CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2852202026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Wauneta Care And Therapy Center

427 Legion Street · Wauneta, NE 69045 · Chase County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds36CMS provider file
Recent citation rows30current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

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.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-05-1352025-05-133
Cycle 22024-05-1672024-05-162
Cycle 32023-03-1622023-03-1611
02 / CITATION DETAIL

30 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-05-13 · HEALTHF0710Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Correction field: Deficient, Provider has date of correction · 2025-06-27
2025-05-13 · HEALTHF0712Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Correction field: Deficient, Provider has date of correction · 2025-06-27
2025-05-13 · HEALTHF0757Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction field: Deficient, Provider has date of correction · 2025-06-27
2025-05-13 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2025-06-27
2025-05-13 · HEALTHF0947Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Ensure 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 · 2025-06-27
2025-05-13 · FIREK0374Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Correction field: Deficient, Provider has date of correction · 2025-06-27
2025-05-13 · FIREK0511Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2025-06-27
2025-05-13 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2025-06-27
2024-05-16 · HEALTHF0656Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-06-07
2024-05-16 · HEALTHF0697Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2024-06-07
2024-05-16 · HEALTHF0758Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-06-07
2024-05-16 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2024-06-07
2024-05-16 · HEALTHF0851Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Correction field: Deficient, Provider has date of correction · 2024-06-07
2024-05-16 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-06-07
2024-05-16 · HEALTHF0947Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Ensure 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 · 2024-06-07
2024-05-16 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2024-06-27
2024-05-16 · FIREK0923Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2024-06-27
2023-08-15 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-09-28 · complaint
2023-03-16 · FIREE0041Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Correction field: Deficient, Provider has date of correction · 2023-04-28
2023-03-16 · HEALTHF0801Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Employ 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 · 2023-04-28
2023-03-16 · FIREK0293Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2023-04-28
2023-03-16 · FIREK0321Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2023-04-28
2023-03-16 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2023-04-28
2023-03-16 · FIREK0355Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2023-04-28
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-05-16Payment Denial$015
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • VILLAGE OF WAUNETAOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 12/01/2012
  • EINSPAHR, RICKIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2017
  • GARCIA, JOSEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2021
  • RICHARDSON, RANAEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/04/2024
  • RURAL HEALTH DEVELOPMENT INC.Organization · ADP OF THE SNF
    NOT APPLICABLE · since 09/21/2023
  • RICHARDSON, RANAEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 12/31/2025

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.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.11per resident day
RN hours0.52per resident day
Weekend nurse hours2.79per resident day
Staff turnover59.5%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Nebraska ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

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.