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B
Good

The Birch at Sutherland

333 Maple Street · Sutherland, NE 69165

3083864393 · For profit - Limited Liability company

60 beds40.4 residents78 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

The Birch at Sutherland receives an overall staffing grade of B (Good). With 4.0812 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6195 HPRD, below the recommended 0.75. It is 0.18 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 23.25% compared to weekdays. The facility relies heavily on temporary agency staff (22.69% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.6195 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️22.69% 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 (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.0812hrs/resident/day▲ 0.18
CMS benchmark: 3.48
RN HPRD
0.6195hrs/resident/day▼ 0.06
Recommended: 0.75
Weekend Drop-off
23.25%
4.3682 weekday → 3.3527 weekend
⚠ Significant weekend reduction
Agency Staff
22.69%
5.25% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0433hrs/resident/day
Direct care aides
LPN HPRD
0.7208hrs/resident/day
Licensed practical nurses
Consistency
0.6065std 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. Lincoln County Average+0.27 HPRD
3.81
04.08 HPRD
vs. Nebraska State Average-0.05 HPRD
4.14
04.08 HPRD
vs. National Average+0.18 HPRD
3.90
04.08 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
The Birch at Sutherland ★
Sutherland · This facility
—
B
4.08120.6195★☆☆☆☆
Linden Court
North Platte
16.8 mi
A
4.26340.8456★☆☆☆☆
Accura HealthCare of North Platte
North Platte
17.3 mi
B
3.66550.559★★★☆☆
The Maples at Centennial
North Platte
18.9 mi
C
3.23070.6146★☆☆☆☆
Indian Hills Manor
Ogallala
30.7 mi
C
3.14210.6402★☆☆☆☆
Imperial Manor Nursing Home
Imperial
51.8 mi
B
4.01320.7257★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
41
Total Deficiencies
$0
Fines Assessed
Sep 24, 2025Health
3 deficiencies cited· Includes actual harm
▼
Apr 9, 2025Health
4 deficiencies cited· Includes actual harm
▼
Dec 19, 2024Health
9 deficiencies cited
▼
Sep 26, 2024Health
1 deficiency cited
▼
Feb 14, 2024Health
5 deficiencies cited
▼
Nov 16, 2023Health
7 deficiencies cited
▼
Aug 9, 2023Health
2 deficiencies cited
▼
Sep 1, 2022Health
10 deficiencies cited
▼

Penalty History

Apr 9, 2025Payment Denial
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.