Nye Legacy Health & Rehabilitation Center

Name: Nye Legacy Health & Rehabilitation Center
Address: 3210 N Clarkson, Fremont, NE, 68025, US
Telephone: 4027219300

3210 N Clarkson, Fremont, NE 68025 · Dodge County · 100 certified beds · avg 84 residents/day · certified since Dec 10, 2008

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.34

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 (13)

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
Apr 22, 2025	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.
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	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 14, 2024	E · Potential for harm, repeated	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.
May 14, 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.
May 14, 2024	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
May 14, 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.
May 14, 2024	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.
May 14, 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.
Jun 21, 2023	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.
Jun 21, 2023	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.
Jun 21, 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.
Jun 21, 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 decreased between the last two inspection cycles (8 → 1).

Year	Citations	Worst severity that year
2023	4	D
2024	8	F
2025	1	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)

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)	4.34	4.33	3.95	top 48% in Nebraska; top 28% in the U.S.
Registered Nurse hours	1.04	0.72	0.69	top 14% in Nebraska; top 14% in the U.S.
Weekend total nurse staffing	3.83	3.79	3.50	top 44% in Nebraska; top 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.71	0.47	0.48	top 13% in Nebraska; top 15% in the U.S.
Total nursing staff turnover (%)	47.1	48.7	45.8	top 50% in Nebraska; bottom 44% in the U.S.
RN turnover (%)	26.3	44.1	42.9	top 32% in Nebraska; top 23% 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 4.37, RN 1.05, weekend 3.87. 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: 2/5 · long-stay residents: 1/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Peterson, Jennifer	Individual	5% or Greater Direct Ownership Interest	50%	10/01/2008
Peterson, Russell	Individual	5% or Greater Direct Ownership Interest	50%	10/01/2008
Paragon Management Services INC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/1998
Sweeney, Daniel	Individual	W-2 Managing Employee	NOT APPLICABLE	04/01/2018

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 approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Dunklau Gardens	0.5 mi	Fremont, NE	★★★★★	4/5
Nye Pointe Health & Rehab Ctr	1.0 mi	Fremont, NE	★★★☆☆	4/5
Arbor Care Center-Valhaven, LLC	12.7 mi	Valley, NE	★★★☆☆	3/5
Life Care Center of Elkhorn	17.8 mi	Elkhorn, NE	★☆☆☆☆	1/5
Crowell Memorial Home	18.7 mi	Blair, NE	★☆☆☆☆	2/5
Good Shepherd Lutheran Home	18.9 mi	Blair, NE	★☆☆☆☆	1/5
Brookestone Meadows Rehabilitation and Care Center	19.5 mi	Elkhorn, NE	★★★★★	5/5
South Haven Living Center	19.5 mi	Wahoo, NE	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Fremont →

Facility data as of CMS processing date 2026-08-01. CCN 285278.

The Care File

Visit checklist — Nye Legacy Health & Rehabilitation Center

3210 N Clarkson, Fremont, NE 68025 · 4027219300

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 285278 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)