Falls City Nursing and Rehabilitation Center
1720 Burton Drive, Falls City, NE 68355 · Richardson County · 63 certified beds · avg 42 residents/day · certified since Mar 19, 1979
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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 · May 7, 2026 · F-0580 · triggered by a complaint
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.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
All citations in the current public record (7)
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 7, 2026 | ▲ G · Actual 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. · from a complaint |
| Jul 31, 2025 | 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 |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| Jul 31, 2025 | 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. |
| Mar 25, 2025 | F · Potential for harm, facility-wide | 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 |
| Jul 11, 2024 | 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. |
| Jul 11, 2024 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | E |
| 2025 | 4 | 0 | F |
| 2026 | 1 | 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)
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) | 3.43 | 4.33 | 3.95 | bottom 14% in Nebraska; bottom 33% in the U.S. |
| Registered Nurse hours | 0.47 | 0.72 | 0.69 | bottom 20% in Nebraska; bottom 34% in the U.S. |
| Weekend total nurse staffing | 3.09 | 3.79 | 3.50 | bottom 18% in Nebraska; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.47 | 0.48 | bottom 37% in Nebraska; bottom 44% in the U.S. |
| Total nursing staff turnover (%) | 60.0 | 48.7 | 45.8 | bottom 28% in Nebraska; bottom 17% in the U.S. |
| RN turnover (%) | 0.0 | 44.1 | 42.9 | — |
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 3.39, RN 0.47, weekend 3.05. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alliance Medical Staffing INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/18/2011 |
| Burnam, Soon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/09/2024 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Caretrust GP LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2011 |
| Caretrust Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2011 |
| Ctr Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2011 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2011 |
| Falls City Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2011 |
| Helenthal, Tara | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Jorgensen, David | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Morris, Spencer | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/18/2011 |
| Morris, Spencer | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/18/2011 |
| Morris, Spencer | Individual | ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Onshift INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/18/2011 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/08/2025 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Westengaard, Justin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/03/2024 |
| Westengaard, Justin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2024 |
| Westengaard, Justin | Individual | ADP of the SNF | NOT APPLICABLE | 07/09/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Falls City Care Center | 1.2 mi | Falls City, NE | ★★☆☆☆ | 3/5 | |
| Maple Heights Nursing & Rehabilitative Center | 15.0 mi | Hiawatha, KS | ★★★☆☆ | 3/5 | |
| Apostolic Christian Home | 15.9 mi | Sabetha, KS | ★★★☆☆ | 2/5 | |
| Sabetha Manor | 16.2 mi | Sabetha, KS | ★★★★☆ | 3/5 | |
| Tiffany Heights | 19.7 mi | Mound City, MO | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 285055.