Deficiency Index

Community Pride Care Center

Battle Creek, Nebraska · CCN 285208

19 surveys since 2011. The first finding at harm level was recorded in 2020.

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

Citations on record
59
Surveys
19
Harm or worse
1
Immediate jeopardy
1
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file15/19

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

The facility

Certified beds
50
Ownership
Government - City/county
Chain
Independent
County
Madison · rural
Medicare-certified since
1997

CMS ratings

Overall
4
Health inspection
4
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=14, floor 20).

Last survey on record

Dec 31, 2025

313 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 day2.234.01
Registered-nurse hours per resident day0.61—
Annual nurse turnover46.2%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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD666.7%E222.2%F111.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 9 of the 59 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6102×

    Respond appropriately to all alleged violations.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6441×

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6891×

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

In the surveyor’s words

From the most serious findings on record at Community Pride Care Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF880Dec 31, 2025

    Licensure Reference Number 175 NAC 12-006.18Based on observation, record review and interview, the facility failed to implement their water management policy to prevent the potential growth of bacteria such as Legionella (bacteria naturally found in fresh water and can grow in man-made water systems and can cause serious lung infections) in the facility water system and failed to COVID test Resident 6 when the resident had signs and symptoms of a respiratory illness. This had the potential to affect all facility residents. The facility census was 45. Findings are: A. Review of the undated facility Legionella Management Policy revealed the following: -The facility defined the control and management of Legionella bacteria in water systems within the facility. […]

  • No harm, potential for more than minimal, patternF881Dec 31, 2025

    Licensure Reference Number 175 NAC 12-006. Based on record review and interview, the facility failed to have documented duration of use for all prescribed antibiotics or documented rationale to continue antibiotics indefinitely for Residents 15, 31 and 37. The sample size was 8 and the facility census was 45. Findings are: A. Review of the facility policy Antimicrobial Stewardship Program dated November 2017 revealed the following: -The goal of the Antimicrobial Stewardship Program (ASP) was to promote the appropriate use of antimicrobials in order to maximize treatment outcomes and minimize unintended consequences of antimicrobial therapy. […]

  • No harm, potential for more than minimal, patternF656Nov 2, 2023

    Licensure Reference Number 175 NAC 12-006.09C Based on observation, record review, and interview the facility failed to develop comprehensive Care Plans to accurately reflect the current status for 4 of 12 sampled residents (Resident 2's infection, and use of antianxiety medications, Resident 32's skin integrity, Resident 37's edema (fluid retention of tissue), and Resident 36's Hospice (end-of life) care). The facility census was 41. Findings are: A. Review of the facility policy Care Plan-Comprehensive dated 8/15/23 revealed the following; -The facility developed a comprehensive care plan that included measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs. […]

  • No harm, potential for more than minimal, isolatedF761Dec 31, 2025

    Licensure Reference Number 175 NAC175 12-006.(D)(vi) Based on observation, record review and interview; the facility failed to date a multi-dose medications for Resident 2 and 21 after medication was opened or accessed to ensure manufacturer recommendations and professional standards were followed. The sample size was 3 and the facility census was 45.Findings are:A. Review of the facility policy titled Labeling of Medication Containers revised [DATE], revealed all drugs and medications maintained in the facility would be properly labeled in accordance with state and federal regulations.The Policy interpretation and implementation revealed that labels for individual drug containers must include the expiration date.B. […]

  • No harm, potential for more than minimal, isolatedF880Nov 13, 2024

    Licensure Reference Number 175 NAC ,d+[DATE].18(B) Based on observation, interview, and record review; the facility failed to implement the required Personal Protective Equipment (PPE-items such as gowns, gloves, face shield that are worn to protect care givers) during the provision of cares for Resident 12 for Enhanced Barrier Precautions (EBP-involve gown and glove use during high-contact resident care activities for residents known to be colonized or infected with a multidrug-resistant organism (MDRO-bacteria that have become resistant to certain antibiotics) as well as those at increased risk for MDRO, residents with wounds or indwelling medical device/s). The sample sizes was 4 with a census of 42. Findings are: Review of the EBP sign posted on Resident 12's room door, from the U.S. […]

Read 20 findings in full →The most serious and the most recent: 20 of 59 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 31, 2025Standard3 findings
  • Nov 13, 2024Standard1 finding
  • Apr 1, 2024Complaint2 findings
  • Nov 2, 2023Standard and complaint3 findings
  • Sep 15, 2022Standard2 findings
  • Jun 3, 2021Standard3 findings
  • Dec 3, 2020Infection control1 finding · 1 harm
  • Aug 11, 2020Complaint1 finding
Show the 11 earlier surveys
  • Jul 13, 2020Infection control1 finding
  • Aug 6, 2019Standard and complaint5 findings
  • Jun 21, 2018Standard4 findings
  • Mar 30, 2017Standard and complaint14 findings
  • Oct 6, 2016Complaint1 finding
  • Sep 8, 2016Complaint2 findings
  • Feb 11, 2016Standard2 findings
  • Jan 8, 2015Standard3 findings
  • Dec 19, 2013—5 findings
  • Sep 5, 2012—1 finding
  • Jul 21, 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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