Nye Legacy Health & Rehabilitation Center

3210 N Clarkson, Fremont, NE 68025 (opens Google Maps) · Dodge County · (402) 721-9300· 100 certified beds · avg 84 residents/day · certified since Dec 10, 2008 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5

Health inspection rating (on-site)

inspected Apr 22, 2025

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.

Apr 22, 2025D · Potential for more than minimal harm, isolated
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. F-0758
May 14, 2024F · Potential for more than minimal harm, widespread
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. F-0812
May 14, 2024E · Potential for more than minimal harm, pattern
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684

View all 13 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Apr 22, 2025	D · Potential for more than minimal harm, isolated	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. · F-0758
May 14, 2024	F · Potential for more than minimal harm, widespread	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. · F-0812
May 14, 2024	E · Potential for more than minimal harm, pattern	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
May 14, 2024	E · Potential for more than minimal harm, pattern	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. · F-0695
May 14, 2024	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 14, 2024	D · Potential for more than minimal harm, isolated	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. · F-0661
May 14, 2024	D · Potential for more than minimal harm, isolated	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. · F-0757
May 14, 2024	D · Potential for more than minimal harm, isolated	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. · F-0761
May 14, 2024	D · Potential for more than minimal harm, isolated	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. · F-0880
Jun 21, 2023	D · Potential for more than minimal harm, isolated	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. · F-0580
Jun 21, 2023	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jun 21, 2023	D · Potential for more than minimal harm, isolated	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. · F-0757
Jun 21, 2023	D · Potential for more than minimal harm, isolated	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. · F-0880

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 1).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityNebraska averageU.S. average

Total nurse staffing (hours per resident per day)

4.34

4.33

3.95

Registered Nurse hours

1.04

0.72

0.69

Weekend total nurse staffing

3.83

3.79

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.37 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Nye Legacy Health & Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 4 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 47% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Nye Legacy Health & Rehabilitation Center

3210 N Clarkson, Fremont, NE 68025 · (402) 721-9300

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 47% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)