York General Hearthstone
2600 North Lincoln Avenue, York, NE 68467 · York County · (402) 362-4333
127 certified beds, about 80 residents a day · Non profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285131 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 9, 2026, inspectors cited 2 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 3 health citations since October 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 3.90 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
43.8% 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.
March 9, 2026Standard inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wrote175 NAC12-006.09(D) Based on record review and interviews, the facility failed to accurately code a Minimum Data Set (MDS- a comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) reflected that an anticoagulant (medication to prevent blood clots from forming) was being given. This affected one (Resident 2) out of the six sampled residents. The facility census was 77.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09Based on record review and interview, the facility failed to ensure ongoing monitoring and assessments were completed to assess for potential adverse effects from antipsychotic medications for Resident 52 and to assess for appropriateness of a physical restraint for Resident 79. The sample size was 5 and the facility census was 77.
November 21, 2024Standard inspection · 0 citations
October 17, 2023Standard inspection · 1 citation
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(4) Based on interview and record review, the facility failed to provide the bathing preferences for 3 (Residents 8, 12, and 78) of 7 sampled residents. The facility census was 85 at the time of survey.
Fire safety inspections
7 fire safety citations on file: 3 on March 9, 2026, 3 on November 21, 2024, 1 on October 17, 2023.
Every fire safety citation7 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide properly protected cooking facilities.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Have generator or other power source capable of supplying service within 10 seconds.
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) | 3.90 | 3.98 | 3.86 |
| Registered nurses | 0.51 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.47 | 3.48 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 1.10 | ||
| Nursing staff turnover (share who left in a year) | 43.8% | 48.7% | 45.8% |
| Registered nurse turnover | 33.3% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.41 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 4.07 on weekdays and 3.47 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.53 in April to June 2025 to 3.90 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 | 3.90 | 0.51 | 4.07 | 3.47 | 7.9% | 0 of 90 | 80 |
| Oct to Dec 2025 | 3.64 | 0.48 | 3.79 | 3.27 | 0.0% | 0 of 92 | 81 |
| Jul to Sep 2025 | 3.68 | 0.51 | 3.90 | 3.14 | 0.0% | 0 of 92 | 82 |
| Apr to Jun 2025 | 3.53 | 0.48 | 3.74 | 3.00 | 11.2% | 0 of 91 | 77 |
| 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.
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.
Official wage estimates for Nebraska
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nebraska, all employers | |||
| CNAs (nursing assistants) | $19.23 | $18.29 to $22.31 | 16,450 |
| LPNs and LVNs | $30.13 | $28.41 to $34.55 | 4,580 |
| Registered nurses | $40.74 | $38.09 to $47.90 | 24,720 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 11.7 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.9 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.9 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.9 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.8 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.8 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.8 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.2 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.9 | 1.8 |
Owners and operators
Legal business name: YORK GENERAL HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| McQuistan, Gayle | W-2 managing employee | Individual | 01/21/2008 | |
| Obermier, Jennifer | W-2 managing employee | Individual | 01/21/2008 | |
| Ulrich, James | W-2 managing employee | Individual | 01/07/2018 | |
| Bartholomew, Mitch | Corporate director | Individual | 09/23/2019 | |
| Berg, Miles | Corporate director | Individual | 08/23/2021 | |
| Carlson, Terri | Corporate director | Individual | 07/27/2020 | |
| Colburn, Carrie | Corporate director | Individual | 08/23/2021 | |
| Ermer, Steve | Corporate director | Individual | 04/22/2019 | |
| Harris, Charles | Corporate director | Individual | 01/21/2008 | |
| Holoch, Kristie | Corporate director | Individual | 01/21/2008 | |
| Jensen, Jane | Corporate director | Individual | 04/01/2021 | |
| North, Tony | Corporate director | Individual | 08/23/2021 | |
| Otte, Cassandra | Corporate director | Individual | 01/21/2008 | |
| Thomas, Kelly | Corporate director | Individual | 01/21/2008 | |
| Witte, Shirley | Corporate director | Individual | 10/28/2019 | |
| York General Hospital | Operational/managerial control | Organization | 01/21/2008 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 9, 2026: "Ensure each resident receives an accurate assessment."
- 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 March 9, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on October 17, 2023: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.47 hours per resident per day, below the Nebraska average of 3.48.
Other nursing homes nearby
- Legacy Square Henderson, 13.3 mi · 2 of 5 stars · 11 citations
- Midwest Covenant Home Stromsburg, 16.1 mi · 3 of 5 stars · 12 citations
- Fairview Manor Fairmont, 17.4 mi · 5 of 5 stars · 3 citations
- Good Samaritan Society - Osceola Osceola, 20.6 mi · 5 of 5 stars · 8 citations
- Memorial Community Care Aurora, 21.8 mi · 5 of 5 stars · 10 citations
- Westfield Quality Care of Aurora Aurora, 22.2 mi · 1 of 5 stars · 22 citations
- Sutton Community Home, Inc. Sutton, 23.4 mi · 3 of 5 stars · 13 citations
- Heritage Crossings Geneva, 24.6 mi · 5 of 5 stars · 3 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 York General Hearthstone's Medicare star rating?
- CMS rates York General Hearthstone 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did York General Hearthstone get at its last inspection?
- 2 health deficiencies at the standard inspection on March 9, 2026. The Nebraska average is 7.4.
- Has York General Hearthstone been fined?
- CMS lists no fines in the last three years.
- Does York General Hearthstone 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 York General Hearthstone?
- CMS lists 16 owners and managers. Legal business name: YORK GENERAL HOSPITAL.
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.