Deficiency Index

Highland Park Care Center

Alliance, Nebraska · CCN 285063

15 surveys since 2011, 3 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
99
Surveys
15
Harm or worse
3
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file12/15

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

The facility

Certified beds
60
Ownership
Non profit - Corporation
Chain
VETTER SENIOR LIVING
County
Box Butte · rural
Medicare-certified since
1984

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

Aug 6, 2025

460 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 day4.793.99
Registered-nurse hours per resident day0.51—
Annual nurse turnover15.5%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

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 99 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6041×

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • F6841×

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

  • F6951×

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

  • F7571×

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF812Jul 13, 2023

    Licensure Reference Number 175 NAC 12-006.11E Based on observation and interview the facility failed to label and date opened food items and failed to maintain cleanliness of ceiling vents to prevent the potential for food borne illness. This had the potential to affect all residents in the facility. The facility census was 54. Findings are: A. Kitchen observation upon entry on 07/10/2023 at 8:30 AM revealed 1 open bag of pepperoni and 1 open bag of hashbrowns in the upright freezer were not labeled with an open date. One jar of sweet relish, 2 gallons of whole milk, 1 bottle of Thousand Island dressing in the upright refrigerator were not labeled with an open date. […]

  • No harm, potential for more than minimal, widespreadF812May 5, 2022

    Licensure Reference Number: 175 NAC 12-006.11E Based on observations and interviews, the facility failed to ensure that staff 1) performed hand hygiene for at least 20 seconds when indicated during meal service in the MSU (Memory Support Unit), 2) did not handle drinking glasses by the rims and the top of drinking straws in the MSU, 3) did not touch the inside of the silicone covers while placing them on the top of water and juice glasses in the MSU, 4) did not place a used food thermometer inside the pureed meat container without cleaning it in the MSU and 5) cleaned the kitchen floor to reduce the risk of cross contamination. The facility census was 50 with the potential to affect all of the residents. Findings are: A. […]

  • No harm, potential for more than minimal, patternF880Aug 21, 2024

    License Reference Number 175 NAC 12-006.18 Based on observations, interviews, and record reviews, the facility failed to handle contaminated linens for all residents who were residing within the facility in a way that prevented the potential for cross contamination. The facility census was 53. Findings: A. A record review of facility policy US Centers for Disease Control (CDC) Best Practices for Environmental Cleaning in Global Healthcare Facilities with Limited Resources, Appendix D, Linen and laundry management, dated March 19, 2024, revealed the direction, Never carry soiled linen against the body. […]

  • No harm, potential for more than minimal, patternF880Jul 13, 2023

    Licensure Reference Number 175 NAC 12-006.17 Based on observation, record review and interview; the facility failed to disinfect reusable resident care equipment in accordance with manufacturer recommendations and facility policies to prevent the potential spread of infection. The sample size was 17 and the facility census was 56. Findings are: A. Review of the undated facility Cleaning and Disinfecting Guidelines for the facility Blood Glucose Test Meter used to test facility resident's blood glucose levels, revealed cleaning and disinfection were to be completed using a commercially available Environmental Protection Agency (EPA)-disinfectant detergent or germicidal wipe. B. […]

  • No harm, potential for more than minimal, isolatedF552Aug 19, 2026

    Licensure Reference Number 175 NAC 12-006.05(E) Based on record review and interview, the facility failed to ensure they obtained informed consent prior to the use of psychotropic medications for 1 (Resident 4) of 5 sampled residents. The facility identified a census of 60.Findings Are: A record review of the facility policy Psychoactive Medication and Medication Regimen Review Standard dated 6/2026 revealed the consent for use of psychoactive medication form must be completed prior to initiating and with the increase of any psychoactive medication. […]

Read 23 findings in full →The most serious and the most recent: 23 of 99 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 19, 2026Standard2 findings
  • Aug 6, 2025Standard1 finding
  • Aug 21, 2024Standard6 findings
  • Jul 13, 2023Standard3 findings
  • May 5, 2022Standard5 findings
  • Jan 20, 2021Standard2 findings
  • Jul 2, 2019Standard10 findings
  • Aug 23, 2018Standard15 findings · 1 harm
Show the 7 earlier surveys
  • Jul 12, 2017Standard9 findings
  • Aug 3, 2016Standard9 findings
  • Jun 18, 2015Standard6 findings
  • Mar 27, 2014Standard3 findings
  • May 16, 2013—11 findings
  • May 22, 2012—6 findings · 1 harm
  • Apr 11, 2011—11 findings · 1 harm

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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