Nursing homeActive
Highland Park Care Center
1633 Sweetwater, Alliance, NE 69301308762252560 certified beds · 57 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
9
● 0● 9● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-08-06
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Nebraska DHHS · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-06 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-08-21 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-07-13 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Nebraska DHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-20Record 285063-20250806-F604
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 285063-20240821-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 285063-20240821-F695
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 285063-20240821-F757
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 285063-20240821-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 285063-20240821-F880
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-27Record 285063-20230713-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-27Record 285063-20230713-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-27Record 285063-20230713-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.51
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day4.79
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours4.02
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover16%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover0%
Facility
Nebraska
National
Nebraska 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Nebraska | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.5% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.8% | 4.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.6% | 20.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.5% | 2.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 18.5% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.7% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.9% | 19.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Vetter Senior Living Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Myers, Terri Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smith, Alice Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stuhr, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vanekeren, Glenn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vetter Senior Living Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vetter, Eldora Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vetter, Jack Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vsl Vetter Health Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Myers, Terri Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Smith, Alice Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Stuhr, Brian Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Stuhr, Brian Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Vanekeren, Glenn Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vanekeren, Glenn Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Vetter, Eldora Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vetter, Eldora Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Vetter, Jack Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vetter, Jack Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Vetter Senior Living — 22 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Nebraska.
No county cost figures on file for Box Butte.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hemingford Care Center Hemingford | 17.9 mi | 2026-04-27 | 1490 |
| Cascades at Skyview Bridgeport | 32.7 mi | 2026-06-16 | 0415 |
| Chimney Rock Villa Bayard | 33.3 mi | 2025-11-24 | 0214 |
| Pioneer Manor Nursing Home Hay Springs | 40.7 mi | 2025-12-31 | 081 |
| Oglala Sioux Lakota Nursing Home Rushville | 46.9 mi | 2025-12-17 | 0171 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |