Wakefield Health Care Center

Name: Wakefield Health Care Center
Address: 306 Ash Street, Wakefield, NE, 68784, US
Telephone: 4022872244

306 Ash Street, Wakefield, NE 68784 · Dixon County · 40 certified beds · avg 30 residents/day · certified since Jun 1, 1997

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.13

Nurse hours/resident/day (adjusted)

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 (17)

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
Jul 22, 2025	E · Potential for harm, repeated	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.
Jul 22, 2025	E · Potential for harm, repeated	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.
Jul 22, 2025	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
Jul 22, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jun 27, 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.
Jun 27, 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.
Jun 27, 2024	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.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jun 27, 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. · from a complaint
Jun 27, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jun 27, 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.
Jun 27, 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.
Jun 27, 2024	C · Minimal risk, facility-wide	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.
Jun 29, 2023	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.
Jun 29, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jun 29, 2023	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.
Jun 29, 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 4).

Year	Citations	Worst severity that year
2023	4	D
2024	9	E
2025	4	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)	6.13	4.33	3.95	top 5% in Nebraska; top 4% in the U.S.
Registered Nurse hours	0.75	0.72	0.69	top 41% in Nebraska; top 32% in the U.S.
Weekend total nurse staffing	5.71	3.79	3.50	top 4% in Nebraska; top 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.52	0.47	0.48	top 32% in Nebraska; top 30% in the U.S.
Total nursing staff turnover (%)	33.3	48.7	45.8	top 18% in Nebraska; top 20% in the U.S.
RN turnover (%)	33.3	44.1	42.9	top 36% in Nebraska; top 33% 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 5.05, RN 0.61, weekend 4.70. Staffing rating: 5/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

Government - City

Owner / manager	Type	Role	Stake	Since
Wakefield Care Center	Organization	Direct Ownership Interest	NOT APPLICABLE	09/01/1989
Brenn, Emma	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2022
Craig, Jill	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2021
Dobbins, Melissa	Individual	Corporate Director	NOT APPLICABLE	03/01/2023
Dobbins, Melissa	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2023
Dobbins, Melissa	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2023
Fischer, Amanda	Individual	Operational/Managerial Control	NOT APPLICABLE	10/07/2019
Fischer, Amanda	Individual	ADP of the SNF	NOT APPLICABLE	10/07/2019
Haglund, Tim	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2022
Haglund, Traci	Individual	Corporate Director	NOT APPLICABLE	04/13/2020
Haglund, Traci	Individual	Operational/Managerial Control	NOT APPLICABLE	04/13/2020
Haglund, Traci	Individual	ADP of the SNF	NOT APPLICABLE	04/13/2020
Kumm, Julie	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2023
Meyer, Karlene	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2024
Miller, Kayla	Individual	Operational/Managerial Control	NOT APPLICABLE	07/06/2020
Miller, Warren	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/25/2025
Nixon, Ginger	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2021
Preston, Barb	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2022
Rischmueller, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2023
Wakefield Care Center	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/1989

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 percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"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
Wayne Countryview Care and Rehabilitation	7.1 mi	Wayne, NE	★★★☆☆	3/5
Heritage of Emerson	7.6 mi	Emerson, NE	★★★★★	4/5
Wisner Care Center	19.2 mi	Wisner, NE	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Wakefield →

Facility data as of CMS processing date 2026-08-01. CCN 285209.

The Care File

Visit checklist — Wakefield Health Care Center

306 Ash Street, Wakefield, NE 68784 · 4022872244

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 285209 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)