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Nye Legacy Health & Rehabilitation Center

3210 N Clarkson, Fremont, NE 68025 · Dodge County · (402) 721-9300

100 certified beds, about 84 residents a day · For profit - Corporation · Medicare and Medicaid since 2008

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 285278 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 22, 2025, inspectors cited 1 health deficiency (the Nebraska average is 7.4, the national average 9.2).

None of its 13 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 4.37 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.

47.1% 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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
2E
1F
Potential for minimal harm
0A
0B
0C
April 22, 2025Standard inspection · 1 citation
  1. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 6, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H) Based on record review and an interview, the facility failed to ensure an as needed psychotropic medication (work by altering brain chemistry) had a 14-day stop date as required for Resident 18. This affected 1 of 3 residents review for unnecessary medication use. The facility census was 85. Findings Are: A record review of the facility policy Use of Psychotropic Medication Guideline with a date implemented of 2023 revealed: [...]
May 14, 2024Standard inspection · 8 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.11E Based on observations, interviews, and record review; the facility failed to ensure food items were dated upon opening to prevent the potential for food borne illness, this had the potential to affect 85 of 85 residents who ate meals from the kitchen. The facility identified a census of 85.
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12.006.09D6(7) Licensure Reference Number 175 NAC 12.006.09D6(5) Licensure Reference Number 175 NAC 12.006.09D3(5) Based on observation, interview, and record review, the facility failed to ensure 1 (Resident 32) of 5 sampled resident's physician order was followed to add oxygen to keep oxygen saturations greater than 90%, ensure 1 (Resident 36) of 1 sampled resident's fluid intake restriction was followed per physician's order, failed to prevent constipation for 2 (Residents 7 and 27) of 3 sampled residents, and failed to follow physician orders regarding medication parameters for 1 (Residents 8) of 5 sampled residents. The facility census was 85.
  3. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteE. A record review of Resident 30's Clinical Census page printed 05/13/2024 revealed the resident was admitted on [DATE]. A record review of Resident 30's Medical Diagnosis list printed 05/09/2024 revealed the resident had diagnoses of obstructive sleep apnea (OSA-a sleep disorder that occurs when throat muscles relax and block the flow of air into your lungs while you sleep), and central cord syndrome (CCS-an incomplete spinal cord injury) at level C2 (C2 is one of the top bones in the spine. Someone with a CCS at this level is at risk of developing breathing problems). [...]
  4. 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) June 28, 2024
    Inspectors wroteLicensure Reference 175 NAC 12-006.09B Based on record review and interviews; the facility failed to ensure the accuracy of the Minimum Data Set (MDS-a comprehensive assessment of each resident's functional capabilities) for Resident 73 regarding discharge and for Resident 62 regarding the presence and use of a feeding tube. This affected 2 of 19 residents sampled for MDS accuracy. The facility census was 85.
  5. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09C3 Based on record review and interviews; the facility failed to complete a discharge summary including a recapitulation of stay for Resident 73. This affected 1 resident sampled for discharge. The facility census was 85.
  6. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on record review and interviews; the facility failed to ensure residents were free from unnecessary medications related to giving acetaminophen (a medication used to treat minor aches and pains and reduce fever) over the recommended daily dosages for 1 (Resident 175) of 5 sampled residents. The facility identified a census of 85.
  7. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.12E1 Based on observation, interviews and record review, the facility failed to secure two medications for 1 (Resident 7) of 4 sampled residents. Facility identified census of 85.
  8. 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) June 28, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D3(1), 12-006.09D6(7) Based on observations, record reviews and interviews, the facility failed to ensure indwelling catheter (a tube inserted into the bladder to drain urine) cares were performed in a manner to prevent urinary tract infections (UTIs) for Resident 63, failed to ensure the Continuous Positive Airway Pressure (CPAP-a machine that delivers just enough air pressure to a mask worn over the nose or mouth to keep the upper airway passages open) mask was cleaned daily, and failed to ensure the nasal cannulas (a device that delivers supplemental oxygen through a tube and into the nose) for Residents 36 and 175 were stored when not in use in a manner to prevent cross contamination. This affected 3 of 10 resident sampled for infection control. The facility census was 85.
June 21, 2023Standard inspection · 4 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 14, 2023
    Inspectors wroteSurveyor: [NAME], [NAME] Licensure Reference Number 175 NAC 12-006.04C3a(6) Based on interview and record review, the facility staff failed to notify 1 (Resident 60) of 3 sampled residents representative of an injury. The facility identified a census of 80.
  2. D
    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, isolated · Corrected (the home has a date of correction) July 14, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D7 Based on observation, interview, and record review the facility failed to ensure a non-slip material was placed above and below a pressure relieving cushion in the recliner to prevent a fall for 1 (Resident 47) of 6 sampled residents. Total facility census was 80.
  3. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 14, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on record review and interview; the facility failed to ensure non-pharmacological interventions were attempted prior to administration of an as needed (PRN) pain medication for 1 (Resident 43) of 5 sampled residents. The facility census was 80.
  4. 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) July 14, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.17D Based on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene (sanitizing) using hand sanitizer or wash hands with soap and water for at least 20 seconds to prevent cross contamination for 1( Residents 47) of 3 sampled residents . The facility census was 80.

