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C
Below Standard

Genoa Community Hospital/LTC

606 Ewing Avenue · Genoa, NE 68640

4029932283 · Government - City

43 beds39.4 residents79 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

Genoa Community Hospital/LTC receives an overall staffing grade of C (Below Standard). With 3.425 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.621 HPRD, below the recommended 0.75. It is 0.47 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.3% compared to weekdays. The facility has low agency staff usage (1.75% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.425 HPRD — needs 0.06 more hours per resident per day.
⚠️RN staffing (0.621 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 (1.75%) — mostly permanent, familiar staff
Total Nurse HPRD
3.425hrs/resident/day▼ 0.47
CMS benchmark: 3.48
RN HPRD
0.621hrs/resident/day▼ 0.06
Recommended: 0.75
Weekend Drop-off
15.3%
3.5798 weekday → 3.032 weekend
Agency Staff
1.75%
6.92% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.4865hrs/resident/day
Direct care aides
LPN HPRD
0.3175hrs/resident/day
Licensed practical nurses
Consistency
0.3571std 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. Nance County Average+0.17 HPRD
3.26
03.42 HPRD
vs. Nebraska State Average-0.71 HPRD
4.14
03.42 HPRD
vs. National Average-0.47 HPRD
3.90
03.42 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
Genoa Community Hospital/LTC ★
Genoa · This facility
—
C
3.4250.621★★☆☆☆
Cloverlodge Care Center
St Edward
10.8 mi
B
3.49720.674★★★★★
Accura Healthcare of Fullerton
Fullerton
13.3 mi
D
3.08770.3212★★☆☆☆
Brookestone Acres
Columbus
18 mi
B
4.5450.5946★★★★★
Emerald Nursing & Rehab Columbus
Columbus
18.3 mi
D
3.85860.3046★★★☆☆
Good Samaritan Society - Osceola
Osceola
20.3 mi
C
3.47750.7001★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
10
Total Deficiencies
$0
Fines Assessed
May 28, 2025Health
4 deficiencies cited
▼
May 14, 2024Health
5 deficiencies cited
▼
Apr 12, 2023Health
1 deficiency 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.