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C
Below Standard

Heritage of Emerson

607 Nebraska Street · Emerson, NE 68733

4026952683 · For profit - Corporation

38 beds32.9 residents39 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very 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

Heritage of Emerson receives an overall staffing grade of C (Below Standard). With 3.1859 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.71 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.31% compared to weekdays. The facility has low agency staff usage (0.92% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1859 HPRD — needs 0.29 more hours per resident per day.

✨ Strengths (3)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.92%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1859hrs/resident/day▼ 0.71
CMS benchmark: 3.48
RN HPRD
0.9289hrs/resident/day▲ 0.25
Recommended: 0.75
Weekend Drop-off
15.31%
3.33 weekday → 2.82 weekend
Agency Staff
0.92%
3.15% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.1949hrs/resident/day
Direct care aides
LPN HPRD
0.1931hrs/resident/day
Licensed practical nurses
Consistency
0.3355std 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-0.24 HPRD
3.42
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
Heritage of Emerson ★
Emerson · This facility
—
C
3.18590.9289★★★★☆
Wakefield Health Care Center
Wakefield
7.6 mi
A
5.24330.8405★★★★☆
Wayne Countryview Care and Rehabilitation
Wayne
14.7 mi
D
3.41050.3911★☆☆☆☆
The Palm at Regency Square
South Sioux City
19.9 mi
B
3.71560.7555★☆☆☆☆
Continental Springs, LLC
South Sioux City
20.3 mi
C
3.36730.5993★★★★☆
Carl T Curtis Health Education Center Nursing Home
Macy
21.8 mi
A+
5.97741.324★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
9
Total Deficiencies
$0
Fines Assessed
Jun 5, 2025Health
4 deficiencies cited
▼
Jun 13, 2024Health
2 deficiencies cited
▼
Apr 20, 2023Health
3 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.