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C
Below Standard

Mitchell Care Center

1723 23rd Street · Mitchell, NE 69357

3086231212 · Government - City/county

50 beds45.9 residents68 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
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

Mitchell Care Center receives an overall staffing grade of C (Below Standard). With 3.7332 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4878 HPRD, below the recommended 0.75. It is 0.16 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 24.89% compared to weekdays. The facility has low agency staff usage (0.1% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4878 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 (0.1%) — mostly permanent, familiar staff
Total Nurse HPRD
3.7332hrs/resident/day▼ 0.16
CMS benchmark: 3.48
RN HPRD
0.4878hrs/resident/day▼ 0.20
Recommended: 0.75
Weekend Drop-off
24.89%
4.0157 weekday → 3.016 weekend
⚠ Significant weekend reduction
Agency Staff
0.1%
0.78% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5648hrs/resident/day
Direct care aides
LPN HPRD
0.7857hrs/resident/day
Licensed practical nurses
Consistency
0.6005std 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. Scott Bluff County Average-0.39 HPRD
4.13
03.73 HPRD
vs. Nebraska State Average-0.40 HPRD
4.14
03.73 HPRD
vs. National Average-0.16 HPRD
3.90
03.73 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
Mitchell Care Center ★
Mitchell · This facility
—
C
3.73320.4878★★★☆☆
Monument Rehabilitation and Care Center
Scottsbluff
8.2 mi
D
3.78570.3258★☆☆☆☆
Northfield Retirement Communities Care Center
Scottsbluff
9.1 mi
B
4.4080.601★☆☆☆☆
Heritage Estates
Gering
10.6 mi
A
4.57470.9094★★★★★
Chimney Rock Villa
Bayard
27.3 mi
C
3.23820.819★☆☆☆☆
Skyview Care and Rehab at Bridgeport
Bridgeport
40.3 mi
A
4.64690.8863★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
20
Total Deficiencies
$3,250
Fines Assessed
Sep 10, 2025Health
3 deficiencies cited
▼
Jun 17, 2025Health
3 deficiencies cited
▼
Aug 13, 2024Health
6 deficiencies cited
▼
Sep 26, 2023Health
7 deficiencies cited
▼
Mar 1, 2023Health
1 deficiency cited
▼

Penalty History

Mar 1, 2023Fine
$3,250
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.