Community Memorial Health Center
Burwell, Nebraska · CCN 285257
19 surveys since 2011, 2 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
- 90
- Surveys
- 19
- Harm or worse
- 2
- 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
- 64
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Garfield · rural
- Medicare-certified since
- 2004
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 36 not-for-profit facilities with fewer than 66 beds in Nebraska.
Last survey on record
Feb 26, 2026
256 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 | 3.98 | 3.99 |
| Registered-nurse hours per resident day | 0.46 | — |
| Annual nurse turnover | 24.3% | 47.4% |
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 | D2268.8% | E721.9% | F39.4% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6844×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8043×
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F8803×
Provide and implement an infection prevention and control program.
- F7582×
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
In the surveyor’s words
From the most serious findings on record at Community Memorial Health Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF804Feb 26, 2026
Licensure Reference Number 175 NAC 12-006.11(D)Based on record review, observation, and interview, the facility failed to obtain temperatures for all food items prepared by the dietary department and ensure that temperatures of food or drink items were at a palatable safe level. This had the potential to affect all of the residents' receiving food or drink items from the dietary department. The facility census was 59.Findings are:Record review of the Federal Food Code dated 2022 revealed Microwave cooked items should be heated to a temperature of at least 165 degrees Fahrenheit.Record review of a facility policy titled Record of Food Temperatures dated 10/2025 revealed Food temperatures will be checked on all items prepared in the dietary department. […]
- No harm, potential for more than minimal, widespreadF812Feb 26, 2026
Licensure Reference Number 175 NAC 12-006.11Based on observation, record review, and interview, the facility failed to ensure hair restraints were worn to keep hair from possibly contacting food and food service items and failed to utilize the approved technique when completing hand hygiene during meal preparation. This had the potential to affect all of the resident's receiving food from the kitchen. The facility census was 59.Findings are:A.Record review of a facility policy titled Dietary Employee Personal Hygiene dated 10/2025 revealed all dietary staff must wear hair restraints (eg., hair net, hat and or beard restraint) to prevent hair from contacting food.In an observation completed on 02/23/2026 at 9:00 AM, Dietary Aide J (DA-J) was observed to be rinsing dishes and placing them in… […]
- No harm, potential for more than minimal, widespreadF755Oct 18, 2023
Licensure Reference Number 175 NAC 12-006.12B Based on record review and interview; the facility pharmacist failed to ensure emergency and immediate use medications were available. This had the potential to affect all residents in the building. The facility staff identified a census of 60. Findings are: A. Review of a Pharmacy Services policy and procedure (undated) revealed it was the policy of this facility to ensure pharmaceutical services; were provided to meet the needs of each resident, were consistent with state and federal requirements, and reflected current standards of practice. […]
- No harm, potential for more than minimal, patternF552Feb 26, 2026
Licensure Reference Number 175 NAC 12-006.05 (D&E)Based on interview and record review, the facility failed to ensure resident and resident POA (Power of attorney who can make decisions for Resident if Resident is unable)/or their personal representative was informed of the risks and alternate treatment available before initiating antipsychotic/psychotropic medications (medications used to treat psychotic/behavior disorders). This affected 4 of 5 sampled residents (Residents 41, 4, 7, and 24), and the facility failed to notify the resident POA when a change in skin condition occurred for 1 resident (Resident 24). The facility census was 59. […]
- No harm, potential for more than minimal, patternF880Feb 26, 2026
Licensure Reference Number 175 NAC 12-006.09(F)(i)Licensure Reference Number 175 NAC 1-005.026(D)Based on observation, record review, and interview the facility failed to ensure that staff performed hand sanitization (hand hygiene- washing the hands using soap and water or an alcohol-based hand rub (ABHR) to remove germs for reducing the risk of transmitting infection among residents and health care personnel) between resident rooms during laundry delivery for 4 residents (Residents 54, 41,13, and 66); failed to ensure that laundry was carried in a sanitary manner to prevent the potential for cross-contamination (this had the potential to affect 15 of 15 residents); and failed to ensure that gloves were changed between contaminated surfaces and hand hygiene between glove changes for 1… […]
Read 22 findings in full →The most serious and the most recent: 22 of 90 on record.
Every survey on record
FindingsAt actual harm or above
- Feb 26, 2026Standard10 findings
- Jun 12, 2025Complaint1 finding
- Nov 21, 2024Standard9 findings
- Oct 18, 2023Standard12 findings
- Sep 27, 2022Standard and complaint5 findings
- Jun 24, 2021Standard1 finding
- Jun 29, 2020Infection control1 finding
- Mar 2, 2020Complaint2 findings · 1 harm
Show the 11 earlier surveys
- Oct 31, 2019Standard4 findings
- Sep 25, 2018Standard7 findings
- Jul 25, 2017Standard and complaint11 findings
- May 4, 2016Standard3 findings
- Dec 16, 2015Complaint2 findings
- Mar 17, 2015Standard and complaint4 findings
- Mar 31, 2014Complaint1 finding
- Feb 19, 2014—2 findings
- Jun 12, 2013—1 finding · 1 harm
- Dec 4, 2012—5 findings
- Aug 16, 2011—9 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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