Carl T Curtis Health Education Center Nursing Home
923 Senior Circle, Macy, NE 68039 · Thurston County · (402) 837-5381
25 certified beds, about 23 residents a day · Government - Federal · Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 28A065 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 29, 2026, inspectors cited 4 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 11 health citations since December 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 5.15 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 1.01 of those hours.
32.4% 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.
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 11 health citations on file.
January 29, 2026Standard inspection · 4 citations
- F Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interview, the facility failed to conduct ongoing reviews for antibiotic stewardship and ensure that medical criteria was used for infection surveillance. This had the potential to affect all residents that resided in the facility. The facility census was 23.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(G) Based on record review and interview, the facility failed to identify and monitor specific target behaviors for the use of antipsychotic medications [a group of medications used to treat symptoms of psychosis, such as hallucinations and delusions] for 2 (Residents 4 and 20) of 5 residents reviewed for unnecessary medications. The facility census was 23.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and interviews, the facility failed to provide a written reason for the transfer to the hospital for Resident 24. The facility census was 23.
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicense Reference Number 175 NAC 12-006.18(D)Based on record review, observation and interview, the facility failed to ensure a staff member performed hand hygiene before donning gloves (putting on) and failed to clean the rubber stopper on an insulin flex pen (a pre-filled disposable device used to inject insulin) prior to administering insulin for Resident 5. The facility had a census of 23.
October 31, 2024Standard inspection · 4 citations
- F Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspectors wroteLicensure Reference Number 175 12-007.04 D Based on observation and interview, the facility failed to ensure that ventilation systems were operational in resident bathrooms in 21 (Rooms 1, 3, 4, 5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 21, 22, 23, 24, 25) of 21 occupied resident bathrooms. The facility census was 21.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteLicensure Reference Number NAC 12-006.04 (F)(i)(5) Based on observation, record review, and interviews, the facility failed to notify the medical provider when a prescribed medication was not given for 6 days for 1 (Resident 7) of 2 sampled residents. The facility had a total census of 21 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteLicensure Reference Number NAC 12-006.10(D) Based on observation, record review, and interviews, the facility failed to ensure medication was available for 6 days resulting in a significant medication error for 1 (Resident 7) of 2 sampled residents. The facility had a total census of 21 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 12-006.18(B) Based on observation, record review, and interview, the facility failed to don (put on) and doff (take off) gowns during cares and treatments of a resident with a supra-pubic indwelling catheter (a tube placed in the abdomen to drain urine from the bladder to a bag) per Enhanced Barrier Precaution Protocol for 1 of 1 Residents (Resident 1) observed for the care of the catheter. The facility identified a census of 21 residents.
December 21, 2023Standard inspection, Complaint inspection · 3 citations
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.12B Based on record review and interview; the facility Pharmacist failed to identify and report medication irregularities related to medication that did not have a diagnoses for 2 (Residents 4 and 9) of 5 sampled residents. The facility identified a census of 19.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.12B Based on record review and interview; the facility staff failed to ensure 1 resident (Resident 9) of 5 sampled resident had a rational for the use of multiple antidepressant medications. The facility staff identified a census of 19.
- 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 wroteReference Number 175 NAC 12-006.12B Based on record review and interview the facility failed to ensure that 1 resident (Resident 9) had rational for the use of 2 antipsychotic medications and failed to have the clinical indications of medication use for 2 residents (Resident 8 and 17) of 5 residents sampled. The facility identified a census of 19.
Fire safety inspections
12 fire safety citations on file: 3 on January 29, 2026, 6 on October 31, 2024, 3 on December 21, 2023.
Every fire safety citation12 citations
- F Have simulated fire drills held at unexpected times.
- E Meet requirements for the use and maintenance of medical gas equipment.
- E Ensure that sources of ignition are removed from patients receiving respiratory therapy.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have simulated fire drills held at unexpected times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure proper usage of power strips and extension cords.
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) | 5.15 | 3.98 | 3.86 |
| Registered nurses | 1.01 | 0.67 | 0.69 |
| All nursing staff on weekends | 4.21 | 3.48 | 3.42 |
| Nurse aides | 3.35 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 32.4% | 48.7% | 45.8% |
| Registered nurse turnover | 33.3% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.89 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 5.53 on weekdays and 4.21 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.60 in April to June 2025 to 5.15 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 | 5.15 | 1.01 | 5.53 | 4.21 | 8.0% | 0 of 90 | 23 |
| Oct to Dec 2025 | 5.00 | 1.00 | 5.41 | 3.95 | 13.1% | 0 of 92 | 23 |
| Jul to Sep 2025 | 5.96 | 1.32 | 6.56 | 4.45 | 9.9% | 0 of 92 | 22 |
| Apr to Jun 2025 | 5.60 | 1.42 | 6.10 | 4.36 | 6.1% | 0 of 91 | 21 |
| 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 | 15.7 | 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 | 1.2 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.3 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.1 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 51.8 | 20.7 | 15.4 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 4 problems in this area, most recently on October 31, 2024: "Ensure that residents are free from significant medication errors."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on January 29, 2026: "Implement a program that monitors antibiotic use."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 29, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on January 29, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
Other nursing homes nearby
- Pleasant View Care Center Whiting, 10.3 mi · 4 of 5 stars · 12 citations
- Accura Healthcare of Onawa Onawa, 14.3 mi · 2 of 5 stars · 34 citations
- Pioneer Valley Living and Rehab Sergeant Bluff, 18.9 mi · 1 of 5 stars · 55 citations
- Embassy Rehab and Care Center Sergeant Bluff, 19.1 mi · 1 of 5 stars · 27 citations
- Oakland Heights Oakland, 20.5 mi · 5 of 5 stars · 3 citations
- Heritage of Emerson Emerson, 21.8 mi · 5 of 5 stars · 9 citations
- Adept Nursing & Rehab of South Sioux City South Sioux City, 23.5 mi · 1 of 5 stars · 34 citations
- Continental Falls South Sioux City, 23.5 mi · 2 of 5 stars · 13 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 Carl T Curtis Health Education Center Nursing Home's Medicare star rating?
- CMS rates Carl T Curtis Health Education Center Nursing Home 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Carl T Curtis Health Education Center Nursing Home get at its last inspection?
- 4 health deficiencies at the standard inspection on January 29, 2026. The Nebraska average is 7.4.
- Has Carl T Curtis Health Education Center Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Carl T Curtis Health Education Center Nursing Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Carl T Curtis Health Education Center Nursing Home?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.