Oakland Heights
207 South Engdahl Avenue, Oakland, NE 68045 · Burt County · (402) 685-5683
45 certified beds, about 36 residents a day · Government - City · Medicare and Medicaid since 2009
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285281 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 12, 2025, inspectors cited 1 health deficiency (the Nebraska average is 7.4, the national average 9.2).
None of its 3 health citations since August 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 4.40 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
46.8% 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.
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 3 health citations on file.
June 12, 2025Standard inspection · 1 citation
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(G)(ii) Based on record review and interview, the facility failed to ensure that a discharge summary was completed for 1 resident (Resident 89) when they transferred to hospital via the emergency department. The facility had a census of 36.
June 27, 2024Standard inspection · 0 citations
August 15, 2023Standard inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.04c3A(6) Based on interview and record review, the facility failed to ensure the Resident Representative had been notified of a change in condition related to the active dying process for 1 of 1 sampled resident (Resident 92). The facility census was 37. Findings Are: A record review of the facility policy titled Change in a Resident's Condition or Status, with a revision date of 6/3/2020, revealed the following; -A significant change of condition is a decline or improvement in the resident's status that will not normally resolve itself without intervention by staff or by implementing standard disease-related clinical interventions (is not self-limiting) and impacts more than one area of the resident's health status. [...]
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09D Based on interview and record review, the facility failed to obtain and monitor blood presures prior to administering a blood pressure medication for 1 of 3 sampled residents (Resident 22). The facility census was 37. Findings Are: A record review conducted on 08/09/23 at 10:00 AM of the MAR (Medication Administration Record) dated August 2023 revealed Resident 22 had the following medication order; Metoprolol Tablet 50 milligrams (MG) Extended Release (ER) take 1 tablet by mouth at bedtime. Do Not Crush (Hold for SBP (Systolic Blood Pressure -- top number) less than 100 or pulse less than 50). Record review conducted on 08/09/23 at 10:00 AM of the MAR dated August 2023 for Resident 22 revealed no blood pressures had been documented in relation to the Metoprolol order. [...]
Fire safety inspections
10 fire safety citations on file: 3 on June 12, 2025, 2 on June 27, 2024, 5 on August 15, 2023.
Every fire safety citation10 citations
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have simulated fire drills held at unexpected times.
- F Ensure proper usage of power strips and extension cords.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that testing and maintenance of electrical equipment is performed.
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) | 4.40 | 3.98 | 3.86 |
| Registered nurses | 0.63 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.75 | 3.48 | 3.42 |
| Nurse aides | 2.93 | ||
| Licensed practical nurses | 0.84 | ||
| Nursing staff turnover (share who left in a year) | 46.8% | 48.7% | 45.8% |
| Registered nurse turnover | 50.0% | 44.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.60 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 4.67 on weekdays and 3.75 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 23.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.18 in April to June 2025 to 4.40 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 | 4.40 | 0.63 | 4.67 | 3.75 | 23.0% | 0 of 90 | 36 |
| Oct to Dec 2025 | 4.46 | 0.64 | 4.68 | 3.88 | 16.3% | 0 of 92 | 36 |
| Jul to Sep 2025 | 3.95 | 0.63 | 4.19 | 3.34 | 12.0% | 0 of 92 | 37 |
| Apr to Jun 2025 | 4.18 | 0.63 | 4.49 | 3.40 | 3.5% | 0 of 91 | 36 |
| 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 | 27.6 | 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 | 5.3 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.1 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.3 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.4 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.9 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.5 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 1.9 | 1.8 |
Owners and operators
