Westfield Quality Care of Aurora
1313 1st Street, Aurora, NE 68818 · Hamilton County · 64 certified beds · avg 53 residents/day · certified since Jan 1, 2005
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · 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)
▲ Immediate jeopardy, one-off · Apr 15, 2024 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 8, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 | E · Potential for harm, repeated | 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. · from a complaint |
| Apr 7, 2025 | 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. |
| Apr 7, 2025 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 7, 2025 | 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. |
| Apr 7, 2025 | F · Potential for harm, facility-wide | 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. |
| Apr 7, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 7, 2025 | E · Potential for harm, repeated | 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. |
| Apr 7, 2025 | 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. |
| Apr 7, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 7, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Apr 7, 2025 | 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. |
| Apr 7, 2025 | F · Potential for harm, facility-wide | The facility did not follow the rules about disclosing who owns it, or did not tell the state agency about changes in ownership or key administrative staff. · from a complaint |
| Apr 15, 2024 | ▲ J · Immediate jeopardy, 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. |
| Apr 15, 2024 | F · Potential for harm, facility-wide | The facility did not honor residents' right to manage their own money and financial affairs. |
| Apr 15, 2024 | F · Potential for harm, facility-wide | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Apr 15, 2024 | F · Potential for harm, facility-wide | 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. |
| Apr 15, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Apr 11, 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. |
| Apr 11, 2023 | F · Potential for harm, facility-wide | The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases. |
| Apr 11, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Apr 11, 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. |
| Apr 11, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 5 | 1 | J ▲ |
| 2025 | 11 | 0 | F |
| 2026 | 1 | 0 | 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)
1 fine totaling $41,980.
| Date | Type | Amount / length |
|---|---|---|
| Apr 15, 2024 | Fine | $41,980 |
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) | 0.00 | 4.33 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.72 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.79 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.47 | 0.48 | — |
| Total nursing staff turnover (%) | 0.0 | 48.7 | 45.8 | — |
| 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 0.00, RN 0.00, weekend 0.00. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Anderson, Douglas | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Hermansen, Lance | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Kauffman Investments LLC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Keller, Duane | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Krajicek, Stephen | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Moyer, Sam | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Mrs Enterprises LLC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Ochsner JJJ LLC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Ohlson, Cory | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Quality Care Solutions LLC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Uden, Gene | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Vanderheiden, James | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2018 |
| Groshans, Hayley | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2018 |
| Groshans, Timothy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Heritage Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2018 |
| Heritage Bank | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2018 |
| Penner, Kirk | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2018 |
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?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Memorial Community Care | 0.4 mi | Aurora, NE | ★★★★★ | 4/5 | |
| Legacy Square | 12.4 mi | Henderson, NE | ★★☆☆☆ | 1/5 | |
| Adept Nursing & Rehab of Central City | 16.3 mi | Central City, NE | ★★☆☆☆ | 2/5 | |
| Litzenberg Memorial County Hospital | 16.4 mi | Central City, NE | ★★★★☆ | 4/5 | |
| Harvard Rest Haven | 17.5 mi | Harvard, NE | ★★★★☆ | 3/5 | |
| Emerald Nursing & Rehab Lakeview | 17.6 mi | Grand Island, NE | ★☆☆☆☆ | 1/5 | |
| Chi Health St. Francis | 18.5 mi | Grand Island, NE | ★★★☆☆ | 4/5 | |
| Adept Nursing & Rehab of Grand Island | 18.5 mi | Grand Island, NE | ★☆☆☆☆ | 1/5 | |
| Tiffany Square | 19.1 mi | Grand Island, NE | ★★☆☆☆ | 3/5 | |
| Eventide Prairie Commons Care Center | 19.2 mi | Grand Island, NE | ★☆☆☆☆ | 1/5 | |
| Good Samaritan Society - Grand Island Village | 19.2 mi | Grand Island, NE | ★☆☆☆☆ | 2/5 | |
| Sutton Community Home, INC. | 19.3 mi | Sutton, NE | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285263.