Tiffany Square
3119 West Faidley Avenue, Grand Island, NE 68803 · Hall County · 103 certified beds · avg 87 residents/day · certified since Mar 20, 1989
Part of chain: VETTER SENIOR LIVING (22 facilities, chain avg rating 4.2★)
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.97
Nurse hours/resident/day (adjusted)
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 (18)
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 4, 2026 | 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. · from a complaint |
| Dec 4, 2025 | 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. |
| Dec 4, 2025 | E · Potential for harm, repeated | 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. |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jan 13, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Jan 13, 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. · from a complaint |
| Oct 16, 2024 | E · Potential for harm, repeated | 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. |
| Oct 16, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Oct 16, 2024 | E · Potential for harm, repeated | 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. |
| Oct 16, 2024 | D · Potential for harm, one-off | 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. |
| Oct 16, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Oct 16, 2024 | 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 14, 2024 | D · Potential for 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. · from a complaint |
| Oct 5, 2023 | F · Potential for harm, facility-wide | 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. |
| Oct 5, 2023 | 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 5, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Oct 5, 2023 | 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. |
| Oct 5, 2023 | C · Minimal risk, facility-wide | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 7 | 0 | E |
| 2025 | 5 | 0 | E |
| 2026 | 1 | 0 | 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)
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) | 3.97 | 4.33 | 3.95 | bottom 39% in Nebraska; top 41% in the U.S. |
| Registered Nurse hours | 0.44 | 0.72 | 0.69 | bottom 19% in Nebraska; bottom 28% in the U.S. |
| Weekend total nurse staffing | 3.33 | 3.79 | 3.50 | bottom 28% in Nebraska; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.47 | 0.48 | bottom 13% in Nebraska; bottom 19% in the U.S. |
| Total nursing staff turnover (%) | 32.3 | 48.7 | 45.8 | top 16% in Nebraska; top 18% in the U.S. |
| RN turnover (%) | 25.0 | 44.1 | 42.9 | top 28% in Nebraska; top 20% 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 4.34, RN 0.48, weekend 3.64. Staffing rating: 3/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Vetter Senior Living | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/23/2016 |
| Fruehling, Richard | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Fruehling, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Olson, Stephanie | Individual | Contracted Managing Employee | NOT APPLICABLE | 09/22/2021 |
| Olson, Stephanie | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/22/2021 |
| Stuhr, Brian | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Stuhr, Brian | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Stuhr, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vanekeren, Glenn | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vanekeren, Glenn | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vanekeren, Glenn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vetter Senior Living | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/23/2016 |
| Vetter, Eldora | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vetter, Eldora | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vetter, Eldora | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vetter, Jack | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vetter, Jack | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vetter, Jack | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| VSL Vetter Health Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 - Grand Island Village | 0.2 mi | Grand Island, NE | ★☆☆☆☆ | 2/5 | |
| Chi Health St. Francis | 0.6 mi | Grand Island, NE | ★★★☆☆ | 4/5 | |
| Adept Nursing & Rehab of Grand Island | 0.6 mi | Grand Island, NE | ★☆☆☆☆ | 1/5 | |
| Eventide Prairie Commons Care Center | 2.6 mi | Grand Island, NE | ★☆☆☆☆ | 1/5 | |
| Emerald Nursing & Rehab Lakeview | 2.9 mi | Grand Island, NE | ★☆☆☆☆ | 1/5 | |
| Westfield Quality Care of Aurora | 19.1 mi | Aurora, NE | ★☆☆☆☆ | 1/5 | |
| Memorial Community Care | 19.5 mi | Aurora, NE | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 285087.