Harvard Rest Haven
400 East 7th Street, Harvard, NE 68944 · Clay County · (402) 772-7591
30 certified beds, about 24 residents a day · Government - City · Medicare and Medicaid since 2006
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285272 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 27, 2026, inspectors cited 9 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 13 health citations since February 2024 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 4.41 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.87 of those hours.
48.5% 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.
102/24
302/25
905/26
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
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
4E
0F
Potential for minimal harm
0A
0B
0C
May 27, 2026Standard inspection · 9 citations
- E Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(E)Based on record review and interview the facility failed to inform the resident/resident representative of the benefits, risks, and alternatives prior to the initiation of psychotropic medications (any medication that affects behavior, mood, thoughts, or perception) for 3 of 5 residents (Residents 14, 2, and 7). The facility census was 23.
- E Ensure each resident receives an accurate assessment.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(D)Based on record review and interview, the facility failed to code the Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) for 3 of 3 sampled residents (Resident 5, Resident 7, and Resident 17) to accurately reflect the medications provided. The facility census was 23.
- E 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)(i) Based on record review and interview the facility failed to develop a comprehensive care plan for identified resident care needs for 1 residents (Resident 7 ) of 8 sampled residents. The facility census was 23.
- 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.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.12(D)(i)Based on observation, interview, and record review the facility failed to ensure expired insulin was disposed of and not being utilized for 1 (Resident 16) of 4 sampled residents. The facility census was 23.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteLicensure reference number 175 NAC 12-006.05(B) Based on record review and interview, the facility failed to ensure 1 resident (Resident 32) out of 3 residents sampled, signed a SNF (Skilled Nursing Facility) ABN (Advanced Beneficiary Notice) and NOMNOC (Notice of Medicare Non-Coverage) prior to when the facility determined services would no longer qualify as covered under Medicare. 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 reviews and interview, the facility failed to notify the ombudsman (a state official who advocates and protects the rights, health, safety, and welfare of individuals residing in nursing facilities) of a resident discharge for 1 (Resident 28) of 1 resident reviewed as required. The facility census was 23.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.10Based on observation, record review, and interview the facility failed staff failed to administer insulin per manufacturer direction for 2 residents (Resident 10 and Resident 6) of 2 sampled residents. The facility census was 23.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteLicensure reference number 175 NAC 12-006.09(H)(vi)(3)(g) Based on observation, record review, and interview, the facility staff failed to change the oxygen (O2) tubing as ordered for 1 (Resident 2) of 1 resident sampled. The facility census was 23.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteLicensure reference number 175 NAC 12-006.04(B)(i)(ii)(1) Based on record reviews and interviews, the facility failed to ensure 12 hours of ongoing training per year was completed for 3 of 5 Medication Aides (MA) and Nursing Assistants (NA) reviewed. The facility census was 23.
February 27, 2025Standard inspection · 3 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(B) Based on observation, record review and interviews the facility failed to ensure the accuracy of the Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) for 1 (Resident 13) of 8 sampled residents related to Continuous Positive Airway Pressure (CPAP, a machine that uses mild air pressure to keep breathing airways open while one sleeps) and oxygen use. The facility census was 19.
- 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)(iii) Based on record review, observations, and interviews the facility failed to develop a care plan that reflected 1 (Resident 13) out of 8 sampled residents' use of Continuous Positive Airway Pressure (CPAP, a machine that uses mild air pressure to keep breathing airways open while one sleeps) and oxygen. The facility census was 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 wroteLicensure Reference Number 175 NAC 12-006.05(G), 175 NAC 12-006.12 Based on record review and interview, the facility failed to ensure that Resident 7 was evaluated by a provider prior to renewal of an as needed antipsychotic (drugs used to treat psychosis, or conditions that affect the mind, in which people have trouble distinguishing between what is real and what is not) medication. This affected 1 of 5 residents sampled for unnecessary medications. The facility census was 19.
February 15, 2024Standard inspection · 1 citation
- D Assess the resident when there is a significant change in condition
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09B1(2) Based on interview and record review; the facility failed to complete a MDS (Minimum Data Set- comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) comprehensive assessment within 14 days of a significant change for 1 (Resident 18) of 1 sampled resident. The facility census was 21.
Fire safety inspections
11 fire safety citations on file: 5 on May 27, 2026, 3 on February 27, 2025, 3 on February 15, 2024.
Every fire safety citation11 citations
- F Provide properly protected cooking facilities.
- 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.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Conduct risk assessment and an All-Hazards approach.
- 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.
