Arbor Care Center-Valhaven, LLC
300 West Meigs Street, Valley, NE 68064
Arbor Care Center-Valhaven, LLC, a 66-bed for profit - limited liability company nursing facility in Valley, NE, holds a 3-star CMS overall rating - right around the 3.0-star national average, with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4023592533
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- 3.24
- Well below average · nurse hrs/day · nat'l 3.89
- 18
- Inspection findings · 1 serious
- $0
- Federal penalties (0)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 285117
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 66
- Residents
- 54
- In Hospital
- No
- County
- Douglas
- Last Inspection
- Aug 12, 2025
Staffing Data
How the 3.24 total nursing hours per resident-day are staffed:
- RN Hours
- 0.55 (nat'l avg: 0.68)
- LPN Hours
- 0.26
- CNA Hours
- 2.43
- Total Nursing Hours
- 3.24 (nat'l avg: 3.89)
- PT Hours
- 0.07
- Nursing Turnover
- 62.5%
- RN Turnover
- 66.7%
What the CMS Record Reveals About Arbor Care Center-Valhaven, LLC
Arbor Care Center-Valhaven, LLC operates 66 certified beds in Valley, NE with approximately 54 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 2★ · quality 4★).
The inspection file contains 18 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Per resident day, this facility reports 3.24 total nursing hours (national average 3.89) and 0.55 RN hours.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Arbor Care Center-Valhaven, LLC falls into a category where comparative context matters. Reported nursing turnover at this facility is 62.5%, above the level where continuity of care typically begins to suffer.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (18 most recent)
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Category: Nursing and Physician Services Deficiencies
Corrected: Sep 6, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 6, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 6, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category: Nursing and Physician Services Deficiencies
Corrected: Sep 6, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 6, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 6, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Category: Resident Rights Deficiencies
Corrected: Sep 6, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 6, 2025
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 6, 2025
Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.
Category: Environmental Deficiencies
Corrected: Sep 6, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Sep 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 6, 2024
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Sep 6, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 6, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 6, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Sep 8, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 8, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 8, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.0% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.8% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.0% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.9% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 87.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 21.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 26.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 59.4% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 92.7% | No |
Penalty History
| Date | Type | Amount |
|---|---|---|
| Jul 5, 2023 | Payment Denial | - |
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Understanding Nursing Home Data
Frequently Asked Questions
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Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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