1203 North 13th Street, Norfolk, NE 68701 · Madison County · (402) 371-4991
112 certified beds, about 105 residents a day · Non profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285089 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 31, 2025, inspectors cited 4 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
Of 11 health citations since July 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 3.94 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
35.8% 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.
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.
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 11 health citations on file.
Inspectors wroteS483.60(i) Food safety requirements. The facility must - S483.60(i)(2) - Store, prepare, distribute and serve food in accordance with professional standards for food service safety. This REQUIREMENT is not met as evidenced by LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observation, record review and interview; the facility failed to serve food in a manner to prevent potential food borne illnesses. The facility failed to ensure bare hands were not used to touch ready-to-eat food items. This practice had the potential to affect all residents in the facility who ate meals from the kitchen. The facility staff identified a census of 98.
Inspectors wroteS483.60(d) Food and drink Each resident receives and the facility provides- S483.60(d)(1) Food prepared by methods that conserve nutritive value, flavor, and appearance; S483.60(d)(2) Food and drink that is palatable, attractive, and at a safe and appetizing temperature. Licensure Reference Number 175 NAC 12-006.11D Based on observation, record review and interview; the facility failed to serve room trays at a palatable temperature. The sample size was 9 and the facility census was 98.
Inspectors wroteS483.45(f) Medication Errors. The facility must ensure that its- S483.45(f)(1) Medication error rates are not 5 percent or greater;This REQUIREMENT is not met as evidenced by Licensure Reference Number 175 NAC 12-006.10(D)Based on observation, record review and interview; the facility staff failed to ensure a medication error rate of less than 5 percent (%). Observations of 25 medications administered revealed 2 errors resulting in an error rate of 8%. The medication errors were related to 1 (Resident 6) of 5 residents sampled. The facility identified a census of 98.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.18(B)Based on observation, interview, and record review; the facility failed to implement the required Personal Protective Equipment (PPE-items such as gowns and gloves that are worn to protect care givers during the provision of care and to protect other residents from being exposed to potential communicable disease) during the provision of care for Resident 35. The facility census was 98.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09(l)(i) Based on record review and interview; the facility failed to implement assessed fall interventions, and to revise and/or develop new interventions for the prevention of ongoing falls for Resident 12. The facility census was 101 and the sample size was 5.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 Based on record review and interview; the facility failed to have physician documented, resident specific clinical rationale for not attempting gradual dose reductions for Resident 7's psychoactive (medications that affect brain activity associated with mental processes and behavior) medication. The sample size was 5 and the facility census was 101.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18 (B) Licensure Reference Number 175 NAC 12-006.18 (D) Based on observation, interview, and record review; the facility failed to implement Enhanced Barrier Precautions (EBP-an infection control intervention designed to reduce transmission of multi-drug resistant organisms [MDRO's]) during wound care and perform hand hygiene at appropriate intervals during high contact care activities for Resident 30, and to correctly use Personal Protective Equipment (PPE) to prevent the potential spread of Covid-19 related to resident 37. The total sample size was 28. The facility census was 101.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09D7 Based on interview and record review; the facility failed to implement interventions to protect Resident 153 from aspiration (breathing foreign material into the lungs) and/or choking as a puree diet was not provided in accordance with physician's orders. In addition, the facility failed to determine causal factors, to develop and/or revise interventions and failed to implement assessed fall prevention interventions for Residents 79 and 88. The sample size was 10 and the facility census was 101.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.10 Based on record review and interview, the facility failed to administer insulin medication as ordered for 1 (Resident 21) of 39 sampled residents. The facility census was 101.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on record review and interview; the facility failed to ensure residents were free from unnecessary medications related to long term use of antibiotic medications for 2 residents (Resident 79 and 96) that did not specify a duration and had no supporting documentation for clinical use based on laboratory results. The sample size was 2 and the facility census was 101.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.17 Based on observations, interview and record review, the facility failed to implement infection control measures to prevent the potential spread of Covid-19 for 1 (Resident 62) of 6 sampled residents. The facility census was 101.
6 fire safety citations on file: 2 on July 31, 2025, 3 on July 30, 2024, 1 on July 25, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.94 | 3.98 | 3.86 |
| Registered nurses | 0.59 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.36 | 3.48 | 3.42 |
| Nurse aides | 2.87 | ||
| Licensed practical nurses | 0.49 | ||
| Nursing staff turnover (share who left in a year) | 35.8% | 48.7% | 45.8% |
| Registered nurse turnover | 18.8% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.44 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.18 on weekdays and 3.36 on weekends, 20% 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 4.30 in April to June 2025 to 3.94 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 | 3.94 | 0.59 | 4.18 | 3.36 | 0.0% | 0 of 90 | 105 |
| Oct to Dec 2025 | 3.95 | 0.65 | 4.23 | 3.26 | 0.0% | 0 of 92 | 102 |
| Jul to Sep 2025 | 4.12 | 0.63 | 4.41 | 3.38 | 0.0% | 0 of 92 | 99 |
| Apr to Jun 2025 | 4.30 | 0.46 | 4.61 | 3.52 | 0.0% | 0 of 91 | 99 |
| 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
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.
| 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.
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 | 10.2 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 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 | 2.5 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.8 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.8 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 9.7 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.2 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Heritage of Bel Air's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (38.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
38.9% this home
Worse than the national rate
US median of homes 51.5% · Nebraska: 17 better, 24 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 93 eligible stays.
8.1% this home
No different from the national rate
US median of homes 10.7% · Nebraska: 2 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 107 eligible stays.
6.9% this home
No different from the national rate
US median of homes 7.1% · Nebraska: 2 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 61 eligible stays.
31.6% this home
Median of homes: Nebraska50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 57 residents counted.
0.0% this home
Median of homes: Nebraska0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 67 residents counted.
0.0% this home
Median of homes: Nebraska2.2% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 67 residents counted.
100.0% this home
Median of homes: Nebraska100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 32 residents counted.
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.
Legal business name: VSL NORFOLK 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 |
| Hirschman, Bryon | Contracted managing employee | Individual | 07/01/2017 | |
| 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 | |
| Zamora, Tracy | 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 | |
| Hirschman, Bryon | Operational/managerial control | Individual | 07/01/2017 | |
| 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 | |
| Zamora, Tracy | 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.
Chosen from this home's own inspection record.
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.