Parkview Haven Nursing Home
1203 4th Street, Deshler, NE 68340 · Thayer County · 49 certified beds · avg 20 residents/day · certified since Jun 1, 2004
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 22, 2025 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Jun 19, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (9)
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 |
|---|---|---|
| May 22, 2025 | ▲ G · Actual 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. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| May 22, 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. · from a complaint |
| May 22, 2025 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| May 22, 2025 | 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. |
| May 22, 2025 | B · Minimal risk, repeated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. |
| May 23, 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. |
| Jul 12, 2023 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 12, 2023 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 1 | 0 | E |
| 2025 | 6 | 1 | G ▲ |
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)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| May 22, 2025 | Payment Denial | 16 days from Jun 20, 2025 |
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) | 4.82 | 4.33 | 3.95 | top 28% in Nebraska; top 16% in the U.S. |
| Registered Nurse hours | 1.09 | 0.72 | 0.69 | top 11% in Nebraska; top 12% in the U.S. |
| Weekend total nurse staffing | 3.86 | 3.79 | 3.50 | top 42% in Nebraska; top 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.66 | 0.47 | 0.48 | top 18% in Nebraska; top 19% in the U.S. |
| Total nursing staff turnover (%) | 37.0 | 48.7 | 45.8 | top 27% in Nebraska; top 29% in the U.S. |
| RN turnover (%) | 42.9 | 44.1 | 42.9 | top 48% in Nebraska; bottom 49% 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 4.53, RN 1.02, weekend 3.63. 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: 2/5 · short-stay residents: —/5
Who owns this facility
Government - City/county
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| City of Deshler | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1968 |
| City of Deshler | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 01/01/1968 |
| City of Deshler | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/1968 |
| Isernhagen, Miranda | Individual | Corporate Officer | NOT APPLICABLE | 10/18/2018 |
| Isernhagen, Miranda | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/19/2018 |
| Isernhagen, Miranda | Individual | ADP of the SNF | NOT APPLICABLE | 10/19/2018 |
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 falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How is fresh air circulated through the building, and how is the ventilation system maintained?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "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 |
|---|---|---|---|---|---|
| Blue Valley Lutheran Nursing Home | 7.1 mi | Hebron, NE | ★★★☆☆ | 5/5 | |
| Good Samaritan Society - Superior | 19.5 mi | Superior, NE | ★★☆☆☆ | 2/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285261.