Fire safety inspections

20 fire safety citations on file: 2 on April 22, 2025, 3 on May 14, 2024, 15 on June 21, 2023.

Every fire safety citation20 citations
  1. 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 22, 2025 · Corrected (the home has a date of correction)
  2. E
    Meet requirements for the use and maintenance of medical gas equipment.
    K 922 · April 22, 2025 · Corrected (the home has a date of correction)
  3. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · May 14, 2024 · Corrected (the home has a date of correction)
  4. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 14, 2024 · Corrected (the home has a date of correction)
  5. E
    Have restrictions on the use of portable space heaters.
    K 781 · May 14, 2024 · Corrected (the home has a date of correction)
  6. F
    Implement emergency and standby power systems.
    E 41 · June 21, 2023 · Corrected (the home has a date of correction)
  7. 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 · June 21, 2023 · Corrected (the home has a date of correction)
  8. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 21, 2023 · Waiver
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 21, 2023 · Corrected (the home has a date of correction)
  10. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · June 21, 2023 · Corrected (the home has a date of correction)
  11. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 21, 2023 · Corrected (the home has a date of correction)
  12. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · June 21, 2023 · Corrected (the home has a date of correction)
  13. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 21, 2023 · Corrected (the home has a date of correction)
  14. F
    Ensure proper usage of power strips and extension cords.
    K 920 · June 21, 2023 · Corrected (the home has a date of correction)
  15. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · June 21, 2023 · Corrected (the home has a date of correction)
  16. E
    Install corridor and hallway doors that block smoke.
    K 363 · June 21, 2023 · Corrected (the home has a date of correction)
  17. E
    Provide a written emergency evacuation plan.
    K 711 · June 21, 2023 · Corrected (the home has a date of correction)
  18. E
    Have proper medical gas storage and administration areas.
    K 923 · June 21, 2023 · Corrected (the home has a date of correction)
  19. D
    Install an approved automatic sprinkler system.
    K 351 · June 21, 2023 · Corrected (the home has a date of correction)
  20. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 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)4.373.983.86
Registered nurses1.050.670.69
All nursing staff on weekends3.873.483.42
Nurse aides2.82
Licensed practical nurses0.51
Nursing staff turnover (share who left in a year)47.1%48.7%45.8%
Registered nurse turnover26.3%44.1%42.9%
Administrators who left1

CMS expects 3.87 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 4.58 on weekdays and 3.87 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.56 in April to June 2025 to 4.37 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.371.054.583.87 10.7%0 of 9084
Oct to Dec 20254.441.004.604.03 12.1%0 of 9280
Jul to Sep 20254.611.094.863.97 10.8%0 of 9286
Apr to Jun 20254.560.994.774.03 12.8%0 of 9186
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 Nye Legacy Health & Rehabilitation Center. 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
21.419.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.51.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
6.92.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.14.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.42.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
32.718.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.64.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.420.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.920.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
17.911.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.61.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.91.91.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Nye Legacy Health & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (56.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

56.3% this home

Better 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. 381 eligible stays.

Potentially preventable readmissions

10.9% 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. 417 eligible stays.

Infections that led to a hospital stay

5.5% 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. 252 eligible stays.

Self-care and mobility at discharge

54.0% 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. 222 residents counted.

Falls with major injury

0.7% 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. 273 residents counted.

New or worsened pressure ulcers

4.0% 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. 273 residents counted.

Medication list given at discharge

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. 89 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.

Owners and operators

Legal business name: FREMONT CARE CENTER INC.

NameRoleTypeShareSince
Peterson, Jennifer5% or greater direct ownership interestIndividual50%10/01/2008
Peterson, Russell5% or greater direct ownership interestIndividual50%10/01/2008
Sweeney, DanielW-2 managing employeeIndividual04/01/2018
Paragon Management Services IncOperational/managerial controlOrganization07/01/1998

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 medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on April 22, 2025: "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."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on May 14, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 14, 2024: "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 2 problems in this area, most recently on May 14, 2024: "Provide and implement an infection prevention and control program."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Nebraska contacts for a concern about a nursing home

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Common questions

What is Nye Legacy Health & Rehabilitation Center's Medicare star rating?
CMS rates Nye Legacy Health & Rehabilitation Center 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 Nye Legacy Health & Rehabilitation Center get at its last inspection?
1 health deficiency at the standard inspection on April 22, 2025. The Nebraska average is 7.4.
Has Nye Legacy Health & Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Nye Legacy Health & Rehabilitation 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 Nye Legacy Health & Rehabilitation Center?
CMS lists 4 owners and managers. Legal business name: FREMONT CARE CENTER INC.

Sources

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