Mitchell Care Center

Name: Mitchell Care Center
Address: 1723 23rd Street, Mitchell, NE, 69357, US
Telephone: 3086231212

1723 23rd Street, Mitchell, NE 69357 · Scott Bluff County · 50 certified beds · avg 46 residents/day · certified since Feb 1, 2014

Part of chain: RURAL HEALTH DEVELOPMENT (9 facilities, chain avg rating 3.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.14

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: 3/5

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 (19)

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
Sep 10, 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
Sep 10, 2025	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.
Sep 10, 2025	C · Minimal risk, facility-wide	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jun 17, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Jun 17, 2025	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. · from a complaint
Jun 17, 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
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	F · Potential for harm, facility-wide	The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both.
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.
Aug 13, 2024	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.
Aug 13, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 13, 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.
Sep 26, 2023	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.
Sep 26, 2023	E · Potential for harm, repeated	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.
Sep 26, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Sep 26, 2023	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint
Sep 26, 2023	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.
Sep 26, 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.
Sep 26, 2023	C · Minimal risk, facility-wide	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Year	Citations	Worst severity that year
2023	7	F
2024	6	F
2025	6	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)	4.14	4.33	3.95	bottom 43% in Nebraska; top 34% in the U.S.
Registered Nurse hours	0.43	0.72	0.69	bottom 18% in Nebraska; bottom 27% in the U.S.
Weekend total nurse staffing	3.41	3.79	3.50	bottom 34% in Nebraska; top 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.47	0.48	bottom 9% in Nebraska; bottom 17% in the U.S.
Total nursing staff turnover (%)	47.5	48.7	45.8	bottom 49% in Nebraska; bottom 43% in the U.S.
RN turnover (%)	60.0	44.1	42.9	bottom 32% in Nebraska; bottom 22% 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 3.81, RN 0.39, weekend 3.13. Staffing rating: 3/5.

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: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

Government - City/county

Owner / manager	Type	Role	Stake	Since
City of Mitchell	Organization	5% or Greater Direct Ownership Interest	100%	02/04/1992
Curtis, Dave	Individual	Corporate Director	NOT APPLICABLE	12/06/2016
Hahn, Stephanie	Individual	Contracted Managing Employee	NOT APPLICABLE	03/01/2013
Hahn, Stephanie	Individual	Corporate Officer	NOT APPLICABLE	03/01/2016
Rural Health Development INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2014
Schneider, Tim	Individual	Corporate Director	NOT APPLICABLE	12/06/2016
Taylor, Brian	Individual	Corporate Director	NOT APPLICABLE	11/01/2013
Wickham, Crystal	Individual	W-2 Managing Employee	NOT APPLICABLE	08/01/2017

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 specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How is fresh air circulated through the building, and how is the ventilation system maintained?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Monument Healthcare and Nursing Center	8.2 mi	Scottsbluff, NE	★☆☆☆☆	1/5
Northfield Retirement Communities Care Center	9.2 mi	Scottsbluff, NE	★☆☆☆☆	1/5
Heritage Estates	10.7 mi	Gering, NE	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Mitchell →

Facility data as of CMS processing date 2026-08-01. CCN 285287.

The Care File

Visit checklist — Mitchell Care Center

1723 23rd Street, Mitchell, NE 69357 · 3086231212

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

Questions for the administrator:

☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How is fresh air circulated through the building, and how is the ventilation system maintained?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 285287 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)