Highland Park Care Center
1633 Sweetwater, Alliance, NE 69301 · Box Butte County · (308) 762-2525
60 certified beds, about 57 residents a day · Non profit - Corporation · Medicare and Medicaid since 1984
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285063 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 6, 2025, inspectors cited 1 health deficiency (the Nebraska average is 7.4, the national average 9.2).
None of its 9 health citations since July 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 4.79 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
15.5% 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.
307/23
508/24
108/25
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
2E
1F
Potential for minimal harm
0A
0B
0C
August 6, 2025Standard inspection · 1 citation
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 12-006.05(G)Based on record review, interviews, and observations, the facility failed to ensure one (Resident 5) of one sampled resident was free from restraints. The facility identified a census of 55. LICENSURE REFERENCE NUMBER 175-12 006.05(G)Based on record review, interviews, and observations, the facility failed to ensure one (Resident 5) of one sampled resident was free from restraints. The facility identified a census of 55.
August 21, 2024Standard inspection · 5 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteLicense Reference Number 175 NAC 12-006.18 Based on observations, interviews, and record reviews, the facility failed to handle contaminated linens for all residents who were residing within the facility in a way that prevented the potential for cross contamination. The facility census was 53.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 Based on record review and interview, the facility failed to ensure a medication was not given when 1 (Resident 38) of 1 sampled resident's pulse was below the designated parameter in the resident's medication order. The facility census was 53. The Findings Are: A record review of Resident 38's admission record revealed Resident 38 was admitted to the facility on [DATE] and had a diagnosis of essential hypertension (elevated blood pressure). A record review of Resident 38's physician's orders revealed an order for Metoprolol Succinate Extended Release (ER) 24 Hour, 100 Milligrams (MG) one time a day for essential hypertension. The order also stated to hold (not administer) the medication if the resident's pulse was less than 60. [...]
- 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 observations, interview, and record review; the facility failed to ensure 1 (Resident 7) of 2 sampled residents received oxygen therapy as ordered. The facility census was 53. The Findings Are: A record review of Resident 7's Minimum Data Set (MDS), a federally mandated comprehensive assessment tool used for care planning, dated 7/18/24 revealed Resident 7 had a diagnosis of Chronic Obstructive Pulmonary Disorder (COPD), a lung disease that limits airflow and causes breathing problems, and required oxygen therapy. A record review of Resident 7's physician's orders revealed an order for oxygen at 2 liters per minute (lpm) at all times to maintain oxygen saturations above 88% for their diagnosis of COPD. [...]
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.10 Based on record review and interview, the facility failed to ensure 1 (Resident 7) of 15 sampled residents did not receive medication in doses exceeding the parameters set by the prescriber. The facility census was 53. The Findings Are: A record review of Resident 7's Minimum Data Set (MDS), a federally mandated comprehensive assessment tool used for care planning, dated 7/18/24 revealed Resident 7 had a diagnosis of pain and was receiving pain medication routinely. A record review of Resident 7's physician's orders revealed an order for Tylenol 8-Hour Arthritis Pain Tablet Extended Release 650 Milligrams (MG), give 2 tablets by mouth three times a day for pain. The order also stated not to exceed 3 grams (GM) of Tylenol per day and had a start date of 6/27/22. [...]
- D 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 wroteLicense Reference Number 175 NAC 12-006.10 Based on record reviews, observations and interviews, the facility failed to ensure labeled medications and medication orders listed on the Medication Administration Records were the same for 1 (Resident #34) of seven residents sampled.) The facility census was 53. Finds are: Record review of the Physician's Order Summary for Resident #34 during the month of August 2024 revealed an order for Ferrous Sulfate Oral Solution 300 mg (milligrams)/5 ml (milliliter). Staff were to administer 13.5 ml once a daily (13.5 ml is equivalent to a dose of 810 mg of medication). Record review of the Pharmacy Label on the bottle of Ferrous Sulfate liquid revealed Resident #34 was to receive Ferrous Sulfate liquid 18.5 ml daily (18.5 ml of this solution is equivalent to a dose of 814 mg of medication). [...]
July 13, 2023Standard 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 12-006.11E Based on observation and interview the facility failed to label and date opened food items and failed to maintain cleanliness of ceiling vents to prevent the potential for food borne illness. This had the potential to affect all residents in the facility. The facility census was 54.
- E Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.17 Based on observation, record review and interview; the facility failed to disinfect reusable resident care equipment in accordance with manufacturer recommendations and facility policies to prevent the potential spread of infection. The sample size was 17 and the facility census was 56.
- 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 interviews and record review, the facility failed to ensure residents were free from unnecessary medications related to Resident 39's as needed psychoactive (affecting the mind) medication not being given beyond 14 days without a face to face provider reassessment. The sample size was 1 and the facility census was 56.
Fire safety inspections
5 fire safety citations on file: 2 on August 6, 2025, 3 on August 21, 2024.
Every fire safety citation5 citations
- F Ensure proper usage of power strips and extension cords.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Meet other general requirements that are deficient.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure proper usage of power strips and extension cords.
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) | 4.79 | 3.98 | 3.86 |
| Registered nurses | 0.51 | 0.67 | 0.69 |
| All nursing staff on weekends | 4.02 | 3.48 | 3.42 |
| Nurse aides | 3.69 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 15.5% | 48.7% | 45.8% |
| Registered nurse turnover | 0.0% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.31 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 5.10 on weekdays and 4.02 on weekends, 21% 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 3.99 in April to June 2025 to 4.79 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 | 4.79 | 0.51 | 5.10 | 4.02 | 0.0% | 0 of 90 | 57 |
| Oct to Dec 2025 | 4.16 | 0.51 | 4.48 | 3.36 | 0.0% | 0 of 92 | 55 |
| Jul to Sep 2025 | 4.76 | 0.47 | 5.02 | 4.10 | 0.0% | 0 of 92 | 56 |
| Apr to Jun 2025 | 3.99 | 0.52 | 4.32 | 3.16 | 0.0% | 0 of 91 | 56 |
| 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 | 18.5 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.5 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.5 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.6 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.2 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.2 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.9 | 1.8 |
Owners and operators
Legal business name: VSL ALLIANCE 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 |
| Myers, Terri | Contracted managing employee | Individual | 07/01/2017 | |
| Smith, Alice | 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 | |
| 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 | |
| Myers, Terri | Operational/managerial control | Individual | 07/01/2017 | |
| Smith, Alice | 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 |
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 medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 21, 2024: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on August 21, 2024: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on August 21, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 6, 2025: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
Other nursing homes nearby
- Hemingford Care Center Hemingford, 17.9 mi · 1 of 5 stars · 50 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 Highland Park Care Center's Medicare star rating?
- CMS rates Highland Park Care Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Highland Park Care Center get at its last inspection?
- 1 health deficiency at the standard inspection on August 6, 2025. The Nebraska average is 7.4.
- Has Highland Park Care Center been fined?
- CMS lists no fines in the last three years.
- Does Highland Park Care 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 Highland Park Care Center?
- CMS lists 19 owners and managers, and links the home to Vetter Senior Living. Legal business name: VSL ALLIANCE 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.