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C
Below Standard

Arbor Care Centers-Countryside LLC

703 North Main Street · Madison, NE 68748

4024543373 · For profit - Limited Liability company

70 beds35.8 residents64 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 Centers-Countryside LLC receives an overall staffing grade of C (Below Standard). With 3.1854 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5355 HPRD, below the recommended 0.75. It is 0.71 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.5% compared to weekdays. The facility uses a moderate level of agency staff (12.17% of hours), suggesting some reliance on temporary workers.

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

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1854 HPRD — needs 0.29 more hours per resident per day.
⚠️RN staffing (0.5355 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
3.1854hrs/resident/day▼ 0.71
CMS benchmark: 3.48
RN HPRD
0.5355hrs/resident/day▼ 0.15
Recommended: 0.75
Weekend Drop-off
15.5%
3.3313 weekday → 2.8151 weekend
Agency Staff
12.17%
40.33% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.7577hrs/resident/day
Direct care aides
LPN HPRD
0.1755hrs/resident/day
Licensed practical nurses
Consistency
0.3997std 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. Madison County Average-0.69 HPRD
3.87
03.19 HPRD
vs. Nebraska State Average-0.95 HPRD
4.14
03.19 HPRD
vs. National Average-0.71 HPRD
3.90
03.19 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 Centers-Countryside LLC ★
Madison · This facility
—
C
3.18540.5355★☆☆☆☆
Community Pride Care Center
Battle Creek
13 mi
C
3.20720.7414★★★★☆
Stanton Health Center
Stanton
13.5 mi
B
3.99530.785★★★★☆
St. Joseph's Rehabilitation and Care Center
Norfolk
14.2 mi
B
3.93570.6608★★☆☆☆
Heritage of Bel Air
Norfolk
14.4 mi
B
4.12220.6343★★★★☆
Mid-Nebraska Lutheran Home
Newman Grove
17.9 mi
D
4.90290.3526★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
27
Total Deficiencies
$0
Fines Assessed
Dec 18, 2025Health
4 deficiencies cited
▼
Dec 5, 2024Health
8 deficiencies cited
▼
Aug 22, 2024Health
1 deficiency cited
▼
Nov 14, 2023Health
7 deficiencies cited
▼
Sep 27, 2023Health
3 deficiencies cited· Includes actual harm
▼
Oct 6, 2022Health
4 deficiencies cited
▼
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.