Bertrand Nursing Home
Bertrand, Nebraska · CCN 285258
11 surveys since 2011. The first finding at harm level was recorded in 2021.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 42
- Surveys
- 11
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 26
- Ownership
- Government - City
- Chain
- RURAL HEALTH DEVELOPMENT
- County
- Phelps · rural
- Medicare-certified since
- 2005
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 4
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=9, floor 20).
Last survey on record
May 1, 2025
557 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.91 | 4.01 |
| Registered-nurse hours per resident day | 1.50 | — |
| Annual nurse turnover | 45.5% | 44.6% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D133.3% | E— | F266.7% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
In the surveyor’s words
From the most serious findings on record at Bertrand Nursing Home, in the surveyor’s own words.
- Actual harm, isolatedF686Dec 2, 2021
Licensure Reference: 175NAC 12-00.09D2b Based on observation, interview, and record review, the facility failed to implement measures to prevent a facility acquired pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) for Resident 10. The facility also failed to ensure assessments were completed of the pressure ulcer to promote healing for Resident 10. This affected 1 of 1 sampled residents identified by the facility staff as having facility acquired pressure ulcers. The facility identified a census of 14. Findings are: Observation on 11/30/21 at 07:53 AM of Resident 10 during morning cares revealed that Resident 10 had a nickel size open area to the right heel. […]
- No harm, potential for more than minimal, widespreadF882Apr 11, 2024
Based on record review and interview, the facility failed to ensure the Infection Preventionist had the required qualifications prior to assuming the role. This had the potential to affect all residents in the facility. The facility census was 19. Findings are: During an interview on 04/08/2024 at 10:13 AM, the Administrator (ADM) revealed that Registered Nurse (RN) A was the facility's Infection Preventionist (IP-a professional who makes sure the facility's staff and residents are doing all the things they should to prevent the spread of infections). The ADM further revealed that RN A had not completed the Centers for Disease Control (CDC) Nursing Home Infection Preventionist Training Course. […]
- No harm, potential for more than minimal, widespreadF812Apr 20, 2023
LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observation, record review, and interview: the facility kitchen staff failed to ensure outdated foods were not available for use. This had the potential to affect all residents in the facility. The facility staff identified a census of 19. Findings are: Observation on 4-17-23 at 9:30 AM with the morning Cook A revealed the following outdated food items: -Cornstarch expiration dates was 5/22. -Creamy rice cereal expiration dates was 6/21. -3 large bag potato chips expiration dates was 2/23. -Champions pizza sauce expiration dates was 11/22. -Baby kidney beans expiration dates was 1/23. […]
- No harm, potential for more than minimal, patternF684Dec 2, 2021
Licensure Reference Number 175 NAC 12-006.09D Based on observation, interviews, and record reviews, the facility failed to implement measures for treatment and care provided for one resident (Resident #13.) Sample size included 10 current residents and 2 closed records. Facility census was 14 residents. On 11/29/2021 at 03:15 PM a review of eTAR (electronic Treatment Record) for Resident #13 revealed an order dated 5/21/2021 for Solaris wraps ( .compression garment to reduce swelling .) on AM (morning) and off HS (hours of sleep.) On 11/30/21 at 12:22 PM a review of the Care Plan, printed on 11/30/2021, for Resident #13 revealed the following: Staff to assist me with placing solaris wraps on and off. […]
- No harm, potential for more than minimal, patternF812Dec 2, 2021
Licensure Reference Number: 175 NAC 12-006.11E Based on observation, record review, and interview; the facility failed to 1) maintain food preparation and food storage in a manner to assure food safety and prevent cross contamination; 2) date and label open containers and bags of food; and 3) ensure that the freezer was free from an ice buildup on each shelf. Facility census was 14. Findings are: Observations during the initial tour of the kitchen on 11/29/2021 at 8:17 am, and a tour with the DM (Dietary Manager) on 12/1/2021 @ 10:00 am to 11:30 am, revealed the following: -Beneath the food storage rack in the walk-in pantry there was a mouse trap with a dried piece of cheese attached, a dusty black cloth, debris (leaves, trash, and dirt) and cobwebs. […]
Read 20 findings in full →The most serious and the most recent: 20 of 42 on record.
Every survey on record
FindingsAt actual harm or above
- May 1, 2025Standard1 finding
- Apr 11, 2024Standard1 finding
- Apr 20, 2023Standard1 finding
- Dec 2, 2021Standard6 findings · 1 harm
- Dec 17, 2019Standard2 findings
- Sep 20, 2018Standard2 findings
- Aug 30, 2016Standard8 findings
- Sep 16, 2015Standard5 findings
Show the 3 earlier surveys
- Sep 3, 2014Standard4 findings
- Apr 17, 2012—6 findings
- Jan 31, 2011—6 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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