Elder Care Record

Nebraska › Hall County › Grand Island

Tiffany Square

3119 West Faidley Avenue, Grand Island, NE 68803

CCN 285087 · Non-profit, other · 103 certified beds · chain Vetter Senior Living

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Tiffany Square is a Non-profit, other nursing home in Grand Island, Nebraska, certified for 103 beds and caring for about 87 residents a day.

CMS gives it 2 of 5 stars overall, below the Nebraska median of 3; the health inspection rating is 3, staffing 3 and quality measures 1.

Inspectors recorded 18 health deficiencies across the three most recent survey cycles (4, 8, 6 by cycle, most recent first), none at the actual-harm level. That is 17.5 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 4.3 hours per resident per day (0.5 RN), close to the Nebraska median of 3.9; nursing staff turnover is 32.3%.

18health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.3nurse hours per resident per daystate median 3.9
84%occupancy (residents ÷ beds)87 residents a day

Compared with county, state and nation

MeasureThis facilityHall Co. medianNebraska medianUS average
Overall star rating2133.0
Health citations, 3 cycles18221528.7
Citations per 100 beds17.534.323.726.8
Total nurse hours per resident day4.33.63.93.9
RN hours per resident day0.50.50.60.7
Nursing staff turnover32.3%63.8%47.1%45.8%
Fines listed$0$10,296$0—

County and state figures are medians across facilities (6 in the county, 180 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)4
Cycle 28
Cycle 36

Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Dec 2025, 16 Oct 2024.

Severity mix: D ×11 E ×5 F ×1 C ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation13 Apr 2026
4 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey31 Dec 2025
4 Dec 2025F0880Provide and implement an infection prevention and control program.EStandard survey31 Dec 2025
4 Dec 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey31 Dec 2025
13 Jan 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation17 Feb 2025
13 Jan 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation17 Feb 2025
16 Oct 2024F0758Implement 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.EStandard survey20 Nov 2024
16 Oct 2024F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey20 Nov 2024
16 Oct 2024F0880Provide and implement an infection prevention and control program.EStandard survey20 Nov 2024
16 Oct 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey20 Nov 2024
16 Oct 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey20 Nov 2024
16 Oct 2024F0761Ensure 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.DStandard survey20 Nov 2024
14 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation20 Mar 2024
5 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Nov 2023
5 Oct 2023F0641Ensure each resident receives an accurate assessment.DStandard survey17 Nov 2023
5 Oct 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey17 Nov 2023
5 Oct 2023F0880Provide and implement an infection prevention and control program.DStandard survey17 Nov 2023
5 Oct 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.CStandard survey17 Nov 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.34 h
Nurse aides3.2 h
LPN0.66 h
RN0.48 h
Weekend total3.64 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 32.3%, RNs 25.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNebraska medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay26.6%18.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.3%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.7%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.1%4.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.8%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay41.7%17.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.0%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.5%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, other. Legal business name: Vsl Grand Island Llc. Chain: Vetter Senior Living (22 facilities).

OrganisationRole in the CMS recordInterestSince
Vetter Senior Living5% or greater direct ownership interest100%12/23/2016
Vetter Senior LivingOperational/managerial controlNOT APPLICABLE12/23/2016
Vsl Vetter Health Services LLCOperational/managerial controlNOT APPLICABLE07/01/2017

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 Hall County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Chi Health St. FrancisGrand Island36341719.4—20 Mar 2025
Adept Nursing & Rehab of Grand IslandGrand Island761113242.1$17K21 May 2025
Emerald Nursing & Rehab LakeviewGrand Island951112223.2$13K29 Jan 2026
Eventide Prairie Commons Care CenterGrand Island361131644.4$10K3 Jun 2026
Good Samaritan Society - Grand Island VillageGrand Island671232334.3$10K1 Jun 2026

All 6 facilities in Hall County

Questions and answers

How many deficiencies has Tiffany Square been cited for?

18 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 Tiffany Square been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Tiffany Square compare?

Reported total nurse staffing is 4.3 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.

Who operates Tiffany Square?

It is part of the Vetter Senior Living chain. Ownership type is non-profit, other. 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 Tiffany Square last inspected?

The most recent survey or investigation in the CMS record is dated 4 Mar 2026; the most recent standard health survey was 4 Dec 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.