Arbor Care Centers-Countryside LLC

Name: Arbor Care Centers-Countryside LLC
Address: 703 North Main Street, Madison, NE, 68748, US
Telephone: 4024543373

703 North Main Street, Madison, NE 68748 · Madison County · 70 certified beds · avg 36 residents/day · certified since Apr 1, 1997

2/5

Health inspection rating (on-site)

Serious findings on record

$26,750

Fines, last 3 years

0.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Mar 24, 2026 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

▲ Actual harm, one-off · Sep 27, 2023 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 27, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (32)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 15, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
Mar 24, 2026	▲ G · Actual harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Mar 24, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Mar 24, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Dec 18, 2025	E · Potential for harm, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Dec 18, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Dec 18, 2025	E · Potential for harm, repeated	The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Dec 18, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Dec 18, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 18, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint
Dec 5, 2024	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Dec 5, 2024	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Dec 5, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 5, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Dec 5, 2024	C · Minimal risk, facility-wide	The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings.
Dec 5, 2024	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Aug 22, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Nov 14, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 14, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Nov 14, 2023	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Nov 14, 2023	D · Potential for harm, one-off	The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings.
Nov 14, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Nov 14, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 14, 2023	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Sep 27, 2023	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Sep 27, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Sep 27, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2023	10	1	G ▲
2024	9	0	E
2025	9	0	E
2026	4	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $26,750.

Date	Type	Amount / length
Mar 24, 2026	Fine	$12,735
Mar 24, 2026	Fine	$14,015

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Nebraska avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	0.00	4.33	3.95	—
Registered Nurse hours	0.00	0.72	0.69	—
Weekend total nurse staffing	0.00	3.79	3.50	—
Weekend RN hours (not acuity-adjusted)	0.00	0.47	0.48	—
Total nursing staff turnover (%)	64.1	48.7	45.8	bottom 21% in Nebraska; bottom 11% in the U.S.
RN turnover (%)	87.5	44.1	42.9	bottom 3% in Nebraska; bottom 3% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

Government - City

Owner / manager	Type	Role	Stake	Since
Arbor Care Centers LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2020
Arbor Care Centers LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/23/2025
Klaasmeyer, Aaron	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2020
Klaasmeyer, Aaron	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2020
Klaasmeyer, Jessica	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2023
Klaasmeyer, Jessica	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2023
Klaasmeyer, Kenneth	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2020
Klaasmeyer, Kenneth	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2020
Klaasmeyer, Linda	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2020
Klaasmeyer, Linda	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2020
McNeill, Trishtian	Individual	Operational/Managerial Control	NOT APPLICABLE	11/06/2024
McNeill, Trishtian	Individual	ADP of the SNF	NOT APPLICABLE	11/06/2024
McWhorter, Everett	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2020
McWhorter, Everett	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2020
Spanel, Alan	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2020
Spanel, Alan	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What training do new hires get before working with residents, and what ongoing training do all staff receive?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Community Pride Care Center	13.0 mi	Battle Creek, NE	★★★★☆	4/5
Stanton Health Center	13.6 mi	Stanton, NE	★★★★☆	4/5
St. Joseph's Rehabilitation and Care Center	13.8 mi	Norfolk, NE	★☆☆☆☆	1/5
Heritage of Bel Air	14.4 mi	Norfolk, NE	★★★★★	4/5
Mid-Nebraska Lutheran Home	18.0 mi	Newman Grove, NE	★☆☆☆☆	3/5
Clarkson Community Care Center INC	18.4 mi	Clarkson, NE	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Madison →

Facility data as of CMS processing date 2026-08-01. CCN 285207.

The Care File

Visit checklist — Arbor Care Centers-Countryside LLC

703 North Main Street, Madison, NE 68748 · 4024543373

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $26,750

Most serious findings on record:

▲ Mar 24, 2026 (F-0760, Actual harm, one-off): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
▲ Sep 27, 2023 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 285207 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)