Wauneta Care and Therapy Center

427 Legion Street, Wauneta, NE 69045 (opens Google Maps) · Chase County · (308) 394-5738· 36 certified beds · avg 31 residents/day · certified since May 16, 1998 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

3/5

Health inspection rating (on-site)

inspected May 13, 2025

Serious findings on record

most recent May 16, 2024

Fines, last 3 years

3.94

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 1/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 7, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.

May 13, 2025F · Potential for more than minimal harm, widespread
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. F-0947
May 13, 2025E · Potential for more than minimal harm, pattern
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. F-0712
May 13, 2025D · Potential for more than minimal harm, isolated
The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. F-0710

View all 14 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
May 13, 2025	F · Potential for more than minimal harm, widespread	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. · F-0947
May 13, 2025	E · Potential for more than minimal harm, pattern	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. · F-0712
May 13, 2025	D · Potential for more than minimal harm, isolated	The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. · F-0710
May 13, 2025	D · Potential for more than minimal harm, isolated	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. · F-0757
May 13, 2025	D · Potential for more than minimal harm, isolated	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. · F-0759
May 16, 2024	▲ G · Actual harm, isolated	The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
May 16, 2024	F · Potential for more than minimal harm, widespread	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851
May 16, 2024	F · Potential for more than minimal harm, widespread	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. · F-0947
May 16, 2024	E · Potential for more than minimal harm, pattern	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. · F-0656
May 16, 2024	E · Potential for more than minimal harm, pattern	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. · F-0880
May 16, 2024	D · Potential for more than minimal harm, isolated	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. · F-0758
May 16, 2024	D · Potential for more than minimal harm, isolated	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. · F-0759
Aug 15, 2023	D · Potential for more than minimal harm, isolated	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 · F-0609
Mar 16, 2023	F · Potential for more than minimal harm, widespread	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

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)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityNebraska averageU.S. average

Total nurse staffing (hours per resident per day)

3.94

4.33

3.95

Registered Nurse hours

0.66

0.72

0.69

Weekend total nurse staffing

3.53

3.79

3.50

All bars start at zero. Exact values and supporting details remain below.

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 (%)	—	44.1	42.9	—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.11 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Wauneta Care and Therapy Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 6 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Nebraska midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 60% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Wauneta Care and Therapy Center

427 Legion Street, Wauneta, NE 69045 · (308) 394-5738

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

Most serious findings on record:

▲ May 16, 2024 (F-0697, Actual harm, isolated): 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?"
☐ "Your weekend nurse staffing is reported below the Nebraska midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 60% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)