Saunders Medical Center
1760 County Rd J, Wahoo, NE 68066 · Saunders County · 60 certified beds · avg 56 residents/day · certified since Sep 8, 2016
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 (5)
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 15, 2026 | F · Potential for harm, facility-wide | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. |
| Apr 15, 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. |
| Oct 21, 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. |
| Nov 2, 2023 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Nov 2, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 1 | 0 | D |
| 2026 | 2 | 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) | 5.77 | 4.33 | 3.95 | top 7% in Nebraska; top 5% in the U.S. |
| Registered Nurse hours | 0.64 | 0.72 | 0.69 | bottom 44% in Nebraska; top 43% in the U.S. |
| Weekend total nurse staffing | 5.33 | 3.79 | 3.50 | top 7% in Nebraska; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.16 | 0.47 | 0.48 | bottom 4% in Nebraska; bottom 7% in the U.S. |
| Total nursing staff turnover (%) | 39.7 | 48.7 | 45.8 | top 33% in Nebraska; top 35% in the U.S. |
| RN turnover (%) | 37.5 | 44.1 | 42.9 | top 45% in Nebraska; top 42% 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 4.83, RN 0.54, weekend 4.46. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Saunders County | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1975 |
| Bryan Health | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
| Bryan Health | Organization | ADP of the SNF | NOT APPLICABLE | 10/10/2025 |
| Opp, Andrew | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Opp, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Rezac, Julie | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/08/2020 |
| Rezac, Julie | Individual | ADP of the SNF | NOT APPLICABLE | 02/08/2020 |
| Saunders County | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2005 |
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 is fresh air circulated through the building, and how is the ventilation system maintained?"
- "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?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| South Haven Living Center | 3.1 mi | Wahoo, NE | ★★★★☆ | 4/5 | |
| Arbor Care Center-Valhaven, LLC | 18.7 mi | Valley, NE | ★★★☆☆ | 3/5 | |
| Adept Nursing & Rehab of Ashland | 18.8 mi | Ashland, NE | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285296.