Mitchell Care Center
1723 23rd Street · Mitchell, NE · 69357 · 3086231212
50 certified beds Government - City/county Chain: Rural Health Development
- No federal fines or payment denials in CMS’s 3-year window.
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.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
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Potential for harm · D September 10, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 25, 2025 · Quality of Life and Care
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Potential for harm · F September 10, 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 October 25, 2025 · Nursing and Physician Services
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No harm found · C September 10, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 17, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 17, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 17, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 13, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 12, 2024 · Quality of Life and Care
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Potential for harm · D August 13, 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 September 12, 2024 · Pharmacy Service
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Potential for harm · D August 13, 2024
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.
Corrected September 12, 2024 · Pharmacy Service
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Potential for harm · F August 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 12, 2024 · Nutrition and Dietary
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Potential for harm · E August 13, 2024
Provide and implement an infection prevention and control program.
Corrected September 12, 2024 · Infection Control
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Potential for harm · F August 13, 2024
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected September 12, 2024 · Environmental
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Potential for harm · D September 26, 2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected November 10, 2023 · Resident Rights
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Potential for harm · D September 26, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 10, 2023 · Resident Rights
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Potential for harm · E September 26, 2023
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected November 10, 2023 · Resident Rights
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Potential for harm · F September 26, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 10, 2023 · Nutrition and Dietary
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Potential for harm · D September 26, 2023
Provide and implement an infection prevention and control program.
Corrected November 10, 2023 · Infection Control
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Potential for harm · D September 26, 2023 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected November 10, 2023 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C September 26, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 10, 2023 · Resident Assessment and Care Planning
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285287 · certified since February 1, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.