Continental Falls

Name: Continental Falls
Address: 3200 G Street, South Sioux City, NE, 68776, US
Telephone: 4024943043

3200 G Street, South Sioux City, NE 68776 · Dakota County · 77 certified beds · avg 47 residents/day · certified since Jun 1, 1988

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.62

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.

All citations in the current public record (13)

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 14, 2026	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jan 14, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 14, 2026	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).
Jan 14, 2026	E · Potential for harm, repeated	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.
Jan 14, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 14, 2026	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.
Jan 14, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Jan 14, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 14, 2026	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
Oct 31, 2024	F · Potential for harm, facility-wide	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	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 19, 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
Aug 24, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 9).

Year	Citations	Worst severity that year
2023	1	F
2024	3	F
2026	9	E

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)	3.62	4.33	3.95	bottom 22% in Nebraska; bottom 42% in the U.S.
Registered Nurse hours	0.62	0.72	0.69	bottom 40% in Nebraska; top 45% in the U.S.
Weekend total nurse staffing	3.25	3.79	3.50	bottom 24% in Nebraska; bottom 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.37	0.47	0.48	bottom 41% in Nebraska; bottom 46% in the U.S.
Total nursing staff turnover (%)	38.8	48.7	45.8	top 30% in Nebraska; top 33% in the U.S.
RN turnover (%)	14.3	44.1	42.9	top 8% in Nebraska; top 7% 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 3.61, RN 0.62, weekend 3.24. Staffing rating: 4/5.

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: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Herzka, Matisyohu	Individual	5% or Greater Direct Ownership Interest	33%	11/15/2018
Herzka, Matisyohu	Individual	Corporate Officer	NOT APPLICABLE	01/01/2019
Palmersheim, Tammy Jo	Individual	W-2 Managing Employee	NOT APPLICABLE	03/04/2019
Rosenblatt, Moshe	Individual	Corporate Officer	NOT APPLICABLE	01/01/2019
Schreiber, Abraham	Individual	Corporate Officer	NOT APPLICABLE	01/01/2019

Questions to ask on your visit

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

"How do you explain health changes and treatment options to residents and their families?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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
Adept Nursing & Rehab of South Sioux City	0.5 mi	South Sioux City, NE	★☆☆☆☆	2/5
St Luke's Regional Medical Center SNF	2.5 mi	Sioux City, IA	★★★★★	5/5
Sunrise Retirement Community	3.6 mi	Sioux City, IA	★★★★★	4/5
Casa de Paz Health Care Center	3.9 mi	Sioux City, IA	★★☆☆☆	2/5
Holy Spirit Retirement Home	4.1 mi	Sioux City, IA	★★★☆☆	2/5
Westwood Specialty Care	4.3 mi	Sioux City, IA	★☆☆☆☆	1/5
Embassy Rehab and Care Center	5.0 mi	Sergeant Bluff, IA	★☆☆☆☆	2/5	abuse
Pioneer Valley Living and Rehab	5.0 mi	Sergeant Bluff, IA	★☆☆☆☆	1/5
Accura Healthcare of Sioux City, LLC	5.5 mi	Sioux City, IA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in South Sioux City →

Facility data as of CMS processing date 2026-08-01. CCN 285082.

The Care File

Visit checklist — Continental Falls

3200 G Street, South Sioux City, NE 68776 · 4024943043

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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 285082 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)