Otoe County, Nebraska · Nursing home
Prestige Care Center of Nebraska City
1 of 5 overall from CMS
1420 North 10th Street, Nebraska City, NE 68410
At a glance
- Overall rating 1 of 5 Below the state average of 2.8
- Nurse time per resident, per day 3.41 hours Below the state average of 3.98
- Nursing staff who left in a year 76.6% Above the state average of 48.7%
- Health citations, last 3 inspection cycles 49 4 at the harm level or above
- Fines in 3 years $15,625 1 fine
- Certified beds in use 63.6% of 64 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Prestige Care Center of Nebraska City is a 64-bed nursing home in Nebraska City, Nebraska (Otoe County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.41 nurse staffing hours per resident per day, below the Nebraska average of 3.98. CMS lists 1 fine totaling $15,625 in the past three years.
- Certified beds
- 64
- Residents per day (average)
- 40.7
- Certified since
- 1991 (35 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Prestige Care Center (3 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Prestige Care Center of Nebraska City
Chosen from this home's public data.
- CMS lists 1 fine totaling $15,625 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 22 health deficiencies in the latest inspection cycle (the standard inspection on Nov 13, 2024 plus complaint and infection-control inspections); the Nebraska average is 7.4. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 76.6%, above the Nebraska average of 48.7%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Nebraska average 2.8
- Health inspections 1 of 5 Nebraska average 2.8
- Staffing 2 of 5 Nebraska average 3.2
- Quality measures 1 of 5 Nebraska average 3.0
The vertical line marks the Nebraska average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.41 h Nebraska average 3.98
- Nurse aides 2.57 h Nebraska average 2.64
- Licensed practical nurses 0.40 h Nebraska average 0.67
- Registered nurses 0.45 h Nebraska average 0.67
- All staff, weekends 3.27 h Nebraska average 3.48
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Nebraska average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover76.6%
- Nebraska average48.7%
- Registered nurse turnover100.0%
- Nebraska average44.1%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Nebraska and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Nebraska | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 38.6% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.6% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.3% | 2.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 5.6% | 4.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.3% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 8.1% | 4.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.1% | 93.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 37.4% | 18.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 37.7% | 19.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.2% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.7% | 4.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.1% | 25.9% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 25.0% | 20.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.82 | 1.81 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 4.68 | 1.92 | 1.78 |
Short-stay residents
| Measure | This home | Nebraska | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 53.4% | 80.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 4.5% | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 75.9% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 20.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.4% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 49 health deficiencies in the three most recent inspection cycles. Of these, 4 involved actual harm; the rest were graded as no actual harm. 26 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 10, 2024: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 13, 2024 | 22 | 13 |
| Sep 14, 2023 | 6 | 18 |
| Jun 9, 2022 | 21 | 20 |
Nebraska homes averaged 7.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (49)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has plan of correction (Aug 28, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Complaint investigation · Administration · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Complaint investigation · Administration · Deficient, Provider has plan of correction (Aug 28, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has no plan of correction
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 11, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 11, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Apr 11, 2026)
-
DPotential for more than minimal harm, isolated
Have enough outside ventilation via a window or mechanical ventilation, or both.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Apr 11, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jan 31, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 31, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 28, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 28, 2025)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 28, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 28, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 6, 2025)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 6, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 6, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 13, 2024)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 13, 2024)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 13, 2024)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 27, 2024)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Sep 27, 2024)
-
FPotential for more than minimal harm, widespread
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 27, 2023)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 27, 2023)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 27, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 27, 2023)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 23, 2022)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 23, 2022)
Showing the 30 most recent of 49.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Sep 10, 2024 | Fine | $15,625 |
Nebraska homes averaged 0.4 fines and $11,975 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Nebraska
- Size89 of 180 by certified beds
- Nebraska average residents per day55.3
- ChainPrestige Care Center
- Chain average overall rating1.0 of 5
- Resident or family councilResident
- Homes in Otoe County3
Common questions
What is the CMS star rating for Prestige Care Center of Nebraska City?
Prestige Care Center of Nebraska City has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 1.
How many beds does Prestige Care Center of Nebraska City have?
Prestige Care Center of Nebraska City has 64 certified beds. It averages 40.7 residents per day, about 63.6% of its certified beds.
How much nursing care do residents get at Prestige Care Center of Nebraska City?
The home reports 3.41 hours of nurse staffing per resident per day, including 0.45 hours from registered nurses. The Nebraska average is 3.98 hours and 0.67 hours from registered nurses.
Has Prestige Care Center of Nebraska City been fined?
Yes. CMS lists 1 fine totaling $15,625 in the past three years.
Does Prestige Care Center of Nebraska City accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 The Ambassador Nebraska City, Inc 71beds 63.0%in use 4.39nurse hours a day
- 4 of 5 The Ambassador Sidney Inc 46beds 88.7%in use 3.54nurse hours a day
- 4 of 5 Good Samaritan Society - Syracuse 88beds 53.1%in use 3.34nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Otoe County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 285109. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.