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Jefferson Community Health & Life Gardenside

2200 North H Street, Fairbury, NE 68352 · Jefferson County · (402) 729-5220

39 certified beds, about 30 residents a day · Non profit - Corporation · Medicare and Medicaid since 2009

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 285282 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 8, 2026, inspectors cited 0 health deficiencies (the Nebraska average is 7.4, the national average 9.2).

None of its 5 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 0.14 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.00 of those hours.

53.3% 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.

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
1E
0F
Potential for minimal harm
0A
0B
0C
April 8, 2026Standard inspection · 0 citations
January 8, 2025Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 22, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H) Based on record review and interview; the facility failed to report an incident related to elopement for 1 (Resident 1) of 3 sampled residents. This had the potential to affect 10 residents identified as at risk for elopement. The facility census was 31.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 22, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H) Based on record review and interview; the facility failed to investigate an incident related to elopement for 1 (Resident 1) of 3 sampled residents. This had the potential to affect 10 residents identified as at risk for elopement. The facility census was 31.
November 13, 2024Standard inspection · 1 citation
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 28, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D7b Based on interview and record review; the facility failed to conduct a thorough investigation to determine the root-cause of falls and failed to develop and implement effective interventions to minimize and/or prevent falls for 3 (Residents 5, 16, and 18) of 3 sampled residents. The facility census was 32.
December 21, 2023Standard inspection · 2 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteLicensure reference number 175 NAC 12-006.09B2 Based on observations, interview, and record review, the facility failed to code oxygen use on the Minimum Data Set assessment (MDS is a standardized assessment tool that measures health status in nursing home residents) for 1 (Resident 10) of 1 sampled residents. The facility census was 27.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteLicensure reference number 175 NAC 12-006.17B Based on observations, interviews, and record review, the facility failed to ensure respiratory equipment was stored and oxygen tubing changed in a manner to prevent cross contamination for 1 resident (Resident 10) of 1 resident sampled. The facility identified a census of 27 residents.

Fire safety inspections

17 fire safety citations on file: 11 on April 8, 2026, 3 on November 13, 2024, 3 on December 21, 2023.

Every fire safety citation17 citations
  1. F
    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
    K 132 · April 8, 2026 · Corrected (the home has a date of correction)
  2. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · April 8, 2026 · Corrected (the home has a date of correction)
  3. F
    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.
    K 222 · April 8, 2026 · Corrected (the home has a date of correction)
  4. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · April 8, 2026 · Corrected (the home has a date of correction)
  5. F
    Have properly located and lighted "Exit" signs.
    K 293 · April 8, 2026 · Corrected (the home has a date of correction)
  6. F
    Provide properly protected cooking facilities.
    K 324 · April 8, 2026 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 8, 2026 · Corrected (the home has a date of correction)
  8. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · April 8, 2026 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 8, 2026 · Corrected (the home has a date of correction)
  10. F
    Ensure proper usage of power strips and extension cords.
    K 920 · April 8, 2026 · Corrected (the home has a date of correction)
  11. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · April 8, 2026 · Corrected (the home has a date of correction)
  12. F
    Meet other general requirements.
    K 200 · November 13, 2024 · Corrected (the home has a date of correction)
  13. F
    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.
    K 222 · November 13, 2024 · Corrected (the home has a date of correction)
  14. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · November 13, 2024 · Corrected (the home has a date of correction)
  15. F
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · December 21, 2023 · Corrected (the home has a date of correction)
  16. F
    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
    K 132 · December 21, 2023 · Waiver
  17. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 21, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeNebraskaUnited States
All nursing staff (RN, LPN and aides)0.143.983.86
Registered nurses0.000.670.69
All nursing staff on weekends0.103.483.42
Nurse aides0.14
Licensed practical nurses0.00
Nursing staff turnover (share who left in a year)53.3%48.7%45.8%
Registered nurse turnover60.0%44.1%42.9%
Administrators who leftnot reported

CMS expects 3.21 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 0.16 on weekdays and 0.10 on weekends, 38% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 100.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.91 in April to June 2025 to 0.14 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20260.140.000.160.10 100.0%90 of 9030
Oct to Dec 20255.131.045.554.07 2.6%0 of 9228
Jul to Sep 20254.750.875.213.59 2.1%0 of 9231
Apr to Jun 20254.911.005.383.73 0.0%0 of 9129
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Nebraska, Jan to Mar 20264.010.664.213.537.1%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

JobMedianMiddle halfEmployed
Nebraska, all employers
CNAs (nursing assistants)$19.23$18.29 to $22.3116,450
LPNs and LVNs$30.13$28.41 to $34.554,580
Registered nurses$40.74$38.09 to $47.9024,720
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Jefferson Community Health & Life Gardenside. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNebraskaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
18.919.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.71.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.72.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.54.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.318.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.54.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.320.715.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.91.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Jefferson Community Health & Life Gardenside's Medicare short-stay residents. How to read these, and what Medicare pays for.

CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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: JEFFERSON COMMUNITY HEALTH CENTER INC.

NameRoleTypeShareSince
Jefferson Community Health Center Inc5% or greater direct ownership interestOrganization100%09/25/2009
Boeckner, RossCorporate directorIndividual01/01/2020
Christ, DallasCorporate directorIndividual01/20/2022
Fulton, JustinCorporate directorIndividual01/16/2025
Scherbarth, CarolynCorporate directorIndividual01/20/2022
Schlake, KendallCorporate directorIndividual01/16/2025
Snyder, StevenCorporate directorIndividual01/20/2022
Stewart, SaraCorporate directorIndividual01/19/2023
Wellsandt, DianeCorporate directorIndividual01/19/2023
Klasek, ChanceCorporate officerIndividual08/24/2013
Wolff, HollyCorporate officerIndividual01/06/2025
Jefferson Community Health Center IncOperational/managerial controlOrganization12/26/2024
Stroklund, RebeccaOperational/managerial controlIndividual01/01/2021
Stroklund, RebeccaAdp of the SNFIndividual01/01/2021
Wolff, HollyAdp of the SNFIndividual01/06/2025

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.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 8, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  2. 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 November 13, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on December 21, 2023: "Ensure each resident receives an accurate assessment."
  4. 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 December 21, 2023: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 0.10 hours per resident per day, below the Nebraska average of 3.48.

Other nursing homes nearby

Nebraska contacts for a concern about a nursing home

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Common questions

What is Jefferson Community Health & Life Gardenside's Medicare star rating?
CMS rates Jefferson Community Health & Life Gardenside 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Jefferson Community Health & Life Gardenside get at its last inspection?
0 health deficiencies at the standard inspection on April 8, 2026. The Nebraska average is 7.4.
Has Jefferson Community Health & Life Gardenside been fined?
CMS lists no fines in the last three years.
Does Jefferson Community Health & Life Gardenside 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 Jefferson Community Health & Life Gardenside?
CMS lists 15 owners and managers. Legal business name: JEFFERSON COMMUNITY HEALTH CENTER INC.

Sources

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