Home›Nebraska›Douglas County›Arbor Care Center-Valhaven, LLC
C
Below Standard

Arbor Care Center-Valhaven, LLC

300 West Meigs Street · Valley, NE 68064

4023592533 · For profit - Limited Liability company

66 beds53.8 residents161 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Arbor Care Center-Valhaven, LLC receives an overall staffing grade of C (Below Standard). With 3.2418 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5493 HPRD, below the recommended 0.75. It is 0.65 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.09% compared to weekdays. The facility relies heavily on temporary agency staff (16.18% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2418 HPRD — needs 0.24 more hours per resident per day.
⚠️RN staffing (0.5493 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️16.18% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.2418hrs/resident/day▼ 0.65
CMS benchmark: 3.48
RN HPRD
0.5493hrs/resident/day▼ 0.13
Recommended: 0.75
Weekend Drop-off
12.09%
3.3565 weekday → 2.9506 weekend
Agency Staff
16.18%
1.92% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.1617hrs/resident/day
Direct care aides
LPN HPRD
0.2582hrs/resident/day
Licensed practical nurses
Consistency
0.3066std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Douglas County Average-1.15 HPRD
4.39
03.24 HPRD
vs. Nebraska State Average-0.89 HPRD
4.14
03.24 HPRD
vs. National Average-0.65 HPRD
3.90
03.24 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Arbor Care Center-Valhaven, LLC ★
Valley · This facility
—
C
3.24180.5493★★★☆☆
Life Care Center of Elkhorn
Elkhorn
6.4 mi
B
3.64320.5528★★☆☆☆
Brookestone Meadows Rehabilitation and Care Center
Elkhorn
7.2 mi
A
4.94640.8778★★★★★
The Lighthouse at Lakeside Village
Omaha
9.7 mi
A+
6.28721.616★★★★☆
Nye Pointe Health & Rehab Ctr
Fremont
12 mi
B
3.62760.7146★★★☆☆
Newport House
Omaha
12.2 mi
A
4.82711.4175★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
18
Total Deficiencies
$0
Fines Assessed
Aug 12, 2025Health
9 deficiencies cited
▼
Jul 23, 2024Health
6 deficiencies cited
▼
Jul 25, 2023Health
2 deficiencies cited
▼
Jul 5, 2023Health
1 deficiency cited· Includes actual harm
▼

Penalty History

Jul 5, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.