Wakefield Health Care Center
Wakefield, Nebraska · CCN 285209
15 surveys since 2012. The first finding at harm level was recorded in 2019.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 59
- Surveys
- 15
- Harm or worse
- 2
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 40
- Ownership
- Government - City
- Chain
- Independent
- County
- Dixon · rural
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 5
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 31 government-run facilities with fewer than 66 beds in Nebraska.
Last survey on record
Jul 22, 2025
475 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 5.05 | 4.01 |
| Registered-nurse hours per resident day | 0.61 | — |
| Annual nurse turnover | 33.3% | 44.6% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1270.6% | E423.5% | F— |
| No harm, potential for minimal | A— | B— | C15.9% |
Most frequently cited here
In CMS’s current monthly file.
- F7612×
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F8802×
Provide and implement an infection prevention and control program.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6051×
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
In the surveyor’s words
From the most serious findings on record at Wakefield Health Care Center, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF605Jul 22, 2025
Licensure Reference Number 175 NAC 12-006.05(G)Based on record review and interview; the facility failed to ensure Residents 5, 6 and 13's drug regimens were free from unnecessary medications as the facility failed to attempt Gradual Dose Reductions (GDR)s for Residents 13 and 6's antipsychotic (drugs that affect the mind, emotions, and behavior) medications and to ensure Resident 5's as needed antipsychotic medication was limited to 14 days. The sample size was 5 and the facility census was 31. Findings are: A. Review of the facility policy “Antipsychotic Medication Use” with a revision date of 7/2025 revealed the following: -the facility was to evaluate behavior interventions before using psychotropic medications and to eliminate unnecessary medications. […]
- No harm, potential for more than minimal, patternF761Jul 22, 2025
S483.45(g) Labeling of Drugs and Biologicals Drugs and biologicals used in the facility must be labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable.This requirement is not met as evidenced by:LICENSURE REFERENCE NUMBER 175 NAC 12-006.12(D)(i):Based on observation, record review and interview; the facility failed to provide safe storage of drugs as: 1) Medications were left on top of the medication cart and unattended, 2) The medication cart was left unlocked with no staff in attendance, 3) The keys were in the narcotic lock box with no nurse within visualization and 4) Medications were administered to resident's without staff supervision. […]
- No harm, potential for more than minimal, patternF758Jun 27, 2024
Licensure Reference Number 175 NAC 12-006.09 Based on record review and interview; the facility failed to: 1) ensure an order for as needed (PRN) antipsychotic (medication used to manage psychosis, a severe mental disorder in which thoughts and emotions are impaired) medication for Resident 12 was limited to 14 days in duration; 2) implement a gradual dose reduction (GDR) when ordered for Resident 18; and 3) ensure a psychotropic (medication taken to exert an effect on the brain and/or nervous system) medication had a designated duration and a clinical rational for continued use for Resident 25. The sample size was 5 and the facility census was 33. Findings are: A. […]
- No harm, potential for more than minimal, patternF880Jun 27, 2024
Licensure Reference Number 175 NAC 12-006.18 (B) Licensure Reference Number 175 NAC 12-006.18(D) Based on observations, record review and interview; the facility failed to implement enhanced barrier precautions (EBP-an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDRO's) when providing assistance with high-contact care activities for Resident 4, to wash hands and change gloves at indicated intervals during the provision of cares for Resident 12, to transport soiled linens and to clean re-useable care equipment to prevent the potential for cross contamination. The total sample was size 17 and the facility census was 33. Findings are: A. […]
- No harm, potential for more than minimal, patternF761Mar 24, 2022
LICENSURE REFERENCE NUMBER 175 NAC 12-006.12E1 Based on observation, record review and interview; the facility failed to provide safe storage of drugs and biologicals as medication carts were left unlocked and unattended, and medications were left on top of the medication/treatment cart unattended. The sample size was 6 and the facility census was 30. Findings are: A. Review of the facility policy titled Storage of Medications and dated April 2007 included the following: -the facility shall store all drugs and biologicals in a safe, secure, and orderly manner; -the nursing staff shall be responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner; and -compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts,… […]
Read 22 findings in full →The most serious and the most recent: 22 of 59 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 22, 2025Standard4 findings
- Jun 27, 2024Standard and complaint9 findings
- Jun 29, 2023Standard and complaint4 findings
- Mar 24, 2022Standard5 findings
- Feb 11, 2021Standard6 findings
- Oct 7, 2020Infection control1 finding
- Jul 2, 2019Standard3 findings
- Jan 16, 2019Complaint4 findings · 2 harm
Show the 7 earlier surveys
- Jun 14, 2018Complaint1 finding
- May 1, 2018Standard and complaint7 findings
- Feb 14, 2017Standard3 findings
- Jan 21, 2016Standard and complaint3 findings
- Oct 30, 2014Standard1 finding
- Oct 31, 2013—4 findings
- Jul 9, 2012—4 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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