Home / Nebraska / Central City
Litzenberg Memorial County Hospital
1715 26th Street, Central City, NE 68826 · Merrick County · (308) 946-2920
46 certified beds, about 30 residents a day · Government - County · Medicare and Medicaid since 2014
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285292 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 11, 2025, inspectors cited 1 health deficiency (the Nebraska average is 7.4, the national average 9.2).
None of its 7 health citations since June 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 3.49 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.
30.0% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
CMS links it to Good Samaritan Society, an affiliated group of 92 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 7 health citations on file.
September 11, 2025Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18 Based on observations, interviews, and record review; the facility failed to ensure staff performed hand hygiene and change gloves during wound cares for 1 (Resident 2) out 4 sampled residents. The facility also failed to ensure staff wore a gown, did not use contaminated gloves when accessing the clean wipes container, perform hand hygiene and change gloves during catheter cares for 2 (Residents 2 & 4) out of 3 sampled residents to prevent the potential for cross contamination. The facility had a census of 33.
August 13, 2024Standard inspection, Complaint inspection · 5 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(A)(ii) Licensure Reference Number 175 NAC 12-006.18 Licensure Reference Number 175 NAC 12-006.19 Based on record review, observations, and interviews; the facility failed to ensure that pre-employment health history screens were reviewed to prevent the potential for transmission of contagious disease for 2 of 3 staff, which had the potential to affect all residents. The facility failed to ensure that the tub and shower room was maintained in a clean and sanitary manner, which had the potential to affect all residents. The facility failed to ensure that Enhanced Barrier Precautions (EBP) were implemented as needed upon admission of new residents requiring EBP, which affected 1 resident, (Resident 132) of 3 sampled residents. [...]
- E Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteLicensure Reference Number 175NAC 12-006.09(F)(i) Based on record review and interviews; the facility failed to ensure that the medical record contained documentation that the written summary of the baseline care plan (a written plan required to be developed within 48 hours of admission detailing the instructions needed to provide initial effective and person-centered quality care for a resident) was provided to the resident/resident representative as required for 2 of 9 residents (Residents 23, and 26). This had the potential to prevent the resident/resident representative from identifying additional care and goals required for the resident; and the facility failed to ensure that the baseline care plans were completed with the necessary information to care for 1 of 3 newly admitted residents (Residents 132). The facility census was 30.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteLicensure Reference Number 175NAC 12-00.10(D) Based on observation, record review, and interviews; the facility failed to have a medication error rate less then 5% with an observed medication error rate of 10.53%. This affected 3 residents,(Resident 3, 20, and 22), of 9 sampled Residents.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteLicensure Reference Number 175NAC 12-006.09(H)(iv)(1) Based on observations, record review, and interviews; the facility failed to prevent urinary catheters from becoming contaminated during personal cares and transportation of a resident in a wheelchair for 2 (Resident 3 and 27) of 3 sampled residents. Facility stated census of 30.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteLicense Reference Number 175 NAC 12-006.09(J) The facility failed to ensure the physician ordered and recommended amount of Glucerna was provided to residents who had triggered for malnutrition or those at risk of malnutrition. This affected 1 (Resident 15) of 3 sampled residents. The facility census was 30.
June 29, 2023Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteLicense Reference Number 175NAC 12-006.11E The facility failed to ensure that staff performed hand sanitization (hand washing using soap and water or an alcohol-based hand rub (ABHR) during meal preparation to prevent the potential for foodborne illness. This affected all facility residents; and the facility failed to provide meal service in a manner to prevent the potential for cross contamination and foodborne illness. This affected 21 residents observed (Residents 85, 4, 30, 15, 84, 25, 14, 1, 7, 29, 21, 13, 8, 28, 5, 3, 6, 2, 18, 16, and 12). The facility census was 31.
Fire safety inspections
8 fire safety citations on file: 2 on September 11, 2025, 3 on August 13, 2024, 3 on June 29, 2023.
Every fire safety citation8 citations
- F Implement emergency and standby power systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Provide properly protected cooking facilities.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have proper medical gas storage and administration areas.