Legal business name: OAKLAND HEIGHTS.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| City of Oakland Ne | Indirect ownership interest | Organization | 11/01/1974 | |
| Oakland Heights | Indirect ownership interest | Organization | 11/01/1974 | |
| Jacobs, Danie | Managing control - governing body | Individual | 01/20/2022 | |
| Johnson, Randall | Managing control - governing body | Individual | 01/01/2019 | |
| Linder, Elisabeth | Managing control - governing body | Individual | 07/21/2025 | |
| Rennerfeldt, Kathleen | Managing control - governing body | Individual | 01/01/2017 | |
| Schernikau, Judy | Managing control - governing body | Individual | 01/01/2020 | |
| Tanksley, Daniel | Managing control - governing body | Individual | 12/31/2019 | |
| Dodd-Lundquist, Roxanne | Operational/managerial control | Individual | 05/27/2025 | |
| Heppner, Nichole | Operational/managerial control | Individual | 02/15/2021 | |
| Johnson, Kelli | Operational/managerial control | Individual | 10/02/2018 | |
| Martin, Tracie | Operational/managerial control | Individual | 06/01/2024 | |
| Nelson, Karen | Operational/managerial control | Individual | 04/10/2013 | |
| Phillips, Brittani | Operational/managerial control | Individual | 06/01/2018 | |
| Rohrs, Rachel | Operational/managerial control | Individual | 04/23/2015 | |
| Shockley, Garrett | Operational/managerial control | Individual | 09/16/2024 | |
| Yeutter, Joshua | Operational/managerial control | Individual | 05/01/2025 | |
| Ameriprise Financial Services, LLC | Trustee of the SNF | Organization | 12/13/1983 | |
| City of Oakland Ne | Trustee of the SNF | Organization | 11/01/1974 | |
| Dodd-Lundquist, Roxanne | Trustee of the SNF | Individual | 05/27/2025 | |
| Jacobs, Danie | Trustee of the SNF | Individual | 01/20/2022 | |
| Johnson, Kelli | Trustee of the SNF | Individual | 10/02/2018 | |
| Martin, Tracie | Trustee of the SNF | Individual | 06/01/2024 | |
| Nelson, Karen | Trustee of the SNF | Individual | 04/10/2013 | |
| Phillips, Brittani | Trustee of the SNF | Individual | 06/01/2018 | |
| Shockley, Garrett | Trustee of the SNF | Individual | 09/16/2024 | |
| Yeutter, Joshua | Trustee of the SNF | Individual | 05/01/2025 | |
| Ameriprise Financial Services, LLC | Adp of the SNF | Organization | 07/14/2025 | |
| City of Oakland Ne | Adp of the SNF | Organization | 07/16/2025 | |
| Oakland Heights | Adp of the SNF | Organization | 11/01/1974 | |
| Dodd-Lundquist, Roxanne | Adp of the SNF | Individual | 05/27/2025 | |
| Heppner, Nichole | Adp of the SNF | Individual | 02/15/2021 | |
| Jacobs, Danie | Adp of the SNF | Individual | 01/20/2022 | |
| Johnson, Kelli | Adp of the SNF | Individual | 10/02/2018 | |
| Johnson, Randall | Adp of the SNF | Individual | 01/01/2019 | |
| Linder, Elisabeth | Adp of the SNF | Individual | 07/21/2025 | |
| Martin, Tracie | Adp of the SNF | Individual | 06/01/2024 | |
| Nelson, Karen | Adp of the SNF | Individual | 04/10/2013 | |
| Phillips, Brittani | Adp of the SNF | Individual | 06/01/2018 | |
| Rennerfeldt, Kathleen | Adp of the SNF | Individual | 01/01/2017 | |
| Rohrs, Rachel | Adp of the SNF | Individual | 04/23/2015 | |
| Schernikau, Judy | Adp of the SNF | Individual | 01/01/2020 | |
| Shockley, Garrett | Adp of the SNF | Individual | 09/16/2024 | |
| Tanksley, Daniel | Adp of the SNF | Individual | 12/31/2019 | |
| Yeutter, Joshua | Adp of the SNF | Individual | 05/01/2025 |
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.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on June 12, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 15, 2023: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- St. Joseph's Hillside Villa West Point, 12.7 mi · 5 of 5 stars · 7 citations
- Accura Healthcare of Tekamah Tekamah, 13.2 mi · 1 of 5 stars · 15 citations
- Colonial Haven Beemer, 19 mi · 5 of 5 stars · 5 citations
- Carl T Curtis Health Education Center Nursing Home Macy, 20.5 mi · 4 of 5 stars · 11 citations
- Accura Healthcare of Onawa Onawa, 23.1 mi · 2 of 5 stars · 34 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 Oakland Heights's Medicare star rating?
- CMS rates Oakland Heights 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Oakland Heights get at its last inspection?
- 1 health deficiency at the standard inspection on June 12, 2025. The Nebraska average is 7.4.
- Has Oakland Heights been fined?
- CMS lists no fines in the last three years.
- Does Oakland Heights 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 Oakland Heights?
- CMS lists 45 owners and managers. Legal business name: OAKLAND HEIGHTS.
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.