Parkside Manor
607 North Main Street, Stuart, NE 68780 · Holt County · 40 certified beds · avg 28 residents/day · certified since Apr 1, 2002
Part of chain: RURAL HEALTH DEVELOPMENT (9 facilities, chain avg rating 3.8★)
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.
All citations in the current public record (8)
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 |
|---|---|---|
| Mar 11, 2026 | E · Potential for harm, repeated | The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. |
| Mar 11, 2026 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Feb 20, 2025 | F · Potential for harm, facility-wide | 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. |
| Feb 20, 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. |
| Feb 20, 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. |
| Feb 1, 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. |
| Feb 1, 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. |
| Feb 1, 2024 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | D |
| 2025 | 3 | 0 | F |
| 2026 | 2 | 0 | E |
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) | 4.25 | 4.33 | 3.95 | bottom 48% in Nebraska; top 31% in the U.S. |
| Registered Nurse hours | 0.76 | 0.72 | 0.69 | top 39% in Nebraska; top 31% in the U.S. |
| Weekend total nurse staffing | 3.88 | 3.79 | 3.50 | top 41% in Nebraska; top 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.47 | 0.48 | top 48% in Nebraska; top 45% in the U.S. |
| Total nursing staff turnover (%) | 35.7 | 48.7 | 45.8 | top 23% in Nebraska; top 26% in the U.S. |
| RN turnover (%) | 0.0 | 44.1 | 42.9 | — |
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 3.52, RN 0.63, weekend 3.21. 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: —/5
Who owns this facility
Government - City
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Amgl, P.C | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| Village of Stuart | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/1971 |
| Amgl, P.C | Organization | ADP of the SNF | NOT APPLICABLE | 04/25/2025 |
| Cadwallader, Louise | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/15/1997 |
| Cadwallader, Louise | Individual | Corporate Director | NOT APPLICABLE | 12/15/1997 |
| Cadwallader, Louise | Individual | Trustee of the SNF | NOT APPLICABLE | 12/15/1997 |
| Chvala, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2002 |
| Chvala, James | Individual | Trustee of the SNF | NOT APPLICABLE | 05/01/2002 |
| Kaup, Lucas | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/15/2013 |
| Kaup, Lucas | Individual | ADP of the SNF | NOT APPLICABLE | 02/12/2025 |
| Paxton, Evelyn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2010 |
| Paxton, Evelyn | Individual | Corporate Director | NOT APPLICABLE | 05/01/2010 |
| Paxton, Evelyn | Individual | Trustee of the SNF | NOT APPLICABLE | 05/01/2010 |
| Rural Health Development INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/1995 |
| Rural Health Development INC. | Organization | ADP of the SNF | NOT APPLICABLE | 02/12/2025 |
| Schmaderer, Donald | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/15/1985 |
| Schmaderer, Donald | Individual | Corporate Director | NOT APPLICABLE | 05/15/1985 |
| Schmaderer, Donald | Individual | Trustee of the SNF | NOT APPLICABLE | 05/15/1985 |
| Tubbs, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2013 |
| Tubbs, John | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
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 screen job applicants for past findings of abuse, neglect, or theft before hiring?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Good Samaritan Society - Atkinson | 10.1 mi | Atkinson, NE | ★☆☆☆☆ | 1/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285245.