Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.63 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.63 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Oct 31, 2024 cited 2 deficiencies.
View inspection evidenceCMS-published records list 92 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 4 facilities across 2 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
4 currently connected nursing homes share this CMS organization identity with FIRST NATIONAL BANK OMAHA.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jan 30, 2018
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 5, 1985
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 3, 1983
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 5, 1985
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 30, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 30, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 9, 1981
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 30, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 5, 1985
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 5, 1985
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2021
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 5, 1985
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 5, 1985
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 1, 2021
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 5, 1985
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 5, 1985
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 5, 1985
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Dec 30, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 25, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 30, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2013
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 9, 1981
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2024
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Jan 30, 2018
Other facilities connected through this exact CMS organization identity: 3 across IA, NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 5, 1985
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 3 across IA, NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 15, 2025
Other facilities connected through this exact CMS organization identity: 3 across IA, NE.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 15, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 3, 1983
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 5, 1985
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 30, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 30, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 9, 1981
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 3 across IA, NE.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 28 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 4 | 4 | 3.8 |
| Mon Jun | 4 | 3.8 | 3.8 |
| Fri May | 4 | 3.8 | 3.8 |
| Wed Apr | 4 | 3.8 | 3.8 |
| Sun Mar | 4 | 3.8 | 3.8 |
| Sun Feb | 4 | 3.8 | 3.8 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 13, 2026)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 12, 2024)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 12, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 14, 2023)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 14, 2023)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Facility history
6 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
RN staffing decreased from 0.82 to 0.70 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.82 → 0.70
CMS · Reported in a source release · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.622 | 3.812 |
| RN categories | 0.707 | 0.442 |
Contract staff accounted for 11.8% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.026 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.352 | 0.817 | 0.477 | 1.319 | 4.2% | 91 |
| 2025Q3 | 4.403 | 0.703 | 0.544 | 1.392 | 5.1% | 92 |
| 2025Q4 | 4.308 | 0.657 | 0.519 | 1.448 | 9.6% | 92 |
| 2026Q1 | 4.388 | 0.63 | 0.564 | 1.537 | 11.8% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.