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C
Below Standard

Continental Springs, LLC

3200 G Street · South Sioux City, NE 68776

4024943043 · For profit - Individual

77 beds55.4 residents69 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
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

Continental Springs, LLC receives an overall staffing grade of C (Below Standard). With 3.3673 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5993 HPRD, below the recommended 0.75. It is 0.53 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.69% compared to weekdays. The facility has low agency staff usage (1.22% of hours), suggesting a mostly permanent workforce.

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

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3673 HPRD — needs 0.11 more hours per resident per day.
⚠️RN staffing (0.5993 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (1.22%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3673hrs/resident/day▼ 0.53
CMS benchmark: 3.48
RN HPRD
0.5993hrs/resident/day▼ 0.08
Recommended: 0.75
Weekend Drop-off
12.69%
3.4926 weekday → 3.0494 weekend
Agency Staff
1.22%
0.79% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.0618hrs/resident/day
Direct care aides
LPN HPRD
0.2261hrs/resident/day
Licensed practical nurses
Consistency
0.3411std 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. Dakota County Average-0.06 HPRD
3.42
03.37 HPRD
vs. Nebraska State Average-0.77 HPRD
4.14
03.37 HPRD
vs. National Average-0.53 HPRD
3.90
03.37 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
Continental Springs, LLC ★
South Sioux City · This facility
—
C
3.36730.5993★★★★☆
The Palm at Regency Square
South Sioux City
0.5 mi
B
3.71560.7555★☆☆☆☆
Heritage of Emerson
Emerson
20.3 mi
C
3.18590.9289★★★★☆
Carl T Curtis Health Education Center Nursing Home
Macy
23.5 mi
A+
5.97741.324★★★★★
Wakefield Health Care Center
Wakefield
27.2 mi
A
5.24330.8405★★★★☆
Wayne Countryview Care and Rehabilitation
Wayne
34.1 mi
D
3.41050.3911★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
10
Total Deficiencies
$0
Fines Assessed
Oct 31, 2024Health
2 deficiencies cited
▼
Mar 19, 2024Health
1 deficiency cited
▼
Aug 24, 2023Health
1 deficiency cited
▼
Aug 3, 2022Health
6 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.