Deficiency Index

Nye Pointe Health & Rehab Ctr

Fremont, Nebraska · CCN 285235

15 surveys since 2011, 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
36
Surveys
15
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file13/15

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

The facility

Certified beds
43
Ownership
For profit - Corporation
Chain
Independent
County
Dodge · rural
Medicare-certified since
1998

CMS ratings

Overall
3
Health inspection
4
Staffing
2
Quality measures
1

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

Aug 21, 2025

445 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 day3.713.71
Registered-nurse hours per resident day0.61—
Annual nurse turnover64.2%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 minimalD571.4%E—F228.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 7 of the 36 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6842×

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

  • F6901×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • F7581×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • F7591×

    Ensure medication error rates are not 5 percent or greater.

  • F8121×

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

In the surveyor’s words

From the most serious findings on record at Nye Pointe Health & Rehab Ctr, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 23, 2024

    Licensure Reference Number 175 NAC 12-006.11(E) Based on observation, interview, and record review; the facility failed to ensure a sanitary environment, equipment, and food storage spaces were maintained in a manner to prevent potential food borne illness. This had the potential to affect 37 of 38 residents that consumed food from the kitchen. Findings are: A record review of the facilities policy General Sanitation of Kitchen dated 2017 revealed the following: -Food and nutrition services staff will maintain the sanitation of the kitchen through compliance with a written, comprehensive cleaning schedule. -Cleaning and sanitation tasks will be defined and assigned to employees. The employees will also be trained on each task. […]

  • No harm, potential for more than minimal, widespreadF880Jul 23, 2024

    Licensure Reference Number 175 NAC 12-006.18 Licensure Reference Number 175 NAC 12-006.18(D) Based on observation, interview, and record review, the facility failed to ensure contaminated laundry and linens were contained during transport and the laundry carts were sanitized, wear required Personal Protective Equipment (PPE) during laundry sorting, and clean laundry and linens were transported without touching staff clothing to prevent cross contamination, this had the potential to affect all residents in the facility. […]

  • No harm, potential for more than minimal, widespreadF812Jul 6, 2022

    LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observation, record review, and interview; the facility failed to ensure ventilation covers in the kitchen were clean. This had the potential to affect 36 residents. The facility census was 38. Findings are: Observation ON 6/29/22 at 8:45 AM the ventilation covers in the ceiling of the kitchen were coated with dirt and dust. Interview on 7/5/22 at 2:07 PM with the Maintenance Supervisor confirmed the ventilation covers in the ceiling were not clean. Record review of the Maintenance Work History Report from 4/30/22 thru 6/30/22; revealed cleaning of exhaust fans, but the location was not present on the work sheet or specific time or date.

  • No harm, potential for more than minimal, patternF584Jul 6, 2022

    LICENSURE REFERENCE 175 NAC 12-006.18 Based on observation and interview, the facility failed to ensure that 1) the bathroom vents were free from dirt and dust affecting rooms 104, 311 and 313. The facility also failed to ensure that the ceiling ventilation covers in the dining room were free from dirt and dust affecting 36 residents that eat in the dining room. The facility census was 38. Findings are: Observation on 6/29/22 at 11:00 AM revealed resident rooms 104, 311, and 313 were found to have dirt and dust in the ventilation covers. Observaiton on 6/29/22 at 1200 PM revealed dirt and dust on the ventilation covers in the ceiling in the dining room. Interview on 07/05/22 at 2:33 PM with the Maintenance Supervisor confirmed the ventilation covers were not clean.

  • No harm, potential for more than minimal, patternF756Feb 17, 2021

    LICENSURE REFERENCE NUMBER 12-0006.12B Based on interview, observation and record review; the facility failed to prevent the potential for adverse medication reactions related to no blood pressure parameters for Residents 18 and 27 and no blood sugar or insulin parameters for Resident 18. The facility census was 34. FINDINGS ARE: A record review of the MAR (Medication Administration Record) dated January 1-January 31, 2021 and February 1-February 28, 2021 for Resident 18 revealed no blood pressure parameters had been in place for the [MEDICATION NAME] (a medication used to treat chest pain and high blood pressure) order. […]

Read 21 findings in full →The most serious and the most recent: 21 of 36 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 21, 2025Standard3 findings
  • Jul 23, 2024Standard4 findings
  • Feb 16, 2023Complaint1 finding
  • Sep 12, 2022Complaint1 finding
  • Jul 6, 2022Standard5 findings
  • Feb 17, 2021Standard3 findings
  • Jun 18, 2020Infection control1 finding
  • Jun 25, 2019Standard3 findings
Show the 7 earlier surveys
  • May 16, 2019Complaint1 finding
  • Jan 24, 2017Standard2 findings
  • Nov 10, 2015Standard2 findings
  • Nov 12, 2014Standard and complaint1 finding · 1 harm
  • Aug 5, 2013—5 findings
  • May 30, 2012—2 findings
  • May 19, 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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