Elwood Care Center

Name: Elwood Care Center
Address: 607 Smith Avenue, Elwood, NE, 68937, US
Telephone: 3087853302

607 Smith Avenue, Elwood, NE 68937 · Gosper County · 43 certified beds · avg 30 residents/day · certified since Sep 1, 1997

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.60

Nurse hours/resident/day (adjusted)

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

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

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 (8)

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
May 6, 2026	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 6, 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.
May 6, 2026	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.
May 6, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 12, 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.
Mar 12, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 12, 2024	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.
Mar 12, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2024	4	0	F
2026	4	0	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)	4.60	4.33	3.95	top 37% in Nebraska; top 21% in the U.S.
Registered Nurse hours	0.69	0.72	0.69	top 48% in Nebraska; top 37% in the U.S.
Weekend total nurse staffing	4.20	3.79	3.50	top 28% in Nebraska; top 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.47	0.48	bottom 48% in Nebraska; top 49% in the U.S.
Total nursing staff turnover (%)	39.4	48.7	45.8	top 33% in Nebraska; top 35% in the U.S.
RN turnover (%)	20.0	44.1	42.9	top 18% in Nebraska; top 13% 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 4.01, RN 0.60, weekend 3.66. 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: 2/5 · short-stay residents: 4/5

Who owns this facility

Government - City

Owner / manager	Type	Role	Stake	Since
The Village of Elwood, Nebraska	Organization	5% or Greater Direct Ownership Interest	100%	12/01/1972
Holl, Kent	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2025
Koenig, Betty	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2001
Martin, Thomas	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2015
Martin, Thomas	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/1972
Nelson, Mary	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2016
Rath, Steven	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2021
Reiners, Kate	Individual	Operational/Managerial Control	NOT APPLICABLE	07/08/2008
Reiners, Kate	Individual	ADP of the SNF	NOT APPLICABLE	07/08/2008
Scoville, Kim	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2020
Smith, Shane	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2017
Smith, Shane	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2017
The Village of Elwood, Nebraska	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/1972
The Village of Elwood, Nebraska	Organization	ADP of the SNF	NOT APPLICABLE	12/01/1972

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 completes resident assessments here, and how do you check them for accuracy?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you explain health changes and treatment options to residents and their families?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"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
Bertrand Nursing Home	12.8 mi	Bertrand, NE	★★★★★	5/5

Compare this facility with the 1 closest →

All facilities in Elwood →

Facility data as of CMS processing date 2026-08-01. CCN 285215.

The Care File

Visit checklist — Elwood Care Center

607 Smith Avenue, Elwood, NE 68937 · 3087853302

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

Questions for the administrator:

☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "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 285215 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)