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C
Below Standard

Westfield Quality Care of Aurora

1313 1st Street · Aurora, NE 68818

4026942128 · For profit - Limited Liability company

64 beds51.1 residents83 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very 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

Westfield Quality Care of Aurora receives an overall staffing grade of C (Below Standard). With 4.4881 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4156 HPRD, below the recommended 0.75. It is 0.59 HPRD above the national average.

Weekend staffing drops significantly — dropping 27.87% compared to weekdays. The facility has low agency staff usage (3.59% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.4156 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 27.87% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (3.59%) — mostly permanent, familiar staff
Total Nurse HPRD
4.4881hrs/resident/day▲ 0.59
CMS benchmark: 3.48
RN HPRD
0.4156hrs/resident/day▼ 0.27
Recommended: 0.75
Weekend Drop-off
27.87%
4.8718 weekday → 3.5141 weekend
⚠ Significant weekend reduction
Agency Staff
3.59%
12.94% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.2814hrs/resident/day
Direct care aides
LPN HPRD
0.6956hrs/resident/day
Licensed practical nurses
Consistency
0.7223std 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. Hamilton County Average+0.02 HPRD
4.47
04.49 HPRD
vs. Nebraska State Average+0.35 HPRD
4.14
04.49 HPRD
vs. National Average+0.59 HPRD
3.90
04.49 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
Westfield Quality Care of Aurora ★
Aurora · This facility
—
C
4.48810.4156★☆☆☆☆
Memorial Community Care
Aurora
0.4 mi
C
4.45450.4834★★★★☆
Legacy Square
Henderson
12.4 mi
B
3.95250.8174★★☆☆☆
The Oaks at Central City
Central City
16.3 mi
D
3.09030.3654★★☆☆☆
Litzenberg Memorial County Hospital
Central City
16.4 mi
C
3.21920.6151★★★★☆
Harvard Rest Haven
Harvard
17.5 mi
A
5.06020.7692★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
21
Total Deficiencies
$54,629
Fines Assessed
Apr 7, 2025Health
11 deficiencies cited
▼
Apr 15, 2024Health
5 deficiencies cited· Includes actual harm
▼
Apr 11, 2023Health
5 deficiencies cited
▼

Penalty History

Apr 15, 2024Fine
$41,980
Apr 6, 2023Fine
$12,649
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.