Life Care Center of Elkhorn

Name: Life Care Center of Elkhorn
Address: 20275 Hopper Street, Elkhorn, NE, 68022, US
Telephone: 4022892572

20275 Hopper Street, Elkhorn, NE 68022 · Douglas County · 135 certified beds · avg 86 residents/day · certified since Sep 17, 1993

Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)

1/5

Health inspection rating (on-site)

Serious findings on record

$26,397

Fines, last 3 years

3.94

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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 · Nov 6, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

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: Dec 4, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Aug 13, 2024 · F-0692

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

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: Sep 9, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (42)

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
Jun 10, 2026	D · Potential for 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
Jun 10, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jun 10, 2026	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
May 13, 2026	D · Potential for 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
May 13, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
May 13, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Dec 8, 2025	F · Potential for harm, facility-wide	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Dec 8, 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.
Dec 8, 2025	F · Potential for harm, facility-wide	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint
Dec 8, 2025	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. · from a complaint
Dec 8, 2025	E · Potential for harm, repeated	The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · from a complaint
Dec 8, 2025	D · Potential for harm, one-off	The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · from a complaint
Dec 8, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Dec 8, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Dec 8, 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.
Dec 8, 2025	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.
Dec 8, 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.
Dec 8, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Dec 8, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Dec 8, 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.
Dec 8, 2025	D · Potential for harm, one-off	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.
Dec 8, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Nov 6, 2025	▲ G · Actual 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
Nov 6, 2025	D · Potential for 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
Nov 6, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Aug 13, 2024	▲ G · Actual harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 13, 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.
Aug 13, 2024	E · Potential for harm, repeated	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.
Aug 13, 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.
Aug 13, 2024	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. · from a complaint
Aug 13, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Aug 13, 2024	D · Potential for 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.
Aug 13, 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 13, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 13, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 13, 2024	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jul 14, 2023	E · Potential for harm, repeated	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.
Jul 14, 2023	E · Potential for harm, repeated	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.
Jul 14, 2023	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.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 14, 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (10 → 16).

Year	Citations	Serious (G–L)	Worst severity that year
2023	5	0	E
2024	11	1	G ▲
2025	19	1	G ▲
2026	7	0	D

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)

1 fine totaling $26,397, plus 2 Medicare payment denial periods.

Date	Type	Amount / length
Nov 6, 2025	Fine	$26,397
Nov 6, 2025	Payment Denial	30 days from Dec 9, 2025
Dec 11, 2024	Payment Denial	11 days from Nov 30, 2024

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)	3.94	4.33	3.95	bottom 37% in Nebraska; top 42% in the U.S.
Registered Nurse hours	0.67	0.72	0.69	bottom 48% in Nebraska; top 40% in the U.S.
Weekend total nurse staffing	3.38	3.79	3.50	bottom 32% in Nebraska; top 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.47	0.48	bottom 49% in Nebraska; top 49% in the U.S.
Total nursing staff turnover (%)	33.3	48.7	45.8	top 18% in Nebraska; top 20% in the U.S.
RN turnover (%)	25.0	44.1	42.9	top 28% in Nebraska; top 20% 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 3.77, RN 0.64, 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Developers Investment Company INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/23/1995
Fund I Investments Limited Partnership	Organization	5% or Greater Direct Ownership Interest	96%	08/23/1995
Consolidated Resources Health Care Fund I LP	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/1995
Consolidated Resources Health Care Fund I LP	Organization	ADP of the SNF	NOT APPLICABLE	08/31/2000
Cox, Tammy	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/29/2021
Cox, Tammy	Individual	Operational/Managerial Control	NOT APPLICABLE	11/29/2021
CRHC LLC	Organization	General Partnership Interest	NOT APPLICABLE	01/01/2017
Cross, Cindy	Individual	Corporate Officer	NOT APPLICABLE	04/21/1994
Developers Investment Company INC	Organization	Limited Partnership Interest	NOT APPLICABLE	08/23/1995
Eklund, Amber	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/16/2024
Eklund, Amber	Individual	Operational/Managerial Control	NOT APPLICABLE	08/16/2024
Fletcher, Todd	Individual	Corporate Officer	NOT APPLICABLE	11/02/2020
Fund I Investments Limited Partnership	Organization	Limited Partnership Interest	NOT APPLICABLE	08/23/1995
Fund I Investments Limited Partnership	Organization	ADP of the SNF	NOT APPLICABLE	08/31/2000
HCF INC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/23/1995
HCF INC	Organization	Limited Partnership Interest	NOT APPLICABLE	08/23/1995
Henry, Terry	Individual	Corporate Officer	NOT APPLICABLE	08/16/1999
Lay, Lisa	Individual	Corporate Officer	NOT APPLICABLE	02/09/2018
Life Care Centers of America, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	02/05/1990
Life Care Centers of America, INC.	Organization	ADP of the SNF	NOT APPLICABLE	03/25/2025

Questions to ask on your visit

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

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How is your kitchen staffed, and have meals ever been delayed because of staffing?"
"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
Brookestone Meadows Rehabilitation and Care Center	2.5 mi	Elkhorn, NE	★★★★★	5/5
The Lighthouse at Lakeside Village	4.3 mi	Omaha, NE	★★★★☆	3/5
Rose Blumkin Jewish Home	6.2 mi	Omaha, NE	★★★★★	4/5
Arbor Care Center-Valhaven, LLC	6.4 mi	Valley, NE	★★★☆☆	3/5
The Banyan at Montclair	6.6 mi	Omaha, NE		—/5	SFF
Newport House	6.7 mi	Omaha, NE	★★★★★	3/5
Brookestone Village	6.9 mi	Omaha, NE	★★★★★	4/5
Hillcrest Millard LLC	7.1 mi	Omaha, NE	★☆☆☆☆	2/5
Old Mill Rehabilitation	7.3 mi	Omaha, NE	★★★☆☆	3/5
Good Samaritan Society - Millard	8.4 mi	Omaha, NE	★★★★☆	4/5
Keystone Ridge Post Acute Nursing and Rehabilitati	10.5 mi	Omaha, NE	★★☆☆☆	1/5
Adept Nursing & Rehab of Gretna	10.7 mi	Gretna, NE	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Elkhorn →

Facility data as of CMS processing date 2026-08-01. CCN 285134.

The Care File

Visit checklist — Life Care Center of Elkhorn

20275 Hopper Street, Elkhorn, NE 68022 · 4022892572

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $26,397

Most serious findings on record:

▲ Nov 6, 2025 (F-0684, Actual 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.
▲ Aug 13, 2024 (F-0692, Actual harm, one-off): The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
☐ "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 285134 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)