Genoa Community Hospital/Ltc

Name: Genoa Community Hospital/Ltc
Address: 606 Ewing Avenue, Genoa, NE, 68640, US
Telephone: 4029932283

606 Ewing Avenue, Genoa, NE 68640 · Nance County · 43 certified beds · avg 38 residents/day · certified since Jan 24, 1989

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.29

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: 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 (10)

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 28, 2025	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.
May 28, 2025	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
May 28, 2025	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.
May 28, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
May 14, 2024	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.
May 14, 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
May 14, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
May 14, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
May 14, 2024	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.
Apr 12, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).

Year	Citations	Worst severity that year
2023	1	D
2024	5	F
2025	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)	4.29	4.33	3.95	bottom 48% in Nebraska; top 29% in the U.S.
Registered Nurse hours	0.67	0.72	0.69	bottom 49% in Nebraska; top 40% in the U.S.
Weekend total nurse staffing	3.78	3.79	3.50	top 45% in Nebraska; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.47	0.48	bottom 27% in Nebraska; bottom 33% in the U.S.
Total nursing staff turnover (%)	22.9	48.7	45.8	top 3% in Nebraska; top 5% in the U.S.
RN turnover (%)	57.1	44.1	42.9	bottom 35% in Nebraska; bottom 26% 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 3.48, RN 0.54, weekend 3.07. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

Government - City

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 leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"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
Cloverlodge Care Center	10.8 mi	St Edward, NE	★★★★☆	4/5
Accura Healthcare of Fullerton	13.3 mi	Fullerton, NE	★★★☆☆	3/5
Brookestone Acres	18.0 mi	Columbus, NE	★★★★★	5/5
Emerald Nursing & Rehab Columbus	18.3 mi	Columbus, NE	★☆☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Genoa →

Facility data as of CMS processing date 2026-08-01. CCN 28E271.

The Care File

Visit checklist — Genoa Community Hospital/Ltc

606 Ewing Avenue, Genoa, NE 68640 · 4029932283

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

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "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 28E271 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)