Wakefield Health Care Center
306 Ash Street · Wakefield, NE · 68784 · 4022872244
40 certified beds Government - City
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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
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.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 4.72 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (17 in the current record)
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Potential for harm · E July 22, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 22, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 30, 2025 · Pharmacy Service
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Potential for harm · E July 22, 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 September 30, 2025 · Pharmacy Service
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Potential for harm · D July 22, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 30, 2024 · Resident Rights
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Potential for harm · D June 27, 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 August 30, 2024 · Pharmacy Service
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Potential for harm · E June 27, 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 August 30, 2024 · Pharmacy Service
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Potential for harm · D June 27, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected August 30, 2024 · Pharmacy Service
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Potential for harm · D June 27, 2024
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 August 30, 2024 · Pharmacy Service
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Potential for harm · E June 27, 2024
Provide and implement an infection prevention and control program.
Corrected August 30, 2024 · Infection Control
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Potential for harm · D June 27, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 27, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C June 27, 2024
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected August 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 29, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 29, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 31, 2023 · Quality of Life and Care
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Potential for harm · D June 29, 2023
Provide and implement an infection prevention and control program.
Corrected August 31, 2023 · Infection Control
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Potential for harm · D June 29, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 31, 2023 · Freedom from Abuse, Neglect, and Exploitation
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285209 · certified since June 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.