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C
Below Standard

Heritage Care Center

909 17th Street · Fairbury, NE 68352

4027292289 · Non profit - Corporation

100 beds46.8 residents54 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

Heritage Care Center receives an overall staffing grade of C (Below Standard). With 3.1926 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5271 HPRD, below the recommended 0.75. It is 0.70 HPRD below the national average.

Weekend staffing drops significantly — dropping 36.36% 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 (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1926 HPRD — needs 0.29 more hours per resident per day.
⚠️RN staffing (0.5271 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 36.36% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1926hrs/resident/day▼ 0.70
CMS benchmark: 3.48
RN HPRD
0.5271hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
36.36%
3.5583 weekday → 2.2643 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.1285hrs/resident/day
Direct care aides
LPN HPRD
1.0594hrs/resident/day
Licensed practical nurses
Consistency
0.6878std 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. Jefferson County Average-0.78 HPRD
3.97
03.19 HPRD
vs. Nebraska State Average-0.94 HPRD
4.14
03.19 HPRD
vs. National Average-0.70 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
Heritage Care Center ★
Fairbury · This facility
—
C
3.19260.5271★★☆☆☆
Jefferson Community Health & Life Gardenside
Fairbury
0.4 mi
A
4.75670.8669★★★★★
Blue Valley Lutheran Nursing Home
Hebron
22.1 mi
B
3.98850.6695★★★★☆
Good Samaritan Society - Beatrice
Beatrice
24.9 mi
C
3.75770.5166★★★☆☆
Beatrice Health and Rehabilitaion
Beatrice
25 mi
D
3.52530.3381★★★☆☆
Wilber Care Center
Wilber
25.9 mi
B
4.5690.5618★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
11
Total Deficiencies
$0
Fines Assessed
Aug 5, 2025Health
1 deficiency cited
▼
Jun 17, 2025Health
4 deficiencies cited
▼
Feb 19, 2025Health
2 deficiencies cited
▼
May 2, 2024Health
2 deficiencies cited
▼
Jun 16, 2023Health
2 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.