Deficiency Index

Heritage of Emerson

Emerson, Nebraska · CCN 285222

14 surveys since 2011. The first finding at harm level was recorded in 2017.

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

Citations on record
37
Surveys
14
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/14

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

The facility

Certified beds
38
Ownership
For profit - Corporation
Chain
VETTER SENIOR LIVING
County
Dakota
Medicare-certified since
1998

CMS ratings

Overall
5
Health inspection
4
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=15, floor 20).

Last survey on record

Jun 5, 2025

522 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 day3.043.71
Registered-nurse hours per resident day0.83—
Annual nurse turnover39.3%64.2%

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 37 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6231×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • F6841×

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

  • F6971×

    Provide safe, appropriate pain management for a resident who requires such services.

In the surveyor’s words

From the most serious findings on record at Heritage of Emerson, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF886Apr 20, 2023

    Based on record review and interview, the facility failed to ensure COVID-19 testing was completed in accordance with the facility mitigation plan (a plan to reduce the severity or seriousness of COVID-19) for 2 unvaccinated staff (Nursing Assistant) NA-A and (Dietary Aid) DA-B of 5 staff members reviewed. This had the potential to affect all residents residing in the facility. The facility identified a census of 30. The findings are: Record Review of the COVID response plan dated 6/18/2020 revealed the following: -When community transmission levels are not high (blue, yellow or orange) and the facility is not in an outbreak, team members may choose not to wear source control. -Routine testing is not generally recommended. […]

  • No harm, potential for more than minimal, patternF552Aug 13, 2026

    Licensure Reference Number 175 NAC 12-006.05(E) Based on record review and interview; the facility failed to obtain comprehensive informed consents for the use of psychotropic (mind altering) medications for Residents 2, 3, 4, and 12. The sample size was 5 and the facility census was 35. Findings are: A. Review of the facility Psychoactive Medication and Medication Regimen Review Standard dated 6/2026 revealed that each psychoactive medication had an appropriate diagnosis to support the use of the medication. Best practice was to have licensed nursing/social services oversight of facility processes. The facility used appropriate resources to assist in managing psychoactive medications prescribed for residents. […]

  • No harm, potential for more than minimal, patternF880Aug 13, 2026

    Licensure Reference Number 175 NAC 12-006.18Based on record review and interview; the facility failed to perform hand hygiene and wear gloves at appropriate intervals during care provision for Residents 7, 12, 14, and 26. The sample size was 12 and the facility census was 35. Findings are: Review of the facility policy Hand Hygiene with a revision date of 9/12/17 revealed the following: -The facility exercised proper hand hygiene techniques to prevent the transmission of infectious agents. […]

  • No harm, potential for more than minimal, patternF880Jun 5, 2025

    Licensure Reference Number 175 NAC 12-006.18 Based on observations, record review, and interviews; the facility failed to follow a policy related to cleaning of Continuous Positive Air Pressure (CPAP) equipment (machine used to keep the airway open using mild air pressure through a mask resident wore while sleeping) for Residents 2 and 30; and failed to implement Enhanced Barrier Precautions (EBP, an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs) in nursing homes. […]

  • No harm, potential for more than minimal, patternF947Jun 13, 2024

    Licensure Reference Number 175 NAC 12-006.04B2a Based on record review and interview, the facility failed to ensure 5 [Nurse Aides (NA) B, C, D, E and F] of 9 sampled nurse aides had completed 12 hours of yearly in-service education and failed to complete dementia and abuse in-service training for 1[ NA C] of 9 sampled nurse aides. The facility had a total census of 31 residents. Findings are: A. Record review of a facility Employee List revealed NA B was hired on 5/25/21. Record review of NA B's Inservice education revealed that NA B had completed a total of 4.40 hours of training. B. Record review of a facility Employee List revealed NA C was hired on 5/23/22. […]

Read 21 findings in full →The most serious and the most recent: 21 of 37 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 13, 2026Standard and complaint3 findings
  • Jun 5, 2025Standard and complaint4 findings
  • Jun 13, 2024Standard2 findings
  • Apr 20, 2023Standard3 findings
  • Dec 7, 2021Standard3 findings
  • Dec 17, 2019Standard4 findings
  • Dec 3, 2018Complaint3 findings
  • Oct 25, 2018Standard1 finding
Show the 6 earlier surveys
  • Aug 31, 2017Standard and complaint6 findings · 1 harm
  • Jul 20, 2016Standard1 finding
  • Jan 12, 2016Complaint1 finding
  • May 21, 2014Standard1 finding
  • Feb 14, 2013—3 findings
  • Oct 20, 2011—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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