- E Have proper medical gas storage and administration areas.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Meet requirements for the use of electrical 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) | 4.41 | 3.98 | 3.86 |
| Registered nurses | 0.87 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.58 | 3.48 | 3.42 |
| Nurse aides | 2.87 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 48.5% | 48.7% | 45.8% |
| Registered nurse turnover | not reported | 44.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.36 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 4.74 on weekdays and 3.58 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.16 in April to June 2025 to 4.41 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 | 4.41 | 0.87 | 4.74 | 3.58 | 15.9% | 0 of 90 | 24 |
| Oct to Dec 2025 | 4.95 | 0.86 | 5.29 | 4.06 | 11.3% | 0 of 92 | 20 |
| Jul to Sep 2025 | 5.06 | 0.77 | 5.33 | 4.34 | 11.2% | 0 of 92 | 19 |
| Apr to Jun 2025 | 5.16 | 0.69 | 5.50 | 4.32 | 7.7% | 0 of 91 | 20 |
| 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 | 5.9 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.4 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 8.1 | 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 short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.3 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.4 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.7 | 20.7 | 15.4 |
| 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 | 1.2 | 1.9 | 1.8 |
Owners and operators
Legal business name: CITY OF HARVARD.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| City of Harvard | 5% or greater direct ownership interest | Organization | 100% | 03/10/2015 |
| Becker, Glen | 5% or greater indirect ownership interest | Individual | 08/15/2015 | |
| Ljunggren, Susan | 5% or greater indirect ownership interest | Individual | 08/15/2015 | |
| Schulte, Jodi | 5% or greater indirect ownership interest | Individual | 08/15/2015 | |
| Sedersten, Kristi | 5% or greater indirect ownership interest | Individual | 05/02/2022 | |
| Vancampen, Luana | 5% or greater indirect ownership interest | Individual | 08/15/2022 | |
| Becker, Glen | 5% or greater security interest | Individual | 08/15/2015 | |
| Ljunggren, Susan | 5% or greater security interest | Individual | 08/15/2015 | |
| Schulte, Jodi | 5% or greater security interest | Individual | 08/15/2015 | |
| Sedersten, Kristi | 5% or greater security interest | Individual | 05/02/2022 | |
| Vancampen, Luana | 5% or greater security interest | Individual | 08/15/2015 | |
| Juhl, Regina | W-2 managing employee | Individual | 03/01/2022 | |
| Ryan, Sharon | W-2 managing employee | Individual | 03/30/2022 | |
| Sedersten, Kristi | W-2 managing employee | Individual | 03/25/2021 | |
| Becker, Glen | Corporate director | Individual | 03/10/2015 | |
| Juhl, Regina | Corporate director | Individual | 03/01/2022 | |
| Schulte, Jodi | Corporate director | Individual | 03/10/2015 | |
| Ljunggren, Susan | Corporate officer | Individual | 05/02/2022 | |
| Sedersten, Kristi | Corporate officer | Individual | 05/02/2022 | |
| Vancampen, Luana | Corporate officer | Individual | 08/15/2015 | |
| Becker, Glen | Operational/managerial control | Individual | 08/15/2015 | |
| Ljunggren, Susan | Operational/managerial control | Individual | 08/15/2015 | |
| Schulte, Jodi | Operational/managerial control | Individual | 08/15/2015 | |
| Sedersten, Kristi | Operational/managerial control | Individual | 05/02/2022 | |
| Vancampen, Luana | Operational/managerial control | Individual | 08/15/2015 |
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 6 problems in this area, most recently on May 27, 2026: "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 3 problems in this area, most recently on May 27, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 27, 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."
- 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 May 27, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Sutton Community Home, Inc. Sutton, 12.2 mi · 3 of 5 stars · 13 citations
- Good Samaritan Society - Hastings Village Hastings, 14.9 mi · 2 of 5 stars · 23 citations
- Westfield Quality Care of Aurora Aurora, 17.5 mi · 1 of 5 stars · 22 citations
- Memorial Community Care Aurora, 17.7 mi · 5 of 5 stars · 10 citations
- Legacy Square Henderson, 18.5 mi · 2 of 5 stars · 11 citations
- Emerald Nursing & Rehab Lakeview Grand Island, 22.8 mi · 1 of 5 stars · 22 citations
- Eventide Prairie Commons Care Center Grand Island, 23.8 mi · 1 of 5 stars · 16 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 Harvard Rest Haven's Medicare star rating?
- CMS rates Harvard Rest Haven 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 Harvard Rest Haven get at its last inspection?
- 9 health deficiencies at the standard inspection on May 27, 2026. The Nebraska average is 7.4.
- Has Harvard Rest Haven been fined?
- CMS lists no fines in the last three years.
- Does Harvard Rest Haven 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 Harvard Rest Haven?
- CMS lists 25 owners and managers. Legal business name: CITY OF HARVARD.
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.