What is Continental Falls's Medicare star rating?

CMS rates Continental Falls 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Continental Falls get at its last inspection?

9 health deficiencies at the standard inspection on January 14, 2026. The Nebraska average is 7.4.

Has Continental Falls been fined?

CMS lists no fines in the last three years.

Does Continental Falls 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 Continental Falls?

CMS lists 5 owners and managers. Legal business name: CONTINENTAL SPRINGS LLC.

Continental Falls: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on January 14, 2026, inspectors cited 9 health deficiencies (the Nebraska average is 7.4, the national average 9.2).

None of its 13 health citations since August 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 3.61 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.

38.8% 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.

108/23

103/24

210/24

901/26

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 13 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

January 14, 2026Standard inspection, Complaint inspection · 9 citations

E

Ensure that residents are fully informed and understand their health status, care and treatments.

F552 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 17, 2026

Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(E)Based on record review and interview; the facility failed to notify the resident and/or their representative of potential risk or benefits prior to initiation of pf psychoactive medications for 3 (Residents 2, 5, and 8) of 5 sampled residents. The facility staff identified a census of 46.
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.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2026

Inspectors wroteLicensure Reference Number 175 NAC 12-006.19(A)Based on observations, record reviews, and interviews; the facility failed to maintain the cleanliness and condition of resident rooms/bathrooms in 3 (Rooms 206, 505 and 509) of 45 occupied rooms. This had the potential to affect 3 residents who resided in those rooms. In addition, the facility failed to clean and maintain bathhouses, and the windows, flooring and walls in corridors and the dining room. The total sample size was 17 and the facility census was 46.
E

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, pattern · Corrected (the home has a date of correction) February 17, 2026

Inspectors wroteBased on record review and interview; the facility failed to notify the ombudsman (a state appointed advocate for residents of nursing homes) of resident discharges as required for 3 (Residents 3, 4 and 48) of 3 residents reviewed. The facility census was 46.
E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 17, 2026

Inspectors wroteLicensure Reference Number 175 NAC 12-006.12(D)(iii)Based on observations, interviews and record review; the facility failed to ensure insulin pens were labeled for all insulin dependent residents, failed to monitor the temperature of refrigerators containing medications, and failed to ensure expired medications were not available for resident use. In addition, the facility failed to ensure Resident 7's bedside medications were securely stored and failed to secure medications in Resident 31's room. The sample size was 17 and the facility census was 46.
E

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, pattern · Corrected (the home has a date of correction) February 17, 2026

Inspectors wroteLicensure Reference Number 175 NAC 12-006.11(E)Based on observation, record review and interview; the facility failed to change gloves and wash hands at appropriate intervals during food preparation and the meal service to prevent the potential for cross-contamination and food-borne illness. This had the potential to affect any resident that consumed food prepared/served by the kitchen. The facility census was 46.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 17, 2026

Inspectors wrote175 NAC 12-006.18Based on observations, record reviews, and interviews: the facility failed to utilize Personal Protective Equipment (PPE-equipment such as gowns, gloves, masks, goggles, that creates a barrier against germs and hazards) when performing high contact cares for Residents 8 and 41 who were on Enhanced Barrier Precautions (EBP-an infection control measure involving the use of gowns and gloves for high contact care to prevent spreading organisms), failed to perform hand hygiene and glove changing at appropriate intervals during toileting for Resident 7, and failed to clean re-usable resident care equipment used for transfers for Residents 8, 30, and 52. The sample size was 10 and the facility census was 46.
D

Allow residents to self-administer drugs if determined clinically appropriate.

F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 17, 2026

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10 (A)(i)Based on record review, observation and interview, the facility failed to evaluate 1 (Resident 31) of 2 sampled residents for self-administration of bedside medications. The facility staff identified a census of 46.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 17, 2026

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(F)(iii)Based on record review and interview; the facility failed to ensure Residents 8 and 41's Care Plans accurately reflected the need to implement Enhanced Barrier Precautions (EBP- the use of Personal Protective Equipment (PPE) during high contact care) during the care of Residents 8 and 41 who had MDRO's (Multi-Drug Resistant Organisms), and the use of Antipsychotic (medication that is used primarily in the treatment of severe mental illness) for Resident 1. The sample size was 17 and the facility census was 46.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 17, 2026

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09(H)(iii)(3)Based on observations, record review, and interview; the facility failed to thoroughly assess bruising and to implement interventions to prevent ongoing bruises for Resident 52. The sample size was 2 and the facility census was 46

October 31, 2024Standard inspection · 2 citations

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) November 24, 2024

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18 Based on observation, record review and interview; the facility staff failed to implement a water management plan to prevent potential illness such as Legionella( a bacteria) and failed to ensure a urinary catheter bag was secured to prevent potential contamination for 1 (Resident 12) of 3 residents. The facility had a census of 52.
D

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, isolated · Corrected (the home has a date of correction) November 24, 2024

Inspectors wroteLicensure Reference Number 12.006.11(E) Based on observation and interview the facility failed to ensure the cleanliness of the shelf below the prep table and the stand-up mixer and failed to secure the floor tiles under the convection oven in a manner to prevent build up of dirt and debris. This had the ability to affect 49 of 52 residents who ate from the facility kitchen. The facility census was 52.

