Bertrand Nursing Home
100 Minor Avenue, Bertrand, NE 68927 · Phelps County · (308) 472-3341
26 certified beds, about 18 residents a day · Government - City · Medicare and Medicaid since 2005
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285258 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 1, 2025, inspectors cited 1 health deficiency (the Nebraska average is 7.4, the national average 9.2).
None of its 3 health citations since April 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 3.91 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 1.50 of those hours.
45.5% 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 3 health citations on file.
May 1, 2025Standard inspection · 1 citation
- D 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 12-006.11(E) Based on an observation and an interview, the facility failed to store food in a manner to prevent the potential for food born illness. This had the potential to affect all residents who ate out of the kitchen. The facility census was 18.
April 11, 2024Standard inspection · 1 citation
- F Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on record review and interview, the facility failed to ensure the Infection Preventionist had the required qualifications prior to assuming the role. This had the potential to affect all residents in the facility. The facility census was 19.
April 20, 2023Standard inspection · 1 citation
- 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 12-006.11E Based on observation, record review, and interview: the facility kitchen staff failed to ensure outdated foods were not available for use. This had the potential to affect all residents in the facility. The facility staff identified a census of 19.
Fire safety inspections
11 fire safety citations on file: 4 on May 1, 2025, 3 on April 11, 2024, 4 on April 20, 2023.
Every fire safety citation11 citations
- F Implement emergency and standby power systems.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Implement emergency and standby power systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install corridor and hallway doors that block smoke.
- F Install an approved automatic sprinkler system.
- F Install corridor and hallway doors that block smoke.
- F Have simulated fire drills held at unexpected times.
- F Ensure that testing and maintenance of electrical equipment is performed.
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) | 3.91 | 3.98 | 3.86 |
| Registered nurses | 1.50 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.69 | 3.48 | 3.42 |
| Nurse aides | 2.21 | ||
| Licensed practical nurses | 0.19 | ||
| Nursing staff turnover (share who left in a year) | 45.5% | 48.7% | 45.8% |
| Registered nurse turnover | not reported | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.97 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 3.99 on weekdays and 3.69 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.91 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 | 3.91 | 1.50 | 3.99 | 3.69 | 8.4% | 0 of 90 | 18 |
| Oct to Dec 2025 | 3.87 | 1.43 | 3.96 | 3.63 | 9.4% | 0 of 92 | 18 |
| Jul to Sep 2025 | 3.70 | 1.10 | 3.79 | 3.47 | 8.4% | 0 of 92 | 19 |
| Apr to Jun 2025 | 3.82 | 1.08 | 3.93 | 3.55 | 13.5% | 0 of 91 | 18 |
| 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.
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 | 15.3 | 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 | 6.3 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.0 | 4.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.1 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.6 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.8 | 20.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.9 | 1.8 |
Owners and operators
Legal business name: BERTRAND NURSING HOME. 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 Bertrand | 5% or greater direct ownership interest | Organization | 100% | 01/01/1990 |
| Evans, Lucas | Managing control - governing body | Individual | 01/01/2026 | |
| McNierney, Jason | Managing control - governing body | Individual | 01/01/2026 | |
| Schroeder, Brian | Managing control - governing body | Individual | 01/01/2026 | |
| Spiegel, Fred | Managing control - governing body | Individual | 01/01/2026 | |
| Wilcox, T.j | Managing control - governing body | Individual | 01/01/2026 | |
| Grube, Amy | Corporate officer | Individual | 06/01/2012 | |
| Rural Health Development Inc. | Operational/managerial control | Organization | 05/01/2012 | |
| Village of Bertrand | Operational/managerial control | Organization | 01/01/1990 | |
| Evans, Lucas | Operational/managerial control | Individual | 01/01/2026 | |
| Grube, Amy | Operational/managerial control | Individual | 06/01/2012 | |
| McNierney, Jason | Operational/managerial control | Individual | 01/01/2026 | |
| Schroeder, Brian | Operational/managerial control | Individual | 01/01/2026 | |
| Spiegel, Fred | Operational/managerial control | Individual | 01/01/2026 | |
| Wilcox, T.j | Operational/managerial control | Individual | 01/01/2026 | |
| Rural Health Development Inc. | Adp of the SNF | Organization | 05/01/2012 | |
| Village of Bertrand | Adp of the SNF | Organization | 01/01/1990 | |
| Evans, Lucas | Adp of the SNF | Individual | 01/01/2026 | |
| Grube, Amy | Adp of the SNF | Individual | 06/01/2012 | |
| McNierney, Jason | Adp of the SNF | Individual | 01/01/2026 | |
| Schroeder, Brian | Adp of the SNF | Individual | 01/01/2026 | |
| Spiegel, Fred | Adp of the SNF | Individual | 01/01/2026 | |
| Wilcox, T.j | Adp of the SNF | Individual | 01/01/2026 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 1, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 11, 2024: "Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home."
Other nursing homes nearby
- Elwood Care Center Elwood, 12.8 mi · 5 of 5 stars · 8 citations
- Christian Homes Health Care Center Holdrege, 13.2 mi · 1 of 5 stars · 25 citations
- Holdrege Memorial Homes, Inc Holdrege, 15.2 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 Bertrand Nursing Home's Medicare star rating?
- CMS rates Bertrand Nursing Home 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bertrand Nursing Home get at its last inspection?
- 1 health deficiency at the standard inspection on May 1, 2025. The Nebraska average is 7.4.
- Has Bertrand Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Bertrand Nursing Home 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 Bertrand Nursing Home?
- CMS lists 23 owners and managers, and links the home to Rural Health Development. Legal business name: BERTRAND NURSING HOME.
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.