Deficiency Index

Sandhills Care Center

Ainsworth, Nebraska · CCN 285298

14 surveys since 2018, and no finding has been recorded at harm level.

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

Citations on record
58
Surveys
14
Harm or worse
0
Immediate jeopardy
0
The record, 2018–2026
’18’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file10/14

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

The facility

Certified beds
46
Ownership
Government - City/county
Chain
Independent
County
Brown · rural
Medicare-certified since
2016

CMS ratings

Overall
3
Health inspection
2
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

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

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

Last survey on record

Jun 17, 2025

510 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 day4.284.01
Registered-nurse hours per resident day0.79—

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 minimalD1150.0%E522.7%F522.7%
No harm, potential for minimalA—B—C14.5%
CMS’s current file: 22 of the 58 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6612×

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

  • F7592×

    Ensure medication error rates are not 5 percent or greater.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF812Aug 26, 2026

    Licensure Reference Number 175 NAC 12-006.11EBased on observation, record review and interview; the facility staff failed to store, prepare and serve food in a manner to prevent the potential for cross contamination and/or food borne illness as: 1) items stored in refrigerators and on shelves were not labeled and undated or outdated; 2) failed to utilize handwashing and gloving techniques; 3) to ensure dietary staff wore beard restraints that fully enclosed all hair on the face during food preparation; and 4) failed to ensure scoops were stored separate from the rice and bread crumbs storage bins. These practices had the potential to affect all residents who were served meals from the kitchen. […]

  • No harm, potential for more than minimal, widespreadF880Jun 17, 2025

    Record review of the facility policy Hand Hygiene with a revised date of 4/1/24 revealed the following: -all staff were to perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and to visitors. -hand hygiene was a general term for cleaning hands by handwashing with soap and water or the use of an antiseptic hand rub, also known as alcohol-based hand rub (ABHR). -hand hygiene using soap and water was to be performed when hands were visibly soiled, before and after eating, after using the restroom, and any exposure to diarrhea type illnesses. […]

  • No harm, potential for more than minimal, widespreadF812May 23, 2024

    Licensure Reference Number 175 NAC 12-006.11E Based on observation, interview, and record review; the facility failed to implement and maintain hand hygiene practices, ensure the dishwasher temps were monitored, and failed to implement and maintaining the cleaning or food preparation equipment and surfaces to prevent the potential for food borne illness. This had the potential to affect all facility residents. The facility census was 28. Findings are: Review of the facility policy Preventing Foodborne Illness-Employee Hygiene and Sanitary Practices dated November 2022 revealed the following: -The food and nutrition employees followed appropriate hygiene and sanitary procedures to prevent the spread of foodborne illness, -All employees who handled food were free of communicable… […]

  • No harm, potential for more than minimal, widespreadF880May 23, 2024

    Licensure Reference Number 175 NAC 12-006.17 Based on observations, record review and interview; the facility failed to prevent potential spread of infection when staff 1) had not worn the required Personal Protective Equipment (PPE) during care of Resident 20's feeding tube (a flexible plastic tube placed into the stomach or bowel used to provide nutritional needs), 2) failed to implement hand hygiene measures during incontinence care of Resident 15 and while residents were assisted with eating during the meal service, and 3) failed to implement a legionella water management plan to prevent the potential for water-borne illness. The sample size was 17 and the facility census was 28. Findings are: A. […]

  • No harm, potential for more than minimal, widespreadF755May 18, 2023

    LICENSURE REFERENCE NUMBER 175 NAC 12-006.12B Based on record review and interview; the facility pharmacist failed to ensure emergency and immediate use medications were available. This had the potential to affect all residents in the building. The facility staff identified a census of 25. Findings are: A. Record review of a signed Long Term Care Service Agreement dated 8-2-2022 with the agreement to be in effect for a period of 3 years from 8-1-22 to 8-1-25 revealed the following information: -Pharmacy Responsibility: -2. Pharmacy will provide the following as part of the pharmacy service. -2c. Supplies directly related to medication administration. B. […]

Read 20 findings in full →The most serious and the most recent: 20 of 58 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 26, 2026Standard and complaint7 findings
  • Jun 17, 2025Standard5 findings
  • May 23, 2024Standard11 findings
  • Oct 26, 2023Complaint1 finding
  • May 18, 2023Standard5 findings
  • Mar 15, 2022Standard and complaint8 findings
  • Jan 20, 2022Complaint3 findings
  • Dec 13, 2021Complaint1 finding
Show the 6 earlier surveys
  • Aug 23, 2021Complaint3 findings
  • Jan 28, 2021Standard4 findings
  • Oct 9, 2019Complaint2 findings
  • May 8, 2019Standard3 findings
  • Oct 1, 2018Complaint1 finding
  • Feb 13, 2018Standard4 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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