Sandhills Care Center

143 N Fullerton Street · Ainsworth, NE · 69210 · 4023871294

46 certified beds Government - City/county

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 57
Serious harm & abuse 20% 100
Staffing 20% 80
Federal penalties 15% 100
Trend 10% 77
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day4.273.48 min · 4.1 strong
RN hours / resident-day0.780.55–0.75
Weekend hours / resident-day3.36≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (22 in the current record)

  • Potential for harm · D June 17, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected July 8, 2025 · Resident Rights

  • Potential for harm · D June 17, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 8, 2025 · Pharmacy Service

  • Potential for harm · E June 17, 2025

    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 July 8, 2025 · Pharmacy Service

  • Potential for harm · E June 17, 2025

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

    Corrected July 8, 2025 · Nutrition and Dietary

  • Potential for harm · F June 17, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 8, 2025 · Infection Control

  • Potential for harm · D May 23, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected June 14, 2024 · Resident Rights

  • Potential for harm · D May 23, 2024

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected June 14, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 14, 2024 · Quality of Life and Care

  • Potential for harm · D May 23, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected June 14, 2024 · Quality of Life and Care

  • Potential for harm · E May 23, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 14, 2024 · Pharmacy Service

  • Potential for harm · D May 23, 2024

    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 June 14, 2024 · Pharmacy Service

  • Potential for harm · F May 23, 2024

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

    Corrected June 14, 2024 · Nutrition and Dietary

  • Potential for harm · F May 23, 2024

    Provide and implement an infection prevention and control program.

    Corrected June 14, 2024 · Infection Control

  • Potential for harm · D May 23, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 14, 2024 · Resident Rights

  • Potential for harm · E May 23, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 14, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • No harm found · C May 23, 2024 · found via complaint

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Corrected June 14, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 26, 2023 · found via complaint

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

    Corrected November 10, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E May 18, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected June 16, 2023 · Resident Rights

  • Potential for harm · D May 18, 2023

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected June 16, 2023 · Resident Assessment and Care Planning

  • Potential for harm · F May 18, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 16, 2023 · Pharmacy Service

  • Potential for harm · F May 18, 2023

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

    Corrected June 16, 2023 · Nutrition and Dietary

  • Potential for harm · D May 18, 2023

    Provide and implement an infection prevention and control program.

    Corrected June 16, 2023 · Infection Control

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285298 · certified since December 23, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.