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C
Below Standard

Litzenberg Memorial County Hospital

1715 26th Street · Central City, NE 68826

3089462920 · Government - County

46 beds33.5 residents55 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

Litzenberg Memorial County Hospital receives an overall staffing grade of C (Below Standard). With 3.2192 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6151 HPRD, below the recommended 0.75. It is 0.68 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.01% compared to weekdays. The facility has low agency staff usage (0.11% 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: 3.2192 HPRD — needs 0.26 more hours per resident per day.
⚠️RN staffing (0.6151 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 (0.11%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2192hrs/resident/day▼ 0.68
CMS benchmark: 3.48
RN HPRD
0.6151hrs/resident/day▼ 0.07
Recommended: 0.75
Weekend Drop-off
16.01%
3.3718 weekday → 2.832 weekend
Agency Staff
0.11%
0.56% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
0.9576hrs/resident/day
Direct care aides
LPN HPRD
0.7813hrs/resident/day
Licensed practical nurses
Consistency
0.3726std 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. Merrick County Average+0.06 HPRD
3.15
03.22 HPRD
vs. Nebraska State Average-0.92 HPRD
4.14
03.22 HPRD
vs. National Average-0.68 HPRD
3.90
03.22 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
Litzenberg Memorial County Hospital ★
Central City · This facility
—
C
3.21920.6151★★★★☆
The Oaks at Central City
Central City
0.1 mi
D
3.09030.3654★★☆☆☆
Memorial Community Care
Aurora
16.2 mi
C
4.45450.4834★★★★☆
Westfield Quality Care of Aurora
Aurora
16.4 mi
C
4.48810.4156★☆☆☆☆
Accura Healthcare of Fullerton
Fullerton
18 mi
D
3.08770.3212★★☆☆☆
Midwest Covenant Home
Stromsburg
21.6 mi
B
4.58490.5693★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
7
Total Deficiencies
$0
Fines Assessed
Sep 11, 2025Health
1 deficiency cited
▼
Aug 13, 2024Health
5 deficiencies cited
▼
Jun 29, 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.