Falls City Nursing and Rehabilitation Center
1720 Burton Drive, Falls City, NE 68355 · Richardson County · (402) 245-4466
63 certified beds, about 42 residents a day · For profit - Corporation · Medicare and Medicaid since 1979
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285055 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 31, 2025, inspectors cited 3 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
Of 7 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.39 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
60.0% 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.
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 7 health citations on file.
May 7, 2026Complaint inspection · 1 citation
- G 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 175 NAC 12-006.04(F)(i)(5)Based on record reviews and interviews, the facility failed to notify the resident's physician of a change in condition, failed to report a fall that delayed in the resident medical care for one sampled resident and failed to follow standards of practice after an injury to the head for one sampled resident (Resident 1). The facility census was 42.
July 31, 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 12-006.11(E) Based on observation, interview, and record review, the facility failed to ensure the chemical low-temperature (temp) dish machine reached a minimum temp of 120 degrees Fahrenheit (F)(a temperature scale) during all wash and rinse cycles and failed to ensure spoiled vegetables from the garden were disposed of to prevent foodborne illness. This had the potential to affect 38 residents that consumed food from the kitchen. The total facility census was 39.
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.13 Based on record reviews, observations, and interviews, the facility staff failed to implement speech therapy (ST, a type of therapy focused on improving or restoring a person's ability to swallow safely and effectively) orders for 1 (Resident 3) of 1 sampled resident. The facility staff identified a census of 40.
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B) Based on observation, interview, and record review, the facility failed to ensure that 1 (Resident 4) of 2 sampled residents' oxygen concentrator filters were clean, the positive airway pressure (PAP) device (a machine used to treat sleep apnea) contained a filter, the tubing was replaced, and ensure that the nasal cannulas and PAP masks for 2 (Residents 4 and 13) of 2 sampled residents were clean and stored off the floor to prevent the potential for cross contamination. The facility census was 39.
March 25, 2025Complaint inspection · 1 citation
- F 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.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.12(D)(i) Based on observations, interviews and record review, the facility failed to secure all medications in a locked storage area and to limit access to authorized personnel. The facility identified a census of 41.
July 11, 2024Standard inspection · 2 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09B Based on record review and interview; the facility failed to code the Minimum Data Set (MDS-a comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) assessment to reflect the resident's status for 4 (Residents 9, 11, 19 and 34) of 12 sampled residents. The facility census was 39.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09C Based on interview and record review, the facility failed to develop and implement a resident-centered comprehensive care plan (a written interdisciplinary comprehensive plan detailing how to provide quality care for a resident) that accurately reflected the needs for 1 (Resident 34) of 12 sampled residents. The facility census was 39.
August 23, 2023Standard inspection · 0 citations
Fire safety inspections
20 fire safety citations on file: 8 on July 31, 2025, 6 on July 11, 2024, 6 on August 23, 2023.
Every fire safety citation20 citations
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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.
- E Meet requirements for the use and maintenance of medical gas equipment.
- E Have proper medical gas storage and administration areas.
- F Implement emergency and standby power systems.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have restrictions on the use of portable space heaters.
- E Ensure proper usage of power strips and extension cords.
- F Provide properly protected cooking facilities.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Meet requirements for the use and maintenance of medical gas equipment.
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) | 3.39 | 3.98 | 3.86 |
| Registered nurses | 0.47 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.05 | 3.48 | 3.42 |
| Nurse aides | 2.17 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 60.0% | 48.7% | 45.8% |
| Registered nurse turnover | not reported | 44.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.79 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 3.53 on weekdays and 3.05 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 32.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.37 in April to June 2025 to 3.39 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 | 3.39 | 0.47 | 3.53 | 3.05 | 32.1% | 0 of 90 | 42 |
| Oct to Dec 2025 | 3.17 | 0.45 | 3.30 | 2.84 | 21.2% | 0 of 92 | 46 |
| Jul to Sep 2025 | 3.33 | 0.31 | 3.54 | 2.80 | 13.3% | 0 of 92 | 42 |
| Apr to Jun 2025 | 3.37 | 0.30 | 3.56 | 2.92 | 16.0% | 0 of 91 | 44 |
| 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 | 6.5 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.3 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.6 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.4 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 29.5 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.9 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.1 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.9 | 1.9 | 1.8 |
Owners and operators
Legal business name: STANTON LAKE 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 |
|---|---|---|---|---|
| Burnam, Soon | Managing control - governing body | Individual | 09/09/2024 | |
| Morris, Spencer | Managing control - governing body | Individual | 07/18/2011 | |
| Westengaard, Justin | Managing control - governing body | Individual | 01/03/2024 | |
| Jorgensen, David | Corporate director | Individual | 01/01/2024 | |
| Burnam, Soon | Corporate officer | Individual | 09/09/2024 | |
| Helenthal, Tara | Corporate officer | Individual | 09/09/2024 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Alliance Medical Staffing Inc | Operational/managerial control | Organization | 07/18/2011 | |
| Onshift Inc | Operational/managerial control | Organization | 07/18/2011 | |
| Morris, Spencer | Operational/managerial control | Individual | 07/18/2011 | |
| Westengaard, Justin | Operational/managerial control | Individual | 01/03/2024 | |
| 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 | 06/01/2011 | |
| Falls City Health Holdings LLC | Adp of the SNF | Organization | 07/18/2011 | |
| Morris, Spencer | Adp of the SNF | Individual | 07/29/2025 | |
| Westengaard, Justin | Adp of the SNF | Individual | 07/09/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 11, 2024: "Ensure each resident receives an accurate assessment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 7, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- 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 July 31, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on July 31, 2025: "Provide or get specialized rehabilitative services as required for a resident."
- 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
- Falls City Care Center Falls City, 1.2 mi · 1 of 5 stars · 17 citations
- Maple Heights Nursing & Rehabilitative Center Hiawatha, 15 mi · 3 of 5 stars · 26 citations
- Apostolic Christian Home Sabetha, 15.9 mi · 3 of 5 stars · 30 citations
- Sabetha Manor Sabetha, 16.2 mi · 4 of 5 stars · 16 citations
- Tiffany Heights Mound City, 19.7 mi · 2 of 5 stars · 29 citations
- Colonial Acres of Humboldt Humboldt, 20.1 mi · 2 of 5 stars · 15 citations
- Oregon Care Center Oregon, 24 mi · 3 of 5 stars · 19 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 Falls City Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Falls City Nursing and Rehabilitation Center 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Falls City Nursing and Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on July 31, 2025. The Nebraska average is 7.4.
- Has Falls City Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Falls City Nursing and Rehabilitation Center 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 Falls City Nursing and Rehabilitation Center?
- CMS lists 20 owners and managers, and links the home to The Ensign Group. Legal business name: STANTON LAKE 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.