HomeNebraskaOtoe CountyPrestige Care Center of Nebraska City
D
Poor

Prestige Care Center of Nebraska City

1420 North 10th Street · Nebraska City, NE 68410

4028733304 · For profit - Corporation

64 beds42.7 residents126 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Prestige Care Center of Nebraska City receives an overall staffing grade of D (Poor). With 3.0281 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3562 HPRD, below the recommended 0.75. It is 0.87 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 1.27% compared to weekdays. The facility relies heavily on temporary agency staff (33.29% of hours), suggesting potential workforce instability.

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: 3.0281 HPRD — needs 0.45 more hours per resident per day.
⚠️RN staffing (0.3562 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️33.29% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

Strengths (3)

No days with zero registered nurse hours this quarter
Consistent weekend staffing — only 1.27% drop-off
Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.0281hrs/resident/day 0.87
CMS benchmark: 3.48
RN HPRD
0.3562hrs/resident/day 0.33
Recommended: 0.75
Weekend Drop-off
1.27%
3.039 weekday → 3.0005 weekend
Agency Staff
33.29%
13.61% of RN hours from contractors
High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4hrs/resident/day
Direct care aides
LPN HPRD
0.4009hrs/resident/day
Licensed practical nurses
Consistency
0.2786std 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. Otoe County Average-0.62 HPRD
3.65
03.03 HPRD
vs. Nebraska State Average-1.11 HPRD
4.14
03.03 HPRD
vs. National Average-0.87 HPRD
3.90
03.03 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
Prestige Care Center of Nebraska City
Nebraska City · This facility
D
3.02810.3562☆☆☆☆
The Ambassador Nebraska City, Inc
Nebraska City
0.5 mi
B
4.4040.7026★★★★
Good Samaritan Society - Syracuse
Syracuse
17.4 mi
C
3.51820.4072★★★☆☆
Good Samaritan Society - Auburn
Auburn
20.8 mi
B
3.49120.5784★★★★
Prestige Care Center of Plattsmouth
Plattsmouth
21.8 mi
D
3.40590.3301★★★☆☆
Nye Summit
Louisville
26.6 mi
A
4.10481.0558★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
39
Total Deficiencies
$15,625
Fines Assessed
Dec 17, 2025Health
2 deficiencies cited
Nov 18, 2025Health
4 deficiencies cited
Sep 22, 2025Health
3 deficiencies cited
Nov 13, 2024Health
3 deficiencies cited
Sep 10, 2024Health
2 deficiencies cited· Includes actual harm
Sep 14, 2023Health
4 deficiencies cited
Jun 9, 2022Health
21 deficiencies cited· Includes actual harm

Penalty History

Sep 10, 2024Fine
$15,625
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.