St. Joseph's Rehabilitation and Care Center
401 North 18th Street · Norfolk, NE · 68701 · 4026447375
83 certified beds For profit - Limited Liability company Chain: The Ensign Group
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.79 | 0.55–0.75 |
| Weekend hours / resident-day | 2.91 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · D April 29, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 3, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · D March 3, 2026
Ensure each resident receives an accurate assessment.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 3, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 3, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D March 3, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D March 3, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 31, 2026 · Nursing and Physician Services
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Potential for harm · E March 3, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 31, 2026 · Nutrition and Dietary
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Potential for harm · F March 3, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 31, 2026 · Nutrition and Dietary
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Potential for harm · E March 3, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 31, 2026 · Infection Control
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Potential for harm · F March 3, 2026 · found via complaint
Implement a program that monitors antibiotic use.
Corrected March 31, 2026 · Infection Control
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Potential for harm · D March 3, 2026 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 31, 2026 · Infection Control
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No harm found · B March 3, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · D December 17, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 27, 2025 · Resident Rights
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Potential for harm · D December 17, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 27, 2025 · Quality of Life and Care
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Potential for harm · E December 17, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 27, 2025 · Quality of Life and Care
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Potential for harm · D December 17, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected January 27, 2025 · Pharmacy Service
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Potential for harm · F December 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 27, 2025 · Nutrition and Dietary
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Potential for harm · E December 17, 2024
Provide and implement an infection prevention and control program.
Corrected January 27, 2025 · Infection Control
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Potential for harm · E December 17, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected January 27, 2025 · Infection Control
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Potential for harm · E December 17, 2024
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected January 27, 2025 · Infection Control
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Potential for harm · D November 28, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 5, 2024 · Resident Rights
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Potential for harm · D November 28, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 28, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 28, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected January 5, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285160 · certified since April 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.