Deficiency Index

Sutton Community Home, Inc.

Sutton, Nebraska · CCN 285277

16 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
69
Surveys
16
Harm or worse
1
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/16

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

The facility

Certified beds
31
Ownership
Non profit - Corporation
Chain
Independent
County
Clay · rural
Medicare-certified since
2008

CMS ratings

Overall
3
Health inspection
3
Staffing
5
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 36 not-for-profit facilities with fewer than 66 beds in Nebraska.

Last survey on record

Jun 24, 2026

138 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 day4.723.99
Registered-nurse hours per resident day0.96—
Annual nurse turnover37.9%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 minimalD753.8%E17.7%F430.8%
No harm, potential for minimalA—B—C17.7%
CMS’s current file: 13 of the 69 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6571×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6841×

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

In the surveyor’s words

From the most serious findings on record at Sutton Community Home, Inc., in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF865Dec 18, 2025

    Licensure Reference Number 175 NAC 12.006.7(C) Based on interviews and record review, the facility failed to identify hand washing as a systemic issue prior to the survey, and to correct previously cited quality issues. This had the potential to affect all 20 residents residing at the facility at the time of the survey. The facility census was 20.Findings are:In a record review of the facility's Medicare.Gov. Nursing Home Compare website (A public website that provides information to help consumers find and compare the quality of Medicare and/or Medicaid certified nursing homes across the country) on 12.22.2025 at 9:32 AM, revealed prior infection control deficiencies on 6.11.2021, 7.26.2022, 9.14.2023, and 9.12.2024. […]

  • No harm, potential for more than minimal, widespreadF880Dec 18, 2025

    Licensure Reference Number 175 NAC 12-006.18Based on observations, interviews, and record reviews, the facility staff failed to ensure hand hygiene was performed during meal service, during catheter cares for Resident 15, and during wound care for Resident 7. This practice had the potential to affect all residents in the facility. The facility census was 20 at the time of survey. Findings are: Record review of facility policy titled Service Staff and Serving the Meal, dated 2/9/2010 revealed the Infection Preventionist will provide staff with training on hand hygiene and PPE. […]

  • No harm, potential for more than minimal, widespreadF812Sep 12, 2024

    Licensure Reference Number 175NAC 12-006.11(E) Based on observation, record review, and interview; the facility failed to ensure food items were stored and labeled per the Food Code, and failed to perform hand hygiene as required during meal service to prevent the potential for foodborne illness. This had the potential to affect all residents who ate food prepared in the kitchen. All residents residing in the facility received food and used dishes from the kitchen. The facility census was 23. Findings are: A. A record review of a facility policy titled Food Receiving and Storage and dated 2014 revealed all foods stored in the refrigerator or freezer will be covered, labeled, and dated. […]

  • No harm, potential for more than minimal, widespreadF880Sep 12, 2024

    Licensure Reference Number 175NAC 12-006.04 (A)(ii) Based on record reviews and interviews, and observations; the facility and failed to ensure that pre-employment health history screenings were reviewed to prevent the potential for the transmission of contagious diseases for 4 of 4 sampled staff. The facility census was 23. Findings are: A record review of an undated and untitled list of facility employees revealed that Dietary Aide-H (DA-H) had a hire date of 6/24/2024. A record review of a document titled Medical History and Screening Form that was undated revealed that it was signed by DA-H. A record review of a document titled Medical History Questionnaire revealed the document listed DA-H's name and had a date of 6/24/2024. […]

  • No harm, potential for more than minimal, widespreadF812Jul 26, 2022

    Licensure Reference Number 175 NAC 12-006.11E Based on observation, record review and interview; the facility failed to prevent the potential spread of foodborne illness by not ensureing that dishware and kitchen were sanitized at the needed temperature. This had the potential to affect all residents. The facility identified a census of 22. Findings are: Observation of the kitchen on 7/20/22 at 2:32 PM revealed Ecolab was used for the maintenance and chemicals of the dish machine. A record review of the dish machine temperature logs dated July 14 through July 21, 2022. Wash and rinse temperatures were all 140 degrees. A record review of the Nebraska Food Code 4-501.112, confirmed stationary rack, dual temperature machine shall be 150 degrees Fahrenheit or above. […]

Read 21 findings in full →The most serious and the most recent: 21 of 69 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 24, 2026Complaint1 finding
  • Dec 18, 2025Standard4 findings
  • Sep 12, 2024Standard and complaint4 findings
  • Sep 14, 2023Standard4 findings
  • Jul 26, 2022Standard and complaint7 findings
  • Apr 28, 2021Standard4 findings
  • Jul 6, 2020Infection control1 finding
  • Jan 14, 2020Standard7 findings
Show the 8 earlier surveys
  • Oct 29, 2019Complaint2 findings
  • Oct 18, 2018Standard8 findings
  • Aug 31, 2017Standard2 findings
  • Sep 13, 2016Complaint2 findings
  • Aug 24, 2016Standard and complaint5 findings
  • Sep 17, 2012—6 findings
  • Aug 4, 2011—1 finding
  • Jun 9, 2011Standard and complaint11 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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