Carl T Curtis Health Education Center Nursing Home

Name: Carl T Curtis Health Education Center Nursing Home
Address: 923 Senior Circle, Macy, NE, 68039, US
Telephone: 4028375381

923 Senior Circle, Macy, NE 68039 · Thurston County · 25 certified beds · avg 23 residents/day · certified since Oct 2, 1990

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.84

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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.

All citations in the current public record (11)

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
Jan 29, 2026	F · Potential for harm, facility-wide	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.
Jan 29, 2026	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.
Jan 29, 2026	D · Potential for harm, one-off	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).
Jan 29, 2026	D · Potential for harm, one-off	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.
Oct 31, 2024	F · Potential for harm, facility-wide	The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both.
Oct 31, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Oct 31, 2024	D · Potential for 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.
Oct 31, 2024	D · Potential for harm, one-off	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 21, 2023	D · Potential for harm, one-off	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. · from a complaint
Dec 21, 2023	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. · from a complaint
Dec 21, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).

Year	Citations	Worst severity that year
2023	3	D
2024	4	F
2026	4	F

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)

No fines or payment denials in the published 3-year window.

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)	6.84	4.33	3.95	top 2% in Nebraska; top 2% in the U.S.
Registered Nurse hours	1.34	0.72	0.69	top 5% in Nebraska; top 7% in the U.S.
Weekend total nurse staffing	5.59	3.79	3.50	top 5% in Nebraska; top 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.67	0.47	0.48	top 17% in Nebraska; top 18% in the U.S.
Total nursing staff turnover (%)	32.4	48.7	45.8	top 17% in Nebraska; top 19% in the U.S.
RN turnover (%)	33.3	44.1	42.9	top 36% in Nebraska; top 33% 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 5.15, RN 1.01, weekend 4.21. Staffing rating: 5/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

Government - Federal

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

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

"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"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?"
"How is fresh air circulated through the building, and how is the ventilation system maintained?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"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	Flags
Pleasant View Care Center	10.3 mi	Whiting, IA	★★★★☆	3/5
Accura Healthcare of Onawa	14.3 mi	Onawa, IA	★★☆☆☆	2/5
Pioneer Valley Living and Rehab	18.9 mi	Sergeant Bluff, IA	★☆☆☆☆	1/5
Embassy Rehab and Care Center	19.1 mi	Sergeant Bluff, IA	★☆☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Macy →

Facility data as of CMS processing date 2026-08-01. CCN 28A065.

The Care File

Visit checklist — Carl T Curtis Health Education Center Nursing Home

923 Senior Circle, Macy, NE 68039 · 4028375381

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "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?"
☐ "How is fresh air circulated through the building, and how is the ventilation system maintained?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "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 28A065 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)