Ponderosa Villa
755 First Street, Crawford, NE 69339 · Dawes County · 39 certified beds · avg 28 residents/day · certified since Jun 1, 2003
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
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 |
|---|---|---|
| Jan 14, 2026 | F · Potential for harm, facility-wide | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Jan 14, 2026 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jan 14, 2026 | 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. |
| Nov 21, 2024 | 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. |
| Nov 21, 2024 | 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. |
| Nov 21, 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. |
| Nov 21, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Nov 7, 2023 | 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. |
| Nov 7, 2023 | E · Potential for harm, repeated | 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. |
| Nov 7, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | F |
| 2024 | 6 | 0 | F |
| 2026 | 4 | 0 | 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) | 3.48 | 4.33 | 3.95 | bottom 15% in Nebraska; bottom 35% in the U.S. |
| Registered Nurse hours | 0.56 | 0.72 | 0.69 | bottom 29% in Nebraska; bottom 46% in the U.S. |
| Weekend total nurse staffing | 2.99 | 3.79 | 3.50 | bottom 13% in Nebraska; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.47 | 0.48 | top 39% in Nebraska; top 37% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 48.7 | 45.8 | — |
| 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 2.90, RN 0.47, weekend 2.49. Staffing rating: 1/5.
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
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| City of Crawford | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/16/1972 |
| Cascades Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Cascades Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/08/2025 |
| City of Crawford | Organization | ADP of the SNF | NOT APPLICABLE | 01/16/1972 |
| Mader, Kris | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2025 |
| Mader, Kris | Individual | Corporate Director | NOT APPLICABLE | 08/01/2025 |
| Mader, Kris | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Pelton, Edward | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Pelton, Edward | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Schoenemann, Rhonda | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2025 |
| Schoenemann, Rhonda | Individual | Corporate Director | NOT APPLICABLE | 08/01/2025 |
| Schoenemann, Rhonda | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Suchor, Ralene | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2025 |
| Suchor, Ralene | Individual | Corporate Director | NOT APPLICABLE | 08/01/2025 |
| Suchor, Ralene | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Vogl, Twila | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2025 |
| Vogl, Twila | Individual | Corporate Director | NOT APPLICABLE | 08/01/2025 |
| Vogl, Twila | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
| Zander, Charlene | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2025 |
| Zander, Charlene | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2025 |
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 often do you evaluate your nurse aides and what ongoing training do they receive?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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)
No other Medicare-certified nursing homes within 20 miles in the current records.
Facility data as of CMS processing date 2026-08-01. CCN 285250.