Genoa Community Hospital/LTC
606 Ewing Avenue, Genoa, NE 68640 · Nance County · (402) 993-2283
43 certified beds, about 38 residents a day · Government - City · Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 28E271 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 28, 2025, inspectors cited 4 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 10 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 3.48 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
22.9% 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 10 health citations on file.
May 28, 2025Standard inspection, Complaint inspection · 4 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteD. Review of the facility policy Hand Hygiene, undated revealed the purpose was to provide guidelines for effective hand hygiene to prevent the transmission of bacteria, germs, and infections. Staff were to: -follow standard precautions, -change gloves and discard after each resident contact, and -change gloves when moving from contaminated body site to a clean body site. Staff were to perform hand hygiene: [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H) Based on record review and interview; the facility failed to submit a completed investigation of Resident's 139's hip fracture and Resident 26's fall with an ankle fracture to the State Agency in 5 working days. The sample size was 14 and the facility census was 36.
- 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 12-006.09(E) Based on record review and interview; the facility failed to ensure Resident 26's Activity of Daily Living (ADL) needs and Resident 1's Post Traumatic Stress Disorder (PTSD) triggers were identified in the resident care plans. The sample size was 14 and the facility census was 36.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteLicensure Reference Number 175 NAC-006.09 Based on record review and interviews; the facility failed to address Resident 1's diagnosis of Post Traumatic Stress Disorder (PTSD) through evaluation and care planning of potential triggers or situations that could lead to re-traumatization. The sample size was 1 and the facility census was 36.
May 14, 2024Standard inspection, Complaint inspection · 5 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 12-006.11E Based on observation, record review and interview; the facility failed to ensure 1) food was stored under sanitary conditions and 2) outdated food was not available for consumption to prevent the potential development of food borne illness. This had the potential to affect all residents. The facility census was 36.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(8) Based on record review and interview; the facility failed to report a fall with significant injury to the state agency within the required time frame for Resident 15. The sample size was 4 and the facility census was 36.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(5) Based on record review and interview, the facility failed to provide a written notice of transfer to 1 resident (Resident 24) or the resident's legal representative upon transfer to the hospital. The facility census was 36.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(1) Based on record review and interview, the facility failed to provide Resident 24 or the resident's representative, written bed hold information when the resident was transferred to the hospital emergency room (ER). The sample size was 1 and the facility census was 36.
- 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 12-006.09D Based on record review and interview; the facility failed to ensure there was an approved diagnosis for the use of an antipsychotic medication (a type of psychoactive medication which alters chemicals in the brain to effect changes in behavior, mood, and emotions) for Resident 33. The sample size was 5 and the facility census was 36.
April 12, 2023Standard inspection · 1 citation
- D Respond appropriately to all alleged violations.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.02(8) Based on interview and record review, the facility failed to complete and submit a written investigation to the state agency related to a fall with a fracture for Resident 22 and a resident to resident altercation for Resident 11. The total sample size was 18 and the facility census was 37.
Fire safety inspections
16 fire safety citations on file: 4 on May 28, 2025, 7 on May 14, 2024, 5 on April 12, 2023.
Every fire safety citation16 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Meet other general requirements that are deficient.
- E Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.
- F Implement emergency and standby power systems.
- 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 that testing and maintenance of electrical equipment is performed.
- F Have proper medical gas storage and administration areas.
- 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.
- F Implement emergency and standby power systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- 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.
- D Provide a written emergency evacuation plan.
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) | 3.48 | 3.98 | 3.86 |
| Registered nurses | 0.54 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.48 | 3.42 |
| Nurse aides | 2.53 | ||
| Licensed practical nurses | 0.41 | ||
| Nursing staff turnover (share who left in a year) | 22.9% | 48.7% | 45.8% |
| Registered nurse turnover | 57.1% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.11 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 3.65 on weekdays and 3.07 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.58 in April to June 2025 to 3.48 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 | 3.48 | 0.54 | 3.65 | 3.07 | 3.8% | 0 of 90 | 38 |
| Oct to Dec 2025 | 3.46 | 0.58 | 3.62 | 3.05 | 2.3% | 1 of 92 | 39 |
| Jul to Sep 2025 | 3.42 | 0.62 | 3.58 | 3.03 | 1.7% | 0 of 92 | 39 |
| Apr to Jun 2025 | 3.58 | 0.68 | 3.76 | 3.13 | 0.2% | 0 of 91 | 38 |
| 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. If you work here, your report helps start one.
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 | 24.2 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.7 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 4.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.3 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.1 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 50.0 | 20.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.9 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Genoa Community Hospital/LTC's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: This nursing home is not required to submit data for the Skilled Nursing Facility Quality Reporting Program.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
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 allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on May 28, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- 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 May 14, 2024: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- 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 May 28, 2025: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 28, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.07 hours per resident per day, below the Nebraska average of 3.48.
Other nursing homes nearby
- Cloverlodge Care Center St. Edward, 10.8 mi · 4 of 5 stars · 9 citations
- Accura Healthcare of Fullerton Fullerton, 13.3 mi · 3 of 5 stars · 19 citations
- Brookestone Acres Columbus, 18 mi · 5 of 5 stars · 14 citations
- Emerald Nursing & Rehab Columbus Columbus, 18.3 mi · 1 of 5 stars · 22 citations
- Good Samaritan Society - Osceola Osceola, 20.3 mi · 5 of 5 stars · 8 citations
- Mid-Nebraska Lutheran Home Newman Grove, 21.1 mi · 1 of 5 stars · 23 citations
- Good Samaritan Society - Albion Albion, 21.7 mi · 5 of 5 stars · 4 citations
- Midwest Covenant Home Stromsburg, 23.6 mi · 3 of 5 stars · 12 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 Genoa Community Hospital/LTC's Medicare star rating?
- CMS rates Genoa Community Hospital/LTC 2 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Genoa Community Hospital/LTC get at its last inspection?
- 4 health deficiencies at the standard inspection on May 28, 2025. The Nebraska average is 7.4.
- Has Genoa Community Hospital/LTC been fined?
- CMS lists no fines in the last three years.
- Does Genoa Community Hospital/LTC 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 Genoa Community Hospital/LTC?
- 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.