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RURAL HEALTH DEVELOPMENT

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

9

States

2

Beds

410

Avg score

79.7

Avg turnover

47%

Federal fines

$27,115

All 9 homes

A

90/100

Alpine Village Retirement Center

Verdigre, NE · Knox County

CMS 5/545 bedsGovernmentMedicaid
Nurse hours
4.01 /day
Staff turnover
44%
Serious cites
0

Alpine Village runs on city government ownership in Verdigre, and the numbers show a home that's been kept in decent shape. Nurse staffing sits at 4.01 hours per resident day, a bit above the national average, though weekends drop roughly 14% below what the home staffs during the week, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover lands at 44.4%, essentially in line with the national rate rather than worse. Five deficiencies on the current record, none at the harm level and none abuse-related, with the last inspection in May 2025. That combination, solid staffing, no serious citations, a recent look from the state, is what's driving the grade here.

A

87/100

Parkside Manor

Stuart, NE · Holt County

CMS 5/540 bedsGovernmentMedicaid
Nurse hours
3.52 /day
Staff turnover
36%
Serious cites
0

Parkside Manor is city-owned, and the numbers show a home that runs lean but steady. Nurse staffing sits at 3.52 hours per resident day, about 9% under the national average, and weekends dip roughly 9% below its own weekday levels, worth asking about if your family visits on Saturdays. What stands out is retention: turnover is 35.7% against a national 45.8%, which suggests people stay. The inspection record shows 8 deficiencies, none at harm or jeopardy level, though 2 are abuse-related and worth reading closely. Its last inspection was March 2026, so the record is current. Quality and staffing star ratings both land at 4 out of 5.

A

86/100

Bertrand Nursing Home

Bertrand, NE · Phelps County

CMS 5/526 bedsGovernmentMedicaid
Nurse hours
3.91 /day
Staff turnover
46%
Serious cites
0

Bertrand Nursing Home is a 26-bed city-owned home in Phelps County, and the numbers behind its A grade are steady rather than spectacular. Nurse staffing runs 3.91 hours per resident day, just barely above the national average of 3.86, though weekends dip about 6% below its own weekday coverage. Staff turnover sits at 45.5%, essentially matching the national rate of 45.8%. What stands out is the inspection record: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection on May 1, 2025. A 5/5 health inspection rating and 5/5 quality measure rating support that. For a small rural home, this reads as consistent, well-monitored care without serious red flags.

B

82/100

Colonial Acres Of Humboldt

Humboldt, NE · Richardson County

CMS 2/549 bedsGovernmentMedicaid
Nurse hours
4.35 /day
Staff turnover
53%
Serious cites
0

Colonial Acres is city-owned, which is unusual in this part of Nebraska, and its staffing is the strongest card it holds, 4.35 nurse hours per resident day, comfortably above the national figure, with a four-star staffing rating to match. The catch is consistency: weekends run roughly 14% thinner than weekdays, and turnover sits at 53.3%, well past the national rate. Inspections are a softer spot, at two stars with 15 deficiencies on record, though none reached harm or jeopardy and none involved abuse. The most recent visit was in March 2026, so the picture is current.

B

80/100

Walworth County Care Center, Inc

Selby, SD · Walworth County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
27%
Serious cites
0

Walworth County Care Center runs on leaner nurse staffing than most homes, about 3.03 hours per resident day against a national average near 3.86, and weekends dip roughly 14% below its own weekday coverage. The tradeoff shows up in stability: turnover sits at 27.3%, well under the 45.8% national figure, which matters when you're trying to keep familiar faces on the floor. Its inspection record is genuinely strong, a five-star rating with five total deficiencies and none at the harm or jeopardy level, though one is abuse-related. A recent inspection in April 2026 keeps that picture current. If your family member needs consistent caregivers more than maximum daily nursing hours, this one is worth a look.

B

78.5/100

Colonial Haven

Beemer, NE · Cuming County

CMS 5/534 bedsGovernmentMedicaid
Nurse hours
3.98 /day
Staff turnover
n/a
Serious cites
0

Colonial Haven runs on city government ownership in Beemer, and its last inspection came in April 2025 with no deficiencies at the harm or jeopardy level, a clean record on the serious stuff. Two of its ten deficiencies are abuse-related, though, which is worth asking about directly. Nurse staffing sits at 3.98 hours per resident day, about 3% above the national average, but weekends drop roughly 15% below its own weekday level, so coverage isn't even across the week. The five-star inspection rating shows the survey history is strong; the three-star quality measure rating is middling. With 34 beds, it's small enough that you can ask specific questions about who's on duty Saturday and Sunday.

B

74.5/100

Wilber Care Center

Wilber, NE · Saline County

CMS 2/558 bedsGovernmentMedicaid
Nurse hours
4.26 /day
Staff turnover
67%
Serious cites
0

Wilber Care Center is city/county-owned and staffs 4.26 nursing hours per resident day, about 10% above the national average, which is a real strength. But that number hides two problems: weekend coverage drops roughly 18% below weekday levels, and annual turnover sits at 67.4% against a national 45.8%, so the people providing that care change often. The 12 deficiencies on record include one abuse-related citation, though none reached harm or jeopardy level, and the last inspection was January 2025. Quality measures score well; inspections do not.

B

70.5/100

Mitchell Care Center

Mitchell, NE · Scott Bluff County

CMS 3/550 bedsGovernmentMedicaid
Nurse hours
3.81 /day
Staff turnover
48%
Serious cites
0

Mitchell Care Center runs on thin margins, and the numbers show it. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but the real gap is weekends, coverage drops about 18% below what the home staffs on weekdays, which is when falls and infections tend to happen. Turnover runs 47.5%, higher than the national rate, and the current record carries 19 deficiencies, including five tied to abuse. None rose to the harm level, and the most recent inspection was in September 2025, so the picture is current rather than stale. City- or county-run ownership can mean steadier funding, but it doesn't change what the staffing pattern and survey history already tell you.

C

69/100

St. Joseph's Villa, Inc.

David City, NE · Butler County

CMS 2/558 bedsNon-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
53%
Serious cites
0

St. Joseph's Villa runs a nonprofit shop in David City with 58 beds, and the numbers show a home that's getting by rather than standing out. Nurse staffing sits at 3.79 hours per resident day, just under the national average, and weekends drop about 14% below its own weekday coverage, a gap families often feel on Saturday and Sunday. Staff turnover of 52.9% runs well above the national 45.8%, which matters because familiar faces are hard to keep when half the team leaves each year. Fourteen deficiencies sit on the current record, including one at the harm level and one tied to abuse, with a $27,115 fine attached. The most recent inspection was in August 2025.