PlainNursing
CMS Nursing Home Compare · August 2026

Wauneta Care and Therapy Center

427 Legion Street, Wauneta, NE 69045

Wauneta Care and Therapy Center, a 36-bed government - city nursing facility in Wauneta, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #159 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), 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: 3083945738

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1 / 5
Much below average · CMS overall · nat'l 3.0
#159 of 178
In-state rank among rated NE homes
3.11
Well below average · nurse hrs/day · nat'l 3.86
14
Inspection findings · 1 serious

The verdict

Wauneta Care and Therapy Center, a 36-bed government - city nursing facility in Wauneta, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #159 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#159 of 178
In-state rank among rated NE homes
3.11
Nurse hrs/resident-day · national 3.86
14
Inspection findings · 1 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

3/5

Staffing

1/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
285220
Ownership
Government - City
Provider Type
Medicare and Medicaid
Beds
36
Residents
31
In Hospital
No
County
Chase
Last Inspection
May 13, 2025

Staffing Data

How the 3.11 total nursing hours per resident-day are staffed:

RN Hours
0.52 (nat'l avg: 0.69)
LPN Hours
0.26
CNA Hours
2.32
Total Nursing Hours
3.11 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
59.5%

What the CMS Record Reveals About Wauneta Care and Therapy Center

According to CMS Nursing Home Compare, Wauneta Care and Therapy Center ranks #159 of 178 rated nursing homes in NE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Wauneta Care and Therapy Center operates 36 certified beds in Wauneta, NE with approximately 31 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 3★ · staffing 1★ · quality 1★).

The inspection file contains 14 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 3.11 total nursing hours (national average 3.86) and 0.52 RN hours.

Classified as "Government - City" ownership and operating as a "Medicare and Medicaid" provider, Wauneta Care and Therapy Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 59.5% (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 (14 most recent)

D - Isolated - Minimal harm May 13, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 27, 2025

D - Isolated - Minimal harm May 13, 2025 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Jun 27, 2025

D - Isolated - Minimal harm May 13, 2025 Tag: 0710

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 27, 2025

E - Pattern - Minimal harm May 13, 2025 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 27, 2025

F - Widespread - Minimal harm May 13, 2025 Tag: 0947

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: Jun 27, 2025

D - Isolated - Minimal harm May 16, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 7, 2024

D - Isolated - Minimal harm May 16, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Jun 7, 2024

E - Pattern - Minimal harm May 16, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 7, 2024

E - Pattern - Minimal harm May 16, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 7, 2024

F - Widespread - Minimal harm May 16, 2024 Tag: 0947

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: Jun 7, 2024

F - Widespread - Minimal harm May 16, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jun 7, 2024

G - Isolated - Actual harm May 16, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 7, 2024

D - Isolated - Minimal harm Aug 15, 2023 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: Sep 28, 2023

F - Widespread - Minimal harm Mar 16, 2023 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 28, 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 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 8.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 8.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.5% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.4% 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 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 37.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.1% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 37.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

Date Type Amount
May 16, 2024 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Wauneta Care and Therapy Center, both outside NE so the neighborhoods are not the same-state geography list below.

What the CMS records show for Wauneta Care and Therapy Center

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 36 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 Wauneta Care and Therapy Center?
Wauneta Care and Therapy Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (1★).
Where does Wauneta Care and Therapy Center rank among nursing homes in NE?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Wauneta Care and Therapy Center ranks 159th among 178 rated nursing homes in NE (#159 of 178). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Wauneta Care and Therapy Center?
Wauneta Care and Therapy Center reports 3.11 total nursing hours per resident day (national average: 3.86). RN hours are 0.52 per resident day (national average: 0.69). Nursing staff turnover is 59.5%.
How many beds does Wauneta Care and Therapy Center have?
Wauneta Care and Therapy Center has 36 certified beds with approximately 31 residents. The facility is located at 427 Legion Street, Wauneta, NE 69045.
Does Wauneta Care and Therapy Center have any deficiencies on record?
Yes, Wauneta Care and Therapy Center has 14 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Wauneta Care and Therapy Center received any fines or penalties?
No, Wauneta Care and Therapy Center has no fines or penalties on record.
Who owns Wauneta Care and Therapy Center?
Wauneta Care and Therapy Center is classified as "Government - City" ownership. The facility type is "Medicare and Medicaid".
When was Wauneta Care and Therapy Center last inspected?
The most recent health inspection for Wauneta Care and Therapy Center was on May 13, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Wauneta Care and Therapy Center?
Wauneta Care and Therapy Center 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.

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