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C

63.5/100

Average

St. Joseph's Rehabilitation And Care Center

401 North 18Th Street, Norfolk, NE 68701

CMS 2/5 stars #5 of 5 in Madison County (402) 644-7375
Certified beds
83
Occupancy
76%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 65%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

Our read on St. Joseph's Rehabilitation And Care Center

St. Joseph's runs on 3.44 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 16% below its own weekday staffing. That thin coverage shows up in the numbers that matter: 65% annual turnover against a national 45.8%, plus 30 deficiencies on the current record, two of them abuse-related. The last inspection was March 2026, so the record is recent rather than stale. A for-profit limited liability company owns the 83-bed home, and its one-star health inspection rating sits alongside two-star marks for staffing and quality measures. No deficiencies rose to harm or jeopardy level, which is worth noting, but the pattern of low staffing and high turnover is the thing to ask about directly.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing13.5/30Stability5/15Outcomes5/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

13.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.36 total nurse hours per resident per day (national median 3.77)
  • →0.67 RN hours per resident per day
  • →Weekend staffing drops 16% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →65% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.44 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.67 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.90 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover65.00%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: March 3, 2026 (8 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of THE ENSIGN GROUP, which operates 344 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about St. Joseph's Rehabilitation And Care Center

What is the ElderGrade for St. Joseph's Rehabilitation And Care Center? +

St. Joseph's Rehabilitation And Care Center holds an ElderGrade of C (63.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at St. Joseph's Rehabilitation And Care Center? +

Residents receive an average of 3.44 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has St. Joseph's Rehabilitation And Care Center been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does St. Joseph's Rehabilitation And Care Center accept Medicaid? +

Yes, St. Joseph's Rehabilitation And Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.