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C
Below Standard

The Willows at Gretna

700 Highway 6 · Gretna, NE 68028

4023323446 · For profit - Limited Liability company

63 beds44.7 residents119 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

The Willows at Gretna receives an overall staffing grade of C (Below Standard). With 3.9405 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5081 HPRD, below the recommended 0.75. It is 0.04 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 14.95% compared to weekdays. The facility relies heavily on temporary agency staff (23.17% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.5081 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️23.17% 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
3.9405hrs/resident/day▲ 0.04
CMS benchmark: 3.48
RN HPRD
0.5081hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
14.95%
4.1143 weekday → 3.4992 weekend
Agency Staff
23.17%
54.01% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5384hrs/resident/day
Direct care aides
LPN HPRD
0.762hrs/resident/day
Licensed practical nurses
Consistency
0.5466std 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. Sarpy County Average-0.34 HPRD
4.28
03.94 HPRD
vs. Nebraska State Average-0.19 HPRD
4.14
03.94 HPRD
vs. National Average+0.04 HPRD
3.90
03.94 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 Willows at Gretna ★
Gretna · This facility
—
C
3.94050.5081★★☆☆☆
Newport House
Omaha
6.9 mi
A
4.82711.4175★★★★★
The Lighthouse at Lakeside Village
Omaha
7.6 mi
A+
6.28721.616★★★★☆
Brookestone Village
Omaha
7.9 mi
A
4.83250.8801★★★★★
Brookestone Meadows Rehabilitation and Care Center
Elkhorn
8.2 mi
A
4.94640.8778★★★★★
Good Samaritan Society - Millard
Omaha
8.2 mi
B
3.61470.9108★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
20
Total Deficiencies
$0
Fines Assessed
Aug 21, 2025Health
4 deficiencies cited
▼
May 5, 2025Health
3 deficiencies cited· Includes actual harm
▼
Oct 16, 2024Health
2 deficiencies cited
▼
May 2, 2024Health
2 deficiencies cited
▼
Jan 29, 2024Health
1 deficiency cited
▼
Aug 15, 2023Health
4 deficiencies cited
▼
Jun 2, 2022Health
4 deficiencies cited
▼

Penalty History

May 5, 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.