Deficiency Index

Ponderosa Villa

Crawford, Nebraska · CCN 285250

17 surveys since 2010. The first finding at harm level was recorded in 2015.

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

Citations on record
76
Surveys
17
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 file14/17

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

The facility

Certified beds
39
Ownership
Government - City
Chain
Independent
County
Dawes · rural
Medicare-certified since
2003

CMS ratings

Overall
2
Health inspection
3
Staffing
1
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=18, floor 20).

Last survey on record

Jan 14, 2026

299 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 day2.904.01
Registered-nurse hours per resident day0.47—

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 minimalD538.5%E430.8%F430.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 76 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5681×

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

  • F5821×

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

  • F6231×

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

  • F6411×

    Ensure each resident receives an accurate assessment.

In the surveyor’s words

From the most serious findings on record at Ponderosa Villa, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF730Jan 14, 2026

    Licensure Reference Number 175 NAC 12-006.04(B)(ii) Based on record review and interview, the facility failed to ensure 3 of 5 sampled Nurse Aides (NA) completed the required 12 hours of ongoing training per year, including 4 hours of dementia care training, based on their date of hire. The facility census was 27.Findings Are: A record review of an untitled and undated, facility-provided, document revealed the following employee hire dates:-NA-A was hired on 6/7/2024,-NA-B was hired on 4/19/2024, and-NA-C was hired on 9/22/2023. A record review of a document titled NA-A's Training revealed that between 6/7/2024 and 6/7/2025, NA-A completed 7.5 hours of ongoing training, none of which were related to dementia care. […]

  • No harm, potential for more than minimal, widespreadF880Nov 21, 2024

    Licensure Reference Number 175 NAC 12-006.19(C)(i) Licensure Reference NUMBER 175 NAC 12-006.18(D) Based on observation, interview, and record the facility failed to ensure that staff performed hand hygiene between resident rooms during laundry delivery to prevent the potential for cross-contamination. This affected 10 residents (Residents 2, 4, 6, 8, 12, 13, 15, 17, 20, and 21), and the facility failed to ensure nursing staff changed gloves and performed hand hygiene during wound care for 1 resident (Resident 17). The facility identified a census of 24. Findings are: A. An observation on 11/18/2024 at 12:45 PM revealed that Laundry Aide (LA)-G pushed a covered laundry cart into the 100 hallway. […]

  • No harm, potential for more than minimal, widespreadF947Nov 21, 2024

    Licensure Reference 175 NAC 12-006.04(B)(ii)(1) Based on record reviews and interview, the facility failed to ensure 4 of 4 sampled nurse aides had at least 12 hours of ongoing training including dementia and abuse training. This had the potential to affect all residents residing at the facility. The facility identified a census of 24. Findings are: A record review of a Facility Assessment for Ponderosa Villa with a date of 7/30/2024 revealed ongoing training is provided for all existing staff and includes topics of abuse and dementia. […]

  • No harm, potential for more than minimal, widespreadF880Nov 7, 2023

    Licensure Reference Number 175 NAC 12-006.17 Based on observations, interviews, and record review, the facility staff failed to utilize Personal Protective Equipment (PPE) as required to prevent the spread of infection during a COVID-19 (an infectious disease caused by the SARS-CoV-2 virus) outbreak. This had the potential to affect all residents who resided within the facility. The facility identified a census of 19 residents at the time of the survey. Findings are: A. Observation upon arrival at the facility on 11/2/2023 at 7:30 AM revealed a staff member at the main entrance door of the facility was wearing an N 95 respirator mask. The staff member reported that the facility was in a COVID-19 outbreak and N 95 masks were recommended. […]

  • No harm, potential for more than minimal, widespreadF801Jun 22, 2021

    Licensure Reference Number: 175 NAC 12-006.04D2a Based on record review and interview, the facility failed to ensure the Dietary Manager met the required qualifications. This failure could affect all residents receiving meals from the facility kitchen. The facility census was 17. Findings are: Staff interview on 6/16/21 at 9:25 AM with Cook-A reported that Cook-B had retired as the Dietary Manager and that a new Dietary Manager had been hired and this person did not have Certification for a Dietary Manager. Record review of the Dietary Manager's employee record verified the Dietary Manager did not have the regulatory required training to meet the required credentials. […]

Read 21 findings in full →The most serious and the most recent: 21 of 76 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 14, 2026Standard4 findings
  • Nov 21, 2024Standard6 findings
  • Nov 7, 2023Standard3 findings
  • Jun 22, 2021Standard and complaint5 findings
  • Feb 25, 2020Standard3 findings
  • Oct 2, 2019Complaint3 findings
  • Feb 19, 2019Standard2 findings
  • Oct 3, 2018Complaint1 finding
Show the 9 earlier surveys
  • Mar 15, 2018Standard4 findings
  • Feb 15, 2017Standard6 findings
  • Mar 15, 2016Standard1 finding
  • Apr 15, 2015Standard7 findings
  • Feb 25, 2015Complaint3 findings · 1 harm
  • Feb 11, 2014—6 findings
  • Apr 11, 2013—9 findings
  • Feb 15, 2012—8 findings
  • Dec 21, 2010—5 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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