PlainNursing
CMS Nursing Home Compare · August 2026

Arbor Care Centers-Countryside LLC

703 North Main Street, Madison, NE 68748

Arbor Care Centers-Countryside LLC, a 70-bed government - city nursing facility in Madison, NE, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #112 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks). 2 inspection findings 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: 4024543373

Build a private shortlist as you compare, saved on this device, no account needed.

Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.

2 / 5
Below average · CMS overall · nat'l 3.0
#112 of 178
In-state rank among rated NE homes
N/A
nurse hrs/day · nat'l 3.86
32
Inspection findings · 2 serious

The verdict

Arbor Care Centers-Countryside LLC, a 70-bed government - city nursing facility in Madison, NE, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #112 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks). 2 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#112 of 178
In-state rank among rated NE homes
N/A
Nurse hrs/resident-day · national 3.86
32
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 180 NE nursing homes split by ownership sector

This facility is recorded as Government - City. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
285207
Ownership
Government - City
Provider Type
Medicare and Medicaid
Beds
70
Residents
36
In Hospital
No
County
Madison
Last Inspection
Dec 18, 2025

Staffing Data

RN Hours
N/A (nat'l avg: 0.69)
LPN Hours
N/A
CNA Hours
N/A
Total Nursing Hours
N/A (nat'l avg: 3.86)
PT Hours
N/A
Nursing Turnover
64.1%
RN Turnover
87.5%

What the CMS Record Reveals About Arbor Care Centers-Countryside LLC

According to CMS Nursing Home Compare, Arbor Care Centers-Countryside LLC ranks #112 of 178 rated nursing homes in NE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Arbor Care Centers-Countryside LLC operates 70 certified beds in Madison, NE with approximately 36 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 1★ · quality 5★).

The inspection file contains 32 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 2 penalties totaling $27K levied against this facility.

Classified as "Government - City" ownership and operating as a "Medicare and Medicaid" provider, Arbor Care Centers-Countryside LLC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 64.1% (CMS payroll-based measure).

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (32 most recent)

D - Isolated - Minimal harm Jun 15, 2026 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

D - Isolated - Minimal harm Mar 24, 2026 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 8, 2026

D - Isolated - Minimal harm Mar 24, 2026 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: May 8, 2026

G - Isolated - Actual harm Mar 24, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

D - Isolated - Minimal harm Dec 18, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Feb 1, 2026

D - Isolated - Minimal harm Dec 18, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 1, 2026

D - Isolated - Minimal harm Dec 18, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 1, 2026

D - Isolated - Minimal harm Dec 18, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 1, 2026

D - Isolated - Minimal harm Dec 18, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Feb 1, 2026

D - Isolated - Minimal harm Dec 18, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Feb 1, 2026

E - Pattern - Minimal harm Dec 18, 2025 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Feb 1, 2026

E - Pattern - Minimal harm Dec 18, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 1, 2026

E - Pattern - Minimal harm Dec 18, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Feb 1, 2026

C - Widespread - No harm Dec 5, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 19, 2025

C - Widespread - No harm Dec 5, 2024 Tag: 0606

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 19, 2025

D - Isolated - Minimal harm Dec 5, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Jan 19, 2025

D - Isolated - Minimal harm Dec 5, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jan 19, 2025

D - Isolated - Minimal harm Dec 5, 2024 Tag: 0689

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: Jan 19, 2025

E - Pattern - Minimal harm Dec 5, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 19, 2025

E - Pattern - Minimal harm Dec 5, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jan 19, 2025

E - Pattern - Minimal harm Dec 5, 2024 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 19, 2025

D - Isolated - Minimal harm Aug 22, 2024 Tag: 0609

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: Oct 6, 2024

D - Isolated - Minimal harm Nov 14, 2023 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Dec 29, 2023

D - Isolated - Minimal harm Nov 14, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 29, 2023

D - Isolated - Minimal harm Nov 14, 2023 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 29, 2023

D - Isolated - Minimal harm Nov 14, 2023 Tag: 0606

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 29, 2023

D - Isolated - Minimal harm Nov 14, 2023 Tag: 0582

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

Category: Resident Rights Deficiencies

Corrected: Dec 29, 2023

D - Isolated - Minimal harm Nov 14, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Dec 29, 2023

E - Pattern - Minimal harm Nov 14, 2023 Tag: 0689

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: Dec 29, 2023

D - Isolated - Minimal harm Sep 27, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 27, 2023

D - Isolated - Minimal harm Sep 27, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 27, 2023

G - Isolated - Actual harm Sep 27, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 27, 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 13.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 19.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% 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 81.9% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 84.2% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 32.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 35.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 27.3% No

Penalty History 2 penalties totaling $27K

Date Type Amount
Mar 24, 2026 Fine $13K
Mar 24, 2026 Fine $14K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Arbor Care Centers-Countryside LLC, both outside NE so the neighborhoods are not the same-state geography list below.

What the CMS records show for Arbor Care Centers-Countryside LLC

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NE registry aggregates state averages and the highest-rated homes in this cohort. View NE registry
  • Peer homes near 70 beds show how CMS stars vary at a similar scale in NE. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Arbor Care Centers-Countryside LLC?
Arbor Care Centers-Countryside LLC has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (5★).
Where does Arbor Care Centers-Countryside LLC rank among nursing homes in NE?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Arbor Care Centers-Countryside LLC ranks 112th among 178 rated nursing homes in NE (#112 of 178). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
How many beds does Arbor Care Centers-Countryside LLC have?
Arbor Care Centers-Countryside LLC has 70 certified beds with approximately 36 residents. The facility is located at 703 North Main Street, Madison, NE 68748.
Does Arbor Care Centers-Countryside LLC have any deficiencies on record?
Yes, Arbor Care Centers-Countryside LLC has 32 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Arbor Care Centers-Countryside LLC received any fines or penalties?
Yes, Arbor Care Centers-Countryside LLC has received 2 penalties totaling $27K.
Who owns Arbor Care Centers-Countryside LLC?
Arbor Care Centers-Countryside LLC is classified as "Government - City" ownership. The facility type is "Medicare and Medicaid".
When was Arbor Care Centers-Countryside LLC last inspected?
The most recent health inspection for Arbor Care Centers-Countryside LLC was on Dec 18, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Arbor Care Centers-Countryside LLC?
Arbor Care Centers-Countryside LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

Found this useful? Share Arbor Care Centers-Countryside LLC's record.