B+
80/100

Sandhills Care Center Inspection Report, Violations & Safety Grade (Ainsworth, Nebraska)

143 N Fullerton Street, Ainsworth, Nebraska 69210

Phone: 4023871294

CMS Overall:4/5

Overview & Bed Count

Certified Beds
46
Avg Residents/Day
32.2
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Brown
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityNebraska AvgDifference
RN Hours per Resident per Day0.700.69+0.01
Total Nurse Hours per Resident per Day3.964.12-0.16
CMS Staffing Rating3/53.3/5-
Nursing Staff Turnover65.2%48.5%-

Health Citation History

24 health citations on record

DateCategoryDescriptionSeverity
2026-08-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-08-26Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.E – Moderate Harm Potential
2026-08-26Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-08-26Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2026-08-26Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2026-08-26Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-08-26Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2025-06-17Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2025-06-17Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2025-06-17Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-06-17Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-06-17Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-05-23Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-05-23Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-05-23Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E – Moderate Harm Potential
2024-05-23Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2024-05-23Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-05-23Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-05-23Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D – Moderate Harm Potential
2024-05-23Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-05-23Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2024-05-23Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2024-05-23Freedom from Abuse, Neglect, and Exploitation DeficienciesNot hire anyone with a finding of abuse, neglect, exploitation, or theft.C – Minimal Harm Potential
2023-10-26Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential

Fire Safety Citation History

20 fire safety citations on record

DateCategoryDescriptionSeverity
2026-08-26Egress DeficienciesMeet other general requirements that are deficient.F – Moderate Harm Potential
2026-08-26Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-08-26Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2026-08-26Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2026-08-26Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2026-08-26Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2025-06-17Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2025-06-17Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-06-17Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.F – Moderate Harm Potential
2025-06-17Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-06-17Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-06-17Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.F – Moderate Harm Potential
2025-06-17Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-06-17Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use and maintenance of medical gas equipment.E – Moderate Harm Potential
2024-05-23Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.F – Moderate Harm Potential
2024-05-23Emergency Preparedness DeficienciesProvide family notifications of emergency plan.F – Moderate Harm Potential
2024-05-23Egress DeficienciesAdd 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.F – Moderate Harm Potential
2024-05-23Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2024-05-23Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use and maintenance of medical gas equipment.F – Moderate Harm Potential
2024-05-23Gas, Vacuum, and Electrical Systems DeficienciesEnsure that sources of ignition are removed from patients receiving respiratory therapy.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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