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) | 3.49 | 3.98 | 3.86 |
| Registered nurses | 0.65 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.15 | 3.48 | 3.42 |
| Nurse aides | 2.15 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 30.0% | 48.7% | 45.8% |
| Registered nurse turnover | not reported | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.55 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 3.63 on weekdays and 3.15 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.49 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 | 3.49 | 0.65 | 3.63 | 3.15 | 0.1% | 0 of 90 | 30 |
| Oct to Dec 2025 | 3.52 | 0.72 | 3.66 | 3.16 | 0.2% | 0 of 92 | 31 |
| Jul to Sep 2025 | 3.22 | 0.61 | 3.37 | 2.83 | 0.1% | 0 of 92 | 34 |
| Apr to Jun 2025 | 3.44 | 0.56 | 3.57 | 3.11 | 1.0% | 0 of 91 | 32 |
| 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 | 17.3 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.6 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 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 | 22.3 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.4 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.3 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 38.2 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.4 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.9 | 1.8 |
Owners and operators
Legal business name: LITZENBERG MEMORIAL MERRICK COUNTY. CMS links this home to Good Samaritan Society, a group of 92 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Merrick County | 5% or greater indirect ownership interest | Organization | 100% | 07/01/2017 |
| Glasser, Ronald | Corporate director | Individual | 11/12/1986 | |
| Huggett, Raymond | Corporate director | Individual | 07/01/1999 | |
| Wolfe, Katheryn | Corporate director | Individual | 02/01/2002 | |
| Benner, Tyson | Corporate officer | Individual | 10/20/2021 | |
| Glasser, Ronald | Corporate officer | Individual | 07/01/1989 | |
| The Evangelical Lutheran Good Samaritan Society | Operational/managerial control | Organization | 07/01/2017 | |
| Johnson, Laurie | Operational/managerial control | Individual | 01/13/2012 | |
| Mahnke, Steven | Operational/managerial control | Individual | 06/01/2011 | |
| Triplett, Emily | Operational/managerial control | Individual | 07/01/2017 | |
| Vandewalle, Melissa | Operational/managerial control | Individual | 08/19/2024 | |
| Vandewalle, Melissa | Adp of the SNF | Individual | 08/19/2024 |
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.
- 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 September 11, 2025: "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 13, 2024: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 13, 2024: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 13, 2024: "Ensure medication error rates are not 5 percent or greater."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.15 hours per resident per day, below the Nebraska average of 3.48.
Other nursing homes nearby
- Adept Nursing & Rehab of Central City Central City, 0.1 mi · 2 of 5 stars · 19 citations
- Memorial Community Care Aurora, 16.2 mi · 5 of 5 stars · 10 citations
- Westfield Quality Care of Aurora Aurora, 16.4 mi · 1 of 5 stars · 22 citations
- Accura Healthcare of Fullerton Fullerton, 18.1 mi · 3 of 5 stars · 19 citations
- Midwest Covenant Home Stromsburg, 21.6 mi · 3 of 5 stars · 12 citations
- Adept Nursing & Rehab of Grand Island Grand Island, 22.5 mi · 1 of 5 stars · 33 citations
- Chi Health St. Francis Grand Island, 22.6 mi · 3 of 5 stars · 7 citations
- Good Samaritan Society - Grand Island Village Grand Island, 23.1 mi · 1 of 5 stars · 23 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 Litzenberg Memorial County Hospital's Medicare star rating?
- CMS rates Litzenberg Memorial County Hospital 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Litzenberg Memorial County Hospital get at its last inspection?
- 1 health deficiency at the standard inspection on September 11, 2025. The Nebraska average is 7.4.
- Has Litzenberg Memorial County Hospital been fined?
- CMS lists no fines in the last three years.
- Does Litzenberg Memorial County Hospital 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 Litzenberg Memorial County Hospital?
- CMS lists 12 owners and managers, and links the home to Good Samaritan Society. Legal business name: LITZENBERG MEMORIAL MERRICK COUNTY.
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.