Deficiency Index

Arbor Care Center-Valhaven, LLC

Valley, Nebraska · CCN 285117

21 surveys since 2011, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
89
Surveys
21
Harm or worse
5
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse5

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file17/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
66
Ownership
For profit - Limited Liability company
Chain
Independent
County
Douglas
Medicare-certified since
1992

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 26 for-profit facilities of 66–99 beds in Nebraska.

Last survey on record

Aug 12, 2025

454 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.333.50
Registered-nurse hours per resident day0.48—
Annual nurse turnover74.1%62.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG15.6%H—I—
No harm, potential for more than minimalD1266.7%E15.6%F316.7%
No harm, potential for minimalA—B—C15.6%
CMS’s current file: 18 of the 89 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6061×

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

From the most serious findings on record at Arbor Care Center-Valhaven, LLC, in the surveyor’s own words.

  • Actual harm, isolatedF689Jul 5, 2023

    LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D7 Based on observations, record review and interview; the facility staff failed to evaluate the use of an electric recliner for safety for 2 (Resident 17 and 40) of 3 sampled residents. The facility staff identified a census of 47. Findings are: A. Record review of the facility policy for Power Recliner/Riser Chair dated 5-2021 revealed the following information: -Power Recliner/Riser Chair Criteria: -Purpose: To ensure safe use of power recliner/riser chair by residents to decrease risk for injury. The following criteria needs to be met for residents using a power recliner/riser chair. -The resident must: 1. […]

  • No harm, potential for more than minimal, widespreadF812Jul 23, 2024

    Licensure Reference Number 175 NAC 12-006.11E Based on observations, interviews and record review; the facility failed to perform hand hygiene, wear hair and beard nets in the kitchen to prevent food-borne illness for all the residents. This had the potential to affect all resident that ate out of the kitchen. The facility census was 43. Findings are: An observation on 7/17/24 at 8:35 AM revealed the Dietary Manager (DM)-H in the kitchen without a beard net on while food was out during breakfast meal service. An observation on 7/17/24 at 11:37 AM revealed DM-H did not have a beard net on during meal preparation for lunch services. […]

  • No harm, potential for more than minimal, widespreadF906Jul 23, 2024

    Licensure Reference Number 175 NAC 12-007.04 (F) Based on observation, record review, and interview, the facility failed to ensure that the emergency electrical power system activated within 10 seconds to supply emergency power during a power outage for all residents. Facility census was 43. Finding are: The National Fire Protection Association's (NFPA) Life Safety Code 99, 2012 edition located at 6.5.3 and 6.5.3.1 reveal that the life safety and equipment branches shall be installed and connected to the alternate source of power specified in 6.4.1.1.4 and 6.4.1.1.5 so that all functions specified [NAME] for the life safety and equipment branches are automatically restored to operation within 10 seconds after interruption of the normal source. […]

  • No harm, potential for more than minimal, widespreadF880Jul 25, 2023

    Licensure Reference 175 NAC 12- 006.17 Based on interviews, observations and record reviews; the facility failed to implement infection control measures to prevent the spread of COVID-19 for 23 out of 44 residents. The facility census was 44. Findings are: A. Observation upon entrance to the facility at 8:13 AM on 7/19/2023 revealed posted signage requesting that all visitors to the facility were to wear masks. Further observations during the entrance to the facility revealed the facility staff were wearing surgical masks while residents were not wearing masks. Interview with the Infection Preventionist (IP) on 7/20/23 at 12:27 PM revealed that several residents and staff had signs and symptoms of a respiratory infection. […]

  • No harm, potential for more than minimal, widespreadF804Mar 8, 2022

    Licensure Reference Number 175 NAC 12.006.09D8a Based on observation and interview, the facility failed to ensure that the meal trays delivered to the residents' rooms were maintained at an appetizing temperature. This had the potential to affect all residents in the facility receiving in-room meal trays. Total census was 44. Findings are: Record review of the facility's Food Preparation Guidelines and Serving Policy dated 07/2020 revealed room trays would be served at a temperature that is palatable, and all room trays must be served on covered heat-preserving serving items. […]

Read 24 findings in full →The most serious and the most recent: 24 of 89 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 12, 2025Standard9 findings
  • Jul 23, 2024Standard6 findings
  • Jul 25, 2023Standard2 findings
  • Jul 5, 2023Complaint1 finding · 1 harm
  • Jul 18, 2022Complaint1 finding
  • Mar 8, 2022Standard8 findings
  • Oct 27, 2021Infection control1 finding
  • Aug 6, 2020Standard5 findings
Show the 13 earlier surveys
  • Feb 25, 2019Standard8 findings
  • Dec 14, 2017Standard5 findings
  • Mar 21, 2017Complaint1 finding · 1 harm
  • Sep 14, 2016Standard5 findings
  • Mar 29, 2016Complaint2 findings
  • Sep 17, 2015Standard4 findings
  • Jul 27, 2015Complaint1 finding
  • Jun 11, 2015Complaint3 findings · 1 harm
  • Oct 16, 2014Standard and complaint4 findings
  • Mar 19, 2014Complaint3 findings
  • Jul 11, 2013—9 findings · 2 harm
  • Apr 12, 2012—6 findings
  • Jan 5, 2011—5 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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