Arbor Care Centers-Countryside LLC
703 North Main Street · Madison, NE · 68748 · 4024543373
70 certified beds Government - City Chain: Arbor Care Centers
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
63% 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: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Actual harm · G March 24, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Past Non-Compliance · Pharmacy Service
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Potential for harm · D March 24, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 8, 2026 · Pharmacy Service
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Potential for harm · D March 24, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 1, 2026 · Resident Rights
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Potential for harm · D December 18, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 1, 2026 · Resident Rights
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Potential for harm · D December 18, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 18, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 1, 2026 · Resident Rights
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Potential for harm · E December 18, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected February 1, 2026 · Administration
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Potential for harm · D December 18, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 1, 2026 · Quality of Life and Care
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Potential for harm · D December 18, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 1, 2026 · Quality of Life and Care
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Potential for harm · E December 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 1, 2026 · Infection Control
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Potential for harm · D December 18, 2025 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 1, 2026 · Infection Control
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Potential for harm · E December 5, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected January 19, 2025 · Nursing and Physician Services
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Potential for harm · E December 5, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 19, 2025 · Pharmacy Service
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Potential for harm · D December 5, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected January 19, 2025 · Pharmacy Service
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Potential for harm · E December 5, 2024
Provide and implement an infection prevention and control program.
Corrected January 19, 2025 · Infection Control
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Potential for harm · D December 5, 2024
Implement a program that monitors antibiotic use.
Corrected January 19, 2025 · Infection Control
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Potential for harm · D December 5, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 19, 2025 · Quality of Life and Care
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No harm found · C December 5, 2024
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected January 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C December 5, 2024
Post nurse staffing information every day.
Corrected January 19, 2025 · Nursing and Physician Services
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Potential for harm · D August 22, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 14, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 29, 2023 · Resident Rights
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Potential for harm · D November 14, 2023
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected December 29, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 14, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 29, 2023 · Quality of Life and Care
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Potential for harm · D November 14, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 29, 2023 · Quality of Life and Care
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 285207 · certified since April 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.