Nursing homeActive
Elwood Care Center
607 Smith Avenue, Elwood, NE 68937308785330243 certified beds · 30 residentsGovernment - CityMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
8
● 0● 8● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-06
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 3
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 |
|---|---|---|---|---|
| 2026-05-06 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-02-11 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-03-12 | Standard | 040 | 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.
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-20Record 285215-20260506-F552
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-20Record 285215-20260506-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-20Record 285215-20260506-F656
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 2026-06-20Record 285215-20260506-F880
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-01Record 285215-20240312-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-01Record 285215-20240312-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-01Record 285215-20240312-F690
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-01Record 285215-20240312-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.60
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day4.01
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours3.66
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover39%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover20%
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 | 1.9% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.3% | 4.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 20.9% | 20.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 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 | 24.3% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.7% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.3% | 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 |
|---|---|---|---|---|
| The Village Of Elwood, Nebraska Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Martin, Thomas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Reiners, Kate Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smith, Shane Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| The Village Of Elwood, Nebraska Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Holl, Kent Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Koenig, Betty Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Martin, Thomas Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Nelson, Mary Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Rath, Steven Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Reiners, Kate Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Scoville, Kim Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Smith, Shane Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Village Of Elwood, Nebraska Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
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 Gosper.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Bertrand Nursing Home Bertrand | 12.8 mi | 2025-05-01 | 020 |
| Emerald Nursing & Rehab Cozad Cozad | 20.6 mi | 2025-11-13 | 0130 |
| Beaver City Manor Beaver City | 31.5 mi | 2025-06-12 | 080 |
| Hilltop Estates Gothenburg | 28.9 mi | 2026-06-16 | 0150 |
| Christian Homes Health Care Center Holdrege | 25.9 mi | 2026-03-11 | 1240 |
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 |