March 19, 2024Complaint inspection · 1 citation

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 · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2024

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(8) Based on record review and interview, the facility failed to provide a written investigation to the State Agency within the required five working days for 1 (Resident 1) of 4 sampled residents. The facility census was 56.

August 24, 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.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 26, 2023

Inspectors wroteLicensure reference number 175 NAC 12-006.11D Based on record review, observations and interviews; the staff failed to maintain food temperatures in a manner to prevent potential food borne illness. This has the potential to effect 52 of 54 residents. The facility staff have identified the census to be 54.

Fire safety inspections

9 fire safety citations on file: 1 on January 14, 2026, 2 on October 31, 2024, 2 on January 19, 2024, 4 on August 24, 2023.

Every fire safety citation9 citations

F
Have simulated fire drills held at unexpected times.

K 712 · January 14, 2026 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · October 31, 2024 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · October 31, 2024 · Corrected (the home has a date of correction)
F
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · January 19, 2024 · Corrected (the home has a date of correction)
F
Have restrictions on the use of portable space heaters.

K 781 · January 19, 2024 · Corrected (the home has a date of correction)
F
Install a fire alarm system that can be heard throughout the facility.

K 341 · August 24, 2023 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · August 24, 2023 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · August 24, 2023 · Corrected (the home has a date of correction)
E
Meet requirements for the use and maintenance of medical gas equipment.

K 922 · August 24, 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.

Measure	This home	Nebraska	United States
All nursing staff (RN, LPN and aides)	3.61	3.98	3.86
Registered nurses	0.62	0.67	0.69
All nursing staff on weekends	3.24	3.48	3.42
Nurse aides	2.56
Licensed practical nurses	0.43
Nursing staff turnover (share who left in a year)	38.8%	48.7%	45.8%
Registered nurse turnover	14.3%	44.1%	42.9%
Administrators who left	0

CMS expects 3.83 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 3.76 on weekdays and 3.24 on weekends, 14% 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 3.46 in April to June 2025 to 3.61 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	3.61	0.62	3.76	3.24	0.0%	0 of 90	47
Oct to Dec 2025	3.59	0.60	3.77	3.14	2.3%	0 of 92	49
Jul to Sep 2025	3.37	0.60	3.49	3.05	1.2%	0 of 92	55
Apr to Jun 2025	3.46	0.61	3.64	3.00	2.2%	0 of 91	53
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	8.0	19.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	2.3	1.4	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	3.4	2.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.7	4.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.8	2.0	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	12.3	18.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.9	4.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	36.1	20.7	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	19.7	20.7	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	7.4	11.4	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.0	1.8	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.0	1.9	1.8

Owners and operators

Legal business name: CONTINENTAL SPRINGS LLC.

Name	Role	Type	Share	Since
Herzka, Matisyohu	5% or greater direct ownership interest	Individual	33%	11/15/2018
Palmersheim, Tammy Jo	W-2 managing employee	Individual		03/04/2019
Herzka, Matisyohu	Corporate officer	Individual		01/01/2019
Rosenblatt, Moshe	Corporate officer	Individual		01/01/2019
Schreiber, Abraham	Corporate officer	Individual		01/01/2019

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.

How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on January 14, 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 3 problems in this area, most recently on January 14, 2026: "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 2 problems in this area, most recently on January 14, 2026: "Provide and implement an infection prevention and control program."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on January 14, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the Nebraska average of 3.48.

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Holy Spirit Retirement Home
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Westwood Specialty Care
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Pioneer Valley Living and Rehab
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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 Continental Falls's Medicare star rating?: CMS rates Continental Falls 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Continental Falls get at its last inspection?: 9 health deficiencies at the standard inspection on January 14, 2026. The Nebraska average is 7.4.
Has Continental Falls been fined?: CMS lists no fines in the last three years.
Does Continental Falls 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 Continental Falls?: CMS lists 5 owners and managers. Legal business name: CONTINENTAL SPRINGS LLC.

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.