Life Care Center of Elkhorn

20275 Hopper Street · Elkhorn, NE · 68022 · 4022892572

135 certified beds For profit - Corporation Chain: Life Care Centers of America

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $40,610 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 88
Staffing 20% 73
Federal penalties 15% 31
Trend 10% 43
Context 5% 100

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: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.773.48 min · 4.1 strong
RN hours / resident-day0.620.55–0.75
Weekend hours / resident-day3.29≈ weekday level
Nursing turnover / year33%median 45%
Fines (3-yr window)1 · $40,610

Inspection citations (35 in the current record)

  • Potential for harm · D December 8, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 8, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 8, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected January 8, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 8, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 8, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 8, 2025

    Respond appropriately to all alleged violations.

    Corrected January 8, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 8, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 8, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 8, 2025

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected January 8, 2026 · Quality of Life and Care

  • Potential for harm · D December 8, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected January 8, 2026 · Quality of Life and Care

  • Potential for harm · D December 8, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected January 8, 2026 · Quality of Life and Care

  • Potential for harm · D December 8, 2025

    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.

    Corrected January 8, 2026 · Pharmacy Service

  • Potential for harm · F December 8, 2025

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected January 8, 2026 · Nutrition and Dietary

  • Potential for harm · F December 8, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 8, 2026 · Nutrition and Dietary

  • Potential for harm · D December 8, 2025 · found via complaint

    Give residents a notice of rights, rules, services and charges.

    Corrected January 8, 2026 · Resident Rights

  • Potential for harm · D December 8, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected January 8, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 8, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 8, 2026 · Infection Control

  • Potential for harm · E December 8, 2025 · found via complaint

    Have enough outside ventilation via a window or mechanical ventilation, or both.

    Corrected January 8, 2026 · Environmental

  • Potential for harm · F December 8, 2025 · found via complaint

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected January 8, 2026 · Nursing and Physician Services

  • Actual harm · G November 6, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 4, 2025 · Quality of Life and Care

  • Potential for harm · D November 6, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 4, 2025 · Resident Rights

  • Potential for harm · D November 6, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 4, 2025 · Quality of Life and Care

  • Actual harm · G August 13, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected September 9, 2024 · Quality of Life and Care

  • Potential for harm · E August 13, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 9, 2024 · Infection Control

  • Potential for harm · D August 13, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected September 9, 2024 · Resident Rights

  • Potential for harm · D August 13, 2024

    Ensure each resident receives an accurate assessment.

    Corrected September 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 13, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 13, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 9, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 6, 2025Fine$40,610
November 6, 2025Payment Denial30 days
December 11, 2024Payment Denial11 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285134 · certified since September 17, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.