Deficiency Index

Harvard Rest Haven

Harvard, Nebraska · CCN 285272

16 surveys since 2010, 1 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
72
Surveys
16
Harm or worse
1
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file12/16

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

The facility

Certified beds
30
Ownership
Government - City
Chain
Independent
County
Clay · rural
Medicare-certified since
2006

CMS ratings

Overall
4
Health inspection
3
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 31 government-run facilities with fewer than 66 beds in Nebraska.

Last survey on record

May 27, 2026

166 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 day4.414.01
Registered-nurse hours per resident day0.87—
Annual nurse turnover48.5%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

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 minimalD1157.9%E421.1%F421.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 19 of the 72 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6562×

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

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F5521×

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • F5821×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

In the surveyor’s words

From the most serious findings on record at Harvard Rest Haven, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jan 10, 2023

    LICENSURE REFERENCE NUMBER NAC 12-006.11E Based on observation and interview, the facility failed to ensure that the kitchen counters and cupboards were clean, and items in the store rooms were not out dated. The facility also failed to ensure that the opened peanut butter did not have old peanut butter around the lid, This had the potential to affect all 20 residents in the facility. Observation on 1/03/23 at 09:40 am of the kitchen revealed the cupboards and drawers inside and out, felt greasy and the grease would wipe off when touched with fingers. […]

  • No harm, potential for more than minimal, widespreadF880Jan 10, 2023

    Licensure Reference Number 175 NAC 12.006.17 Licensure Reference Number 175 NAC 12.006.17A Based on observation, interview, and record review, the facility failed to ensure staff wore surgical masks above the nose to below the chin to prevent the spread of COVID-19, failed to have a Legionella policy and procedure, and failed to ensure Legionella testing had been completed. This had the potential to affect all 20 residents in the facility. The total facility census was 20. Findings are: A. […]

  • No harm, potential for more than minimal, widespreadF886Jan 10, 2023

    Based on observation, interview, and record review, the facility failed to ensure staff testing was completed as required, failed to sanitize (disinfect) the COVID-19 testing surface, and failed to wear gloves while touching a COVID-19 testing specimen (test) to prevent the spread of COVID-19. This had the potential to affect all 20 residents in the facility. Findings are: A. A record review of the facility's COVID-19 Response Planning Policy dated 10/07/2022 revealed if the community transmission level (a level of COVID-19 in the community) is red, all staff should be tested for COVID-19 twice a week. […]

  • No harm, potential for more than minimal, widespreadF888Jan 10, 2023

    Based on interview and record review, the facility failed to ensure all staff had the COVID-19 vaccine or an exemption (the process of being free from obligation) and failed to ensure the facility's COVID-19 mitigation (reducing the severity) plan for unvaccinated staff was complete to prevent the spread of COVID-19. This had the potential to affect all 20 residents in the facility. Findings are: A. A record review of the facility's COVID-19 Vaccination for Employees Policy dated 11/10/2022 revealed that the facility was required to have a process in place ensuring that all staff were vaccinated against COVID-19 or had an exemption. […]

  • No harm, potential for more than minimal, patternF552May 27, 2026

    Licensure Reference Number 175 NAC 12-006.05(E)Based on record review and interview the facility failed to inform the resident/resident representative of the benefits, risks, and alternatives prior to the initiation of psychotropic medications (any medication that affects behavior, mood, thoughts, or perception) for 3 of 5 residents (Residents 14, 2, and 7). The facility census was 23.Findings are:A. Record review of the facility policy titled Use of Psychotropic Medications dated 3/11/25 revealed that it is the intent to ensure that residents only receive psychotropic medication when other nonpharmacological interventions are clinically contraindicated. […]

Read 21 findings in full →The most serious and the most recent: 21 of 72 on record.

Every survey on record

FindingsAt actual harm or above

  • May 27, 2026Standard9 findings
  • Feb 27, 2025Standard3 findings
  • Feb 15, 2024Standard1 finding
  • Jan 10, 2023Standard6 findings
  • Sep 2, 2021Standard6 findings
  • Jul 7, 2020Infection control1 finding
  • Oct 10, 2019Standard9 findings
  • Jul 9, 2018Standard and complaint7 findings
Show the 8 earlier surveys
  • Jul 20, 2017Standard4 findings
  • May 11, 2016Standard10 findings
  • Apr 9, 2015Standard and complaint2 findings
  • Feb 19, 2014—4 findings
  • Aug 27, 2013—1 finding · 1 harm
  • Dec 20, 2012—1 finding
  • Dec 14, 2011—6 findings
  • Sep 16, 2010—2 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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