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B
Good

The Palm at Regency Square

3501 Dakota Avenue · South Sioux City, NE 68776

4024944273 · For profit - Limited Liability company

72 beds43.4 residents68 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A
Very 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 Palm at Regency Square receives an overall staffing grade of B (Good). With 3.7156 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.18 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.92% compared to weekdays. The facility relies heavily on temporary agency staff (32.8% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️32.8% 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)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.7156hrs/resident/day▼ 0.18
CMS benchmark: 3.48
RN HPRD
0.7555hrs/resident/day▲ 0.07
Recommended: 0.75
Weekend Drop-off
15.92%
3.8907 weekday → 3.2713 weekend
Agency Staff
32.8%
28.92% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7072hrs/resident/day
Direct care aides
LPN HPRD
0.8463hrs/resident/day
Licensed practical nurses
Consistency
0.4385std 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+0.29 HPRD
3.42
03.72 HPRD
vs. Nebraska State Average-0.42 HPRD
4.14
03.72 HPRD
vs. National Average-0.18 HPRD
3.90
03.72 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 Palm at Regency Square ★
South Sioux City · This facility
—
B
3.71560.7555★☆☆☆☆
Continental Springs, LLC
South Sioux City
0.5 mi
C
3.36730.5993★★★★☆
Heritage of Emerson
Emerson
19.8 mi
C
3.18590.9289★★★★☆
Carl T Curtis Health Education Center Nursing Home
Macy
23.4 mi
A+
5.97741.324★★★★★
Wakefield Health Care Center
Wakefield
26.7 mi
A
5.24330.8405★★★★☆
Wayne Countryview Care and Rehabilitation
Wayne
33.6 mi
D
3.41050.3911★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
33
Total Deficiencies
$33,784
Fines Assessed
Sep 23, 2025Health
1 deficiency cited
▼
Aug 20, 2025Health
5 deficiencies cited
▼
Nov 12, 2024Health
1 deficiency cited
▼
Sep 24, 2024Health
2 deficiencies cited
▼
Jun 27, 2024Health
11 deficiencies cited
▼
Feb 7, 2024Health
1 deficiency cited
▼
Nov 1, 2023Health
3 deficiencies cited· Includes actual harm
▼
May 11, 2023Health
9 deficiencies cited
▼

Penalty History

Nov 1, 2023Fine
$33,784
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.