Nebraska › Box Butte County › Alliance
Highland Park Care Center
1633 Sweetwater, Alliance, NE 69301
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Highland Park Care Center, in Alliance, Nebraska, is certified for 60 beds under non-profit, corporation ownership and belongs to the Vetter Senior Living chain.
CMS gives it 5 of 5 stars overall, above the Nebraska median of 3; the health inspection rating is 5, staffing 5 and quality measures 4.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (1, 5, 3 by cycle, most recent first), none at the actual-harm level. That is 15.0 per 100 beds, fewer than the state median of 23.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.8 hours per resident per day (0.5 RN), close to the Nebraska median of 3.9; nursing staff turnover is 15.5%.
Compared with county, state and nation
| Measure | This facility | Box Butte Co. median | Nebraska median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 50 | 15 | 28.7 |
| Citations per 100 beds | 15.0 | 128.2 | 23.7 | 26.8 |
| Total nurse hours per resident day | 4.8 | 4.8 | 3.9 | 3.9 |
| RN hours per resident day | 0.5 | 0.7 | 0.6 | 0.7 |
| Nursing staff turnover | 15.5% | 55.3% | 47.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (2 in the county, 180 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Aug 2025, 21 Aug 2024.
Severity mix: D ×6 E ×2 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 Aug 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 20 Sep 2025 |
| 21 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Oct 2024 |
| 21 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 4 Oct 2024 |
| 21 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Oct 2024 |
| 21 Aug 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 4 Oct 2024 |
| 21 Aug 2024 | F0761 | 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. | D | Standard survey | 4 Oct 2024 |
| 13 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Aug 2023 |
| 13 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Aug 2023 |
| 13 Jul 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 27 Aug 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 15.5%, RNs 0.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Nebraska median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.5% | 18.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 4.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.5% | 17.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.5% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.6% | 19.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Vsl Alliance Llc. Chain: Vetter Senior Living (22 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Vetter Senior Living | 5% or greater direct ownership interest | 100% | 12/23/2016 |
| Vetter Senior Living | Operational/managerial control | NOT APPLICABLE | 12/23/2016 |
| Vsl Vetter Health Services LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2017 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Box Butte County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hemingford Care Center | Hemingford | 39 | 1 | 1 | 4 | 50 | 128.2 | — | 27 Apr 2026 |
All 2 facilities in Box Butte County
Questions and answers
How many deficiencies has Highland Park Care Center been cited for?
9 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.
Has Highland Park Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Highland Park Care Center compare?
Reported total nurse staffing is 4.8 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.
Who operates Highland Park Care Center?
It is part of the Vetter Senior Living chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Vetter Senior Living, Vetter Senior Living and Vsl Vetter Health Services LLC. Individual owners and managers are not listed on this site.
When was Highland Park Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 6 Aug 2025; the most recent standard health survey was 6 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.