Elder Care Record

Nebraska › Dixon County › Wakefield

Wakefield Health Care Center

306 Ash Street, Wakefield, NE 68784

CCN 285209 · Government, city · 40 certified beds

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.

Certified for 40 beds, Wakefield Health Care Center serves Wakefield in Dixon County, Nebraska and has taken Medicare and Medicaid residents since 1997.

CMS gives it 5 of 5 stars overall, above the Nebraska median of 3; the health inspection rating is 4, staffing 5 and quality measures 3.

Inspectors recorded 17 health deficiencies across the three most recent survey cycles (4, 9, 4 by cycle, most recent first), none at the actual-harm level. That is 42.5 per 100 beds, more 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 5.0 hours per resident per day (0.6 RN), above the Nebraska median of 3.9; nursing staff turnover is 33.3%.

17health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
5.0nurse hours per resident per daystate median 3.9
74%occupancy (residents ÷ beds)30 residents a day

Compared with county, state and nation

MeasureThis facilityDixon Co. medianNebraska medianUS average
Overall star rating5533.0
Health citations, 3 cycles17171528.7
Citations per 100 beds42.542.523.726.8
Total nurse hours per resident day5.05.03.93.9
RN hours per resident day0.60.60.60.7
Nursing staff turnover33.3%33.3%47.1%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 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 29
Cycle 34

Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Jul 2025, 27 Jun 2024.

Severity mix: D ×12 E ×4 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
22 Jul 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey30 Sep 2025
22 Jul 2025F0761Ensure 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.EStandard survey30 Sep 2025
22 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation30 Sep 2025
22 Jul 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey30 Sep 2025
27 Jun 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 survey30 Aug 2024
27 Jun 2024F0880Provide and implement an infection prevention and control program.EStandard survey30 Aug 2024
27 Jun 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey30 Aug 2024
27 Jun 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation30 Aug 2024
27 Jun 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation30 Aug 2024
27 Jun 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey30 Aug 2024
27 Jun 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey30 Aug 2024
27 Jun 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 survey30 Aug 2024
27 Jun 2024F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.CStandard survey30 Aug 2024
29 Jun 2023F0610Respond appropriately to all alleged violations.DStandard survey31 Aug 2023
29 Jun 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey31 Aug 2023
29 Jun 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey31 Aug 2023
29 Jun 2023F0880Provide and implement an infection prevention and control program.DStandard survey31 Aug 2023

Penalties

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

Staffing

Total nursing5.05 h
Nurse aides3.87 h
LPN0.56 h
RN0.61 h
Weekend total4.7 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 33.3%, RNs 33.3%; 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 Stay25.0%18.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.8%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.9%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.7%4.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay20.3%17.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.3%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.7%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: government, city. Legal business name: Wakefield Care Center.

OrganisationRole in the CMS recordInterestSince
Wakefield Care CenterDirect ownership interestNOT APPLICABLE09/01/1989
Wakefield Care CenterOperational/managerial controlNOT APPLICABLE09/01/1989
Wakefield Care CenterAdp of the snfNOT APPLICABLE03/27/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Wakefield Health Care Center been cited for?

17 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 Wakefield Health Care Center been fined?

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

How does staffing at Wakefield Health Care Center compare?

Reported total nurse staffing is 5.0 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.

Who operates Wakefield Health Care Center?

Ownership type is government, city. Organisations in the CMS ownership record include Wakefield Care Center and Wakefield Care Center. Individual owners and managers are not listed on this site.

When was Wakefield Health Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 22 Jul 2025; the most recent standard health survey was 22 Jul 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.