Emerson, NE · Dakota County
★★★★★CMS 5/538 bedsFor-profitMedicaid
- Nurse hours
- 3.04 /day
- Staff turnover
- 39%
- Serious cites
- 0
Heritage of Emerson runs 38 beds under corporate ownership, and its staffing is the weak spot: 3.04 nurse hours per resident day, roughly a fifth under the national average, with weekends about 13% thinner than weekdays. Turnover sits at 39.3%, better than the 45.8% national figure, so the people who stay tend to stay. Inspections look solid, a 4/5 health inspection rating, a 5/5 on quality measures, and the most recent visit was June 2025. Nine deficiencies are on record, none at the harm level, though one is abuse-related, which is worth asking about directly.
South Sioux City, NE · Dakota County
★★☆☆☆CMS 2/577 bedsFor-profitMedicaid
- Nurse hours
- 3.61 /day
- Staff turnover
- 39%
- Serious cites
- 0
Continental Springs is a for-profit LLC home with 77 beds in South Sioux City, and its staffing sits at 3.61 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover runs 38.8%, better than the 45.8% national figure, which matters more than a single snapshot of hours. The health inspection side is the weak spot: a 2/5 star rating, 13 deficiencies on record including one abuse-related citation, though none rose to harm or jeopardy. Its last inspection was January 14, 2026. Quality measures land mid-range and staffing scores well on CMS's own scale, the inspection record is what pulls the overall picture down.
South Sioux City, NE · Dakota County
★☆☆☆☆CMS 1/572 bedsFor-profitMedicaid
- Nurse hours
- 4.63 /day
- Staff turnover
- 39%
- Serious cites
- 0
Adept Nursing & Rehab Of South Sioux City runs on a for-profit LLC structure and sits in Dakota County, Nebraska with 72 certified beds. The staffing numbers are the bright spot: 4.63 nurse hours per resident day, roughly 20 percent above the national average, with weekend coverage dropping about 15 percent below weekday levels. Turnover lands at 39.2 percent, better than the 45.8 percent national figure. What pulls the record down is the inspection history, 34 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $33,784 fine. The most recent inspection was August 2025. CMS gives the home 2 out of 5 stars for health inspections and 1 out of 5 for quality measures, even as staffing earns 4 out of 5.