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B
Good

Elwood Care Center

607 Smith Avenue · Elwood, NE 68937

3087853302 · Government - City

43 beds32.6 residents50 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Elwood Care Center receives an overall staffing grade of B (Good). With 3.9866 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6363 HPRD, below the recommended 0.75. It is 0.09 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.98% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

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

🔍 Areas of Concern (1)

⚠️RN staffing (0.6363 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.9866hrs/resident/day▲ 0.09
CMS benchmark: 3.48
RN HPRD
0.6363hrs/resident/day▼ 0.05
Recommended: 0.75
Weekend Drop-off
13.98%
4.1505 weekday → 3.5704 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5603hrs/resident/day
Direct care aides
LPN HPRD
0.6243hrs/resident/day
Licensed practical nurses
Consistency
0.438std 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. Gosper County Average+0.00 HPRD
3.99
03.99 HPRD
vs. Nebraska State Average-0.15 HPRD
4.14
03.99 HPRD
vs. National Average+0.09 HPRD
3.90
03.99 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
Elwood Care Center ★
Elwood · This facility
—
B
3.98660.6363★★★★★
Bertrand Nursing Home
Bertrand
12.7 mi
B
3.70441.102★★★★★
Emerald Nursing & Rehab Cozad
Cozad
20.5 mi
D
3.82280.3939★☆☆☆☆
Christian Homes Health Care Center
Holdrege
25.9 mi
B
3.82470.6406★☆☆☆☆
Holdrege Memorial Homes, Inc
Holdrege
27.9 mi
B
3.61390.7873★★☆☆☆
Hilltop Estates
Gothenburg
28.9 mi
B
4.08910.7964★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

1
Inspections
4
Total Deficiencies
$0
Fines Assessed
Mar 12, 2024Health
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.