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Meet requirements for the use and maintenance of medical gas equipment.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Meet requirements for the use of electrical equipment.
- E Have proper medical gas storage and administration areas.
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) | 3.80 | 3.98 | 3.86 |
| Registered nurses | 0.37 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.35 | 3.48 | 3.42 |
| Nurse aides | 2.45 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 43.5% | 48.7% | 45.8% |
| Registered nurse turnover | 42.9% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.58 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 3.98 on weekdays and 3.35 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.63 in April to June 2025 to 3.80 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 | 3.80 | 0.37 | 3.98 | 3.35 | 0.0% | 0 of 90 | 57 |
| Oct to Dec 2025 | 3.40 | 0.27 | 3.53 | 3.06 | 0.0% | 0 of 92 | 64 |
| Jul to Sep 2025 | 3.52 | 0.34 | 3.71 | 3.04 | 0.0% | 0 of 92 | 58 |
| Apr to Jun 2025 | 3.63 | 0.39 | 3.84 | 3.12 | 0.0% | 0 of 91 | 54 |
| 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.
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 | 12.3 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 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 | 10.1 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.1 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.4 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.9 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.5 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.9 | 1.8 |
Owners and operators
Legal business name: MONROE HEALTHCARE INC. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Dayton, Elizabeth | Managing control - governing body | Individual | 05/31/2019 | |
| Jorgensen, David | Corporate director | Individual | 01/01/2024 | |
| Burnam, Soon | Corporate officer | Individual | 07/18/2011 | |
| Helenthal, Tara | Corporate officer | Individual | 08/01/2021 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Dayton, Elizabeth | Operational/managerial control | Individual | 05/31/2019 | |
| Morris, Spencer | Operational/managerial control | Individual | 01/22/2016 | |
| Port, Barry | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/08/2025 | |
| Caretrust Gp LLC | Adp of the SNF | Organization | 07/18/2011 | |
| Caretrust Reit Inc | Adp of the SNF | Organization | 07/18/2011 | |
| Ctr Partnership LP | Adp of the SNF | Organization | 07/18/2011 | |
| Ensign Services Inc | Adp of the SNF | Organization | 07/18/2011 | |
| Irving Health Holdings LLC | Adp of the SNF | Organization | 07/18/2011 | |
| Dayton, Elizabeth | Adp of the SNF | Individual | 07/08/2025 | |
| Morris, Spencer | Adp of the SNF | Individual | 07/08/2025 |
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.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on April 9, 2025: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
- 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 April 9, 2025: "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 April 23, 2024: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- 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 April 9, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.35 hours per resident per day, below the Nebraska average of 3.48.
Other nursing homes nearby
- Good Samaritan Society - Beatrice Beatrice, 1.2 mi · 3 of 5 stars · 14 citations
- Gold Crest Retirement Center Adams, 16.3 mi · 3 of 5 stars · 12 citations
- Wilber Care Center Wilber, 18.8 mi · 2 of 5 stars · 14 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 Beatrice Health and Rehabilitation's Medicare star rating?
- CMS rates Beatrice Health and Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Beatrice Health and Rehabilitation get at its last inspection?
- 0 health deficiencies at the standard inspection on July 21, 2026. The Nebraska average is 7.4.
- Has Beatrice Health and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Beatrice Health and Rehabilitation 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 Beatrice Health and Rehabilitation?
- CMS lists 16 owners and managers, and links the home to The Ensign Group. Legal business name: MONROE HEALTHCARE INC.
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.