Deficiency Index

Gordon Countryside Care

Gordon, Nebraska · CCN 28E257

23 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
114
Surveys
23
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file19/23

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

The facility

Certified beds
40
Ownership
Government - Hospital district
Chain
Independent
County
Sheridan · rural
Medicare-certified since
1979

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=17, floor 20).

Last survey on record

Sep 23, 2025

412 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 day4.304.01
Registered-nurse hours per resident day1.20—
Annual nurse turnover31.3%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 minimalD975.0%E18.3%F216.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 12 of the 114 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6892×

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

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6841×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

In the surveyor’s words

From the most serious findings on record at Gordon Countryside Care, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 31, 2024

    Licensure Reference 175 NAC 12- 006.11(E) Based on observations, interviews, and record reviews; the facility failed to ensure foods were disposed or consumed prior to best-by and use by dates, store foods at least six inches off the floor as required, and to implement hand hygiene practices as required to prevent the potential for cross contamination and foodborne illness. This had the potential to affect all 26 residents who resided within the facility. Findings are: A. A record review of a facility policy Food Storage with a last reviewed date of January 2021, indicated date marking should be visible on foods to indicate the date by which ready to eat foods should be consumed or discarded and that all foods will be consumed by their safe use by dates or discarded. […]

  • No harm, potential for more than minimal, widespreadF812Jul 25, 2023

    LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observations, interviews, and record reviews, the facility staff failed to ensure cleaning agents were not next to food, failed to ensure high risk food preparation splashing did not contaminate clean dishes and equipment to prevent the potential food contamination. This had the potential to affect all 25 residents who resided at the facility. The facility identified a census of 25 residents at the time of the survey. Findings are: An initial tour of the kitchen on 7/19/2023 at 1:25 PM revealed the handwashing sink was on the middle island countertop where the dietary staff prep the food and there were three trays filled with clean cups that were on the counter, directly behind the faucet of the handwashing sink. […]

  • No harm, potential for more than minimal, widespreadF812Jun 9, 2022

    LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observations, interviews, and record review; the facility kitchen failed to ensure food items stored in two of the refrigerators had open dates and labels. The facility had a census of 26 residents and the sample size was 12. Findings are: An observation on 06/06/22 at 04:00 PM during the initial tour of the facility kitchen revealed that several food and liquid items were open in the walk-in refrigerator without being labeled with an open date. An observation on 06/07/22 at 09:45 AM with the Dietary Service Manager (DSM) revealed that several food and liquid items were opened in the walk-in refrigerator without a label of an open date. […]

  • No harm, potential for more than minimal, widespreadF812Feb 9, 2021

    Licensure Reference Number: 175-NAC 12-006.11E Based on observation and interviews, the facility failed to date and label an open bag of chicken breasts and hot dogs. These failures had the potential to affect all residents. Facility census was 22. Findings are: Kitchen observation upon entry on 02/03/21 at 10:38 AM revealed an open bag of chicken breasts and an open bag of hot dogs in the walk in freezer, located by the pantry that had not been labeled or dated. Staff interview on 02/03/21 at 10:45 AM with the Dietary Manager verified there was an open bag of chicken breasts and an open bag of hot dogs in the walk in freezer located by the pantry. The Dietary Manger confirmed these items should have been dated and labeled. […]

  • No harm, potential for more than minimal, patternF880Jul 31, 2024

    Licensure Reference 175 NAC 12- 006.18(B) Based on observations, interview, and record review; the facility failed to disinfect multi-use equipment during medication administration for 3 (Residents 1, 16, and 23) of 3 sampled residents and implement infection control practices during wound to prevent the potential for cross-contamination for 1 (Resident 23) of 1 sampled resident. Findings are: A. A record review of a facility policy Cleaning of Patient Care Equipment with a last reviewed date of 7/20/2021 indicated patient care equipment should be cleaned after each use. […]

Read 21 findings in full →The most serious and the most recent: 21 of 114 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 23, 2025Standard4 findings
  • Jan 8, 2025Complaint1 finding
  • Jul 31, 2024Standard5 findings
  • Jul 25, 2023Standard2 findings
  • Jun 9, 2022Standard2 findings
  • Feb 9, 2021Standard3 findings
  • Sep 16, 2020Complaint1 finding · 1 harm
  • Oct 17, 2019Standard5 findings
Show the 15 earlier surveys
  • Aug 15, 2019Complaint2 findings
  • Nov 14, 2018Complaint4 findings
  • Sep 6, 2018Standard27 findings
  • Mar 13, 2018Complaint2 findings
  • Feb 8, 2018Complaint1 finding
  • Sep 7, 2017Standard and complaint11 findings
  • Oct 18, 2016Standard7 findings
  • Apr 12, 2016Complaint2 findings
  • Oct 7, 2015Standard and complaint7 findings
  • Nov 19, 2014Standard5 findings
  • Dec 18, 2013—8 findings
  • Aug 14, 2013—2 findings
  • Jun 5, 2013—1 finding · 1 harm
  • Oct 23, 2012—8 findings
  • Oct 19, 2011—4 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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