Heritage of Bel Air
1203 North 13th Street, Norfolk, NE 68701 · Madison County · 112 certified beds · avg 105 residents/day · certified since May 16, 1989
Part of chain: VETTER SENIOR LIVING (22 facilities, chain avg rating 4.2★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 25, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 22, 2023 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| 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. |
| Jul 31, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| 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. |
| Jul 30, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 30, 2024 | 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. |
| Jul 30, 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. |
| Jul 25, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 25, 2023 | 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. |
| Jul 25, 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. |
| Jul 25, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 1 | G ▲ |
| 2024 | 3 | 0 | D |
| 2025 | 4 | 0 | 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) | 4.40 | 4.33 | 3.95 | top 43% in Nebraska; top 26% in the U.S. |
| Registered Nurse hours | 0.66 | 0.72 | 0.69 | bottom 46% in Nebraska; top 41% in the U.S. |
| Weekend total nurse staffing | 3.75 | 3.79 | 3.50 | top 47% in Nebraska; top 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.47 | 0.48 | bottom 39% in Nebraska; bottom 44% in the U.S. |
| Total nursing staff turnover (%) | 35.8 | 48.7 | 45.8 | top 24% in Nebraska; top 26% in the U.S. |
| RN turnover (%) | 18.8 | 44.1 | 42.9 | top 15% in Nebraska; top 12% 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 3.94, RN 0.59, weekend 3.36. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Vetter Senior Living | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/23/2016 |
| Hirschman, Bryon | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Hirschman, Bryon | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Stuhr, Brian | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Stuhr, Brian | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Stuhr, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vanekeren, Glenn | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vanekeren, Glenn | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vanekeren, Glenn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vetter Senior Living | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/23/2016 |
| Vetter, Eldora | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vetter, Eldora | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vetter, Eldora | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vetter, Jack | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vetter, Jack | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vetter, Jack | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| VSL Vetter Health Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Zamora, Tracy | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Zamora, Tracy | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| St. Joseph's Rehabilitation and Care Center | 0.7 mi | Norfolk, NE | ★☆☆☆☆ | 1/5 | |
| Community Pride Care Center | 9.7 mi | Battle Creek, NE | ★★★★☆ | 4/5 | |
| Accura Healthcare of Pierce | 11.7 mi | Pierce, NE | ★★★☆☆ | 4/5 | |
| Stanton Health Center | 12.1 mi | Stanton, NE | ★★★★☆ | 4/5 | |
| Arbor Care Centers-Countryside LLC | 14.4 mi | Madison, NE | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285089.