Wauneta Care and Therapy Center

Name: Wauneta Care and Therapy Center
Address: 427 Legion Street, Wauneta, NE, 69045, US
Telephone: 3083945738

427 Legion Street, Wauneta, NE 69045 · Chase County · 36 certified beds · avg 31 residents/day · certified since May 16, 1998

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.94

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: 1/5

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 16, 2024 · F-0697

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

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 7, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (14)

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 13, 2025	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.
May 13, 2025	E · Potential for harm, repeated	The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule.
May 13, 2025	D · Potential for harm, one-off	The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care.
May 13, 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.
May 13, 2025	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.
May 16, 2024	▲ G · Actual harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
May 16, 2024	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
May 16, 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.
May 16, 2024	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.
May 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.
May 16, 2024	D · Potential for harm, one-off	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.
May 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.
Aug 15, 2023	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
Mar 16, 2023	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	2	0	F
2024	7	1	G ▲
2025	5	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)

0 fines totaling $0, plus 1 Medicare payment denial period.

Date	Type	Amount / length
May 16, 2024	Payment Denial	15 days from Jun 12, 2024

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)	3.94	4.33	3.95	bottom 38% in Nebraska; top 42% in the U.S.
Registered Nurse hours	0.66	0.72	0.69	bottom 47% in Nebraska; top 40% in the U.S.
Weekend total nurse staffing	3.53	3.79	3.50	bottom 39% in Nebraska; top 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.37	0.47	0.48	bottom 42% in Nebraska; bottom 47% in the U.S.
Total nursing staff turnover (%)	59.5	48.7	45.8	bottom 29% in Nebraska; bottom 17% in the U.S.
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 3.11, RN 0.52, weekend 2.79. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

Government - City

Owner / manager	Type	Role	Stake	Since
Village of Wauneta	Organization	5% or Greater Direct Ownership Interest	100%	12/01/2012
Einspahr, Rick	Individual	Corporate Officer	NOT APPLICABLE	01/01/2017
Garcia, Jose	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2021
Richardson, Ranae	Individual	Operational/Managerial Control	NOT APPLICABLE	09/04/2024
Richardson, Ranae	Individual	ADP of the SNF	NOT APPLICABLE	12/31/2025
Rural Health Development INC.	Organization	ADP of the SNF	NOT APPLICABLE	09/21/2023

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 assess and manage residents' pain, especially for those who have trouble communicating?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"How often does the attending doctor physically see each resident, and how is that documented?"
"Who would be my family member's attending doctor here, and how often would they be seen?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"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
Imperial Manor Nursing Home	16.0 mi	Imperial, NE	★☆☆☆☆	2/5

Compare this facility with the 1 closest →

All facilities in Wauneta →

Facility data as of CMS processing date 2026-08-01. CCN 285220.

The Care File

Visit checklist — Wauneta Care and Therapy Center

427 Legion Street, Wauneta, NE 69045 · 3083945738

Health inspection rating 3/5 · CMS overall 1/5· Fines (3y): $0

Most serious findings on record:

▲ May 16, 2024 (F-0697, Actual harm, one-off): The facility did not provide safe and appropriate pain management for a resident who needed it.

Questions for the administrator:

☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "How often does the attending doctor physically see each resident, and how is that documented?"
☐ "Who would be my family member's attending doctor here, and how often would they be seen?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "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 285220 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)