Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-14 | 4 | 2026-05-14 | 3 |
| Cycle 2 | 2025-02-24 | 3 | 2025-02-24 | 3 |
| Cycle 3 | 2023-11-30 | 3 | 2023-11-30 | 4 |
NURSING HOME PUBLIC RECORD
1405 Heritage Drive · St Paul, NE 68873 · Howard County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-14 | 4 | 2026-05-14 | 3 |
| Cycle 2 | 2025-02-24 | 3 | 2025-02-24 | 3 |
| Cycle 3 | 2023-11-30 | 3 | 2023-11-30 | 4 |
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-05-18Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2026-06-18Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2026-06-05Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-06-01Have horizontal exits used in accordance with safety requirements.
Correction field: Deficient, Provider has date of correction · 2026-06-05Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-06-05Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-06-05Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-03-28Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-03-28Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2025-03-28Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2025-03-28Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-03-28Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-03-28Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2023-12-20Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2023-12-19Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Correction field: Deficient, Provider has date of correction · 2023-12-19Have enough outside ventilation via a window or mechanical ventilation, or both.
Correction field: Deficient, Provider has date of correction · 2023-12-19Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2023-12-20Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2023-12-20Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2023-12-20Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.