Continental Springs, LLC

3200 G Street · South Sioux City, NE · 68776 · 4024943043

77 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 100
Staffing 20% 69
Federal penalties 15% 100
Trend 10% 44
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.593.48 min · 4.1 strong
RN hours / resident-day0.600.55–0.75
Weekend hours / resident-day3.14≈ weekday level
Nursing turnover / year42%median 45%
Fines (3-yr window)none

Inspection citations (13 in the current record)

  • Potential for harm · E January 14, 2026

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected February 17, 2026 · Resident Rights

  • Potential for harm · D January 14, 2026

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected February 17, 2026 · Resident Rights

  • Potential for harm · E January 14, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected February 17, 2026 · Resident Rights

  • Potential for harm · D January 14, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 17, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 14, 2026

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected February 17, 2026 · Pharmacy Service

  • Potential for harm · E January 14, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 17, 2026 · Nutrition and Dietary

  • Potential for harm · E January 14, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 17, 2026 · Infection Control

  • Potential for harm · E January 14, 2026 · found via complaint

    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.

    Corrected February 10, 2026 · Resident Rights

  • Potential for harm · D January 14, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 17, 2026 · Quality of Life and Care

  • Potential for harm · D October 31, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 24, 2024 · Nutrition and Dietary

  • Potential for harm · F October 31, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 24, 2024 · Infection Control

  • Potential for harm · D March 19, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 20, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F August 24, 2023 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 26, 2023 · Nutrition and Dietary

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285082 · certified since June 1, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.