Heritage Crossings
501 North 13th Street, Geneva, NE 68361 · Fillmore County · (402) 759-3194
68 certified beds, about 42 residents a day · Non profit - Corporation · Medicare and Medicaid since 1998
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285230 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 1, 2026, inspectors cited 1 health deficiency (the Nebraska average is 7.4, the national average 9.2).
None of its 3 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 4.40 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.
43.5% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
CMS links it to Vetter Senior Living, an affiliated group of 22 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 3 health citations on file.
April 1, 2026Standard inspection · 1 citation
- D Ensure each resident receives an accurate assessment.
Inspectors wroteLicense Reference Number 175 NAC 12.006.09(B)(iii)Based on record review and interviews, the facility failed to accurately code a Minimum Data Set (MDS- a comprehensive assessment used to develop a resident's plan of care) reflected that insulin (medication to control blood sugars) was being given. This affected 2 (Resident 37 and 47) out of the six sampled residents. The facility census was 47 at the time of survey.
June 16, 2025Complaint inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure reference number 175 NAC 12-006.18 The facility failed to ensure staff wear gowns and masks while performing wound care, not wear 2 sets of gloves, and to perform hand hygiene between glove changes for 1 (Resident 4) out of 3 sampled residents to prevent the potential cross contamination. The facility had a census of 38.
November 20, 2024Standard inspection · 0 citations
December 12, 2023Standard inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.10A2 Based on observation, record review and interview, the facility failed to ensure standards of practice followed with administrating insulin for 2 (Resident 21 and Resident 24) of 2 sampled residents. The facility census was 45.
Fire safety inspections
13 fire safety citations on file: 8 on April 1, 2026, 2 on November 20, 2024, 3 on December 12, 2023.
Every fire safety citation13 citations
- F Meet other general requirements.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Meet other general requirements that are deficient.
- F Have properly installed electrical wiring and gas equipment.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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 Install corridor and hallway doors that block smoke.
- 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.
- 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.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 1, 2026 | Payment Denial | 3 days from June 2, 2026 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.40 | 3.98 | 3.86 |
| Registered nurses | 0.68 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.50 | 3.48 | 3.42 |
| Nurse aides | 3.11 | ||
| Licensed practical nurses | 0.61 | ||
| Nursing staff turnover (share who left in a year) | 43.5% | 48.7% | 45.8% |
| Registered nurse turnover | 33.3% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.89 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 4.77 on weekdays and 3.50 on weekends, 27% 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 4.03 in April to June 2025 to 4.40 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 | 4.40 | 0.68 | 4.77 | 3.50 | 0.0% | 0 of 90 | 42 |
| Oct to Dec 2025 | 4.41 | 0.57 | 4.83 | 3.35 | 9.1% | 0 of 92 | 42 |
| Jul to Sep 2025 | 4.07 | 0.43 | 4.43 | 3.17 | 9.7% | 0 of 92 | 43 |
| Apr to Jun 2025 | 4.03 | 0.75 | 4.50 | 2.87 | 0.0% | 0 of 91 | 39 |
| 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 | 15.2 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 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 | 3.2 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.1 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.0 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.2 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.3 | 20.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 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 |
Owners and operators
Legal business name: VSL GENEVA LLC. CMS links this home to Vetter Senior Living, a group of 22 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Vetter Senior Living | 5% or greater direct ownership interest | Organization | 100% | 12/23/2016 |
| Bespalec, Jason | Contracted managing employee | Individual | 07/01/2017 | |
| Due, Sherri | Contracted managing employee | Individual | 03/13/2023 | |
| Stuhr, Brian | Contracted managing employee | Individual | 07/01/2017 | |
| Vanekeren, Glenn | Contracted managing employee | Individual | 07/01/2017 | |
| Vetter, Eldora | Contracted managing employee | Individual | 07/01/2017 | |
| Vetter, Jack | Contracted managing employee | Individual | 07/01/2017 | |
| Stuhr, Brian | Corporate officer | Individual | 06/15/2017 | |
| Vanekeren, Glenn | Corporate officer | Individual | 06/15/2017 | |
| Vetter, Eldora | Corporate officer | Individual | 06/15/2017 | |
| Vetter, Jack | Corporate officer | Individual | 06/15/2017 | |
| Vetter Senior Living | Operational/managerial control | Organization | 12/23/2016 | |
| Vsl Vetter Health Services LLC | Operational/managerial control | Organization | 07/01/2017 | |
| Bespalec, Jason | Operational/managerial control | Individual | 07/01/2017 | |
| Due, Sherri | Operational/managerial control | Individual | 03/13/2023 | |
| Stuhr, Brian | Operational/managerial control | Individual | 07/01/2017 | |
| Vanekeren, Glenn | Operational/managerial control | Individual | 07/01/2017 | |
| Vetter, Eldora | Operational/managerial control | Individual | 07/01/2017 | |
| Vetter, Jack | Operational/managerial control | Individual | 07/01/2017 |
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 April 1, 2026: "Ensure each resident receives an accurate assessment."
- 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 June 16, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Fairview Manor Fairmont, 7.2 mi · 5 of 5 stars · 3 citations
- Sutton Community Home, Inc. Sutton, 15 mi · 3 of 5 stars · 13 citations
- Legacy Square Henderson, 20.6 mi · 2 of 5 stars · 11 citations
- York General Hearthstone York, 24.6 mi · 5 of 5 stars · 3 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 Heritage Crossings's Medicare star rating?
- CMS rates Heritage Crossings 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Crossings get at its last inspection?
- 1 health deficiency at the standard inspection on April 1, 2026. The Nebraska average is 7.4.
- Has Heritage Crossings been fined?
- CMS lists no fines in the last three years.
- Does Heritage Crossings 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 Heritage Crossings?
- CMS lists 19 owners and managers, and links the home to Vetter Senior Living. Legal business name: VSL GENEVA 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.