Risk-Based Surveys in Nebraska

Nursing homes that carry CMS's new High Performing icon, and the inspections CMS has recorded as risk-based surveys: shorter visits CMS says are “only given to higher performing facilities.”

Data: CMS September 2026 · PBJ Q1 2026CMS dataMethodologyCMS policy

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29 of 180 Nebraska nursing homes (16.1%) carry CMS's High Performing icon in the September 2026 Provider Information release. 5 have a standard inspection CMS recorded as a risk-based survey (footnote 29); 1 of those do not carry the icon. Historical inspection records can predate the September 8, 2026 nationwide rollout.

Nursing homes with CMS High Performing icon status, CMS star ratings and recorded risk-based surveys
CMS star ratings
Accura Healthcare of HartingtonCCN 285088Hartington, NE★★★★★★★★★☆★★★★★3.41Feb 23, 2026none in CMS Inspection Dates
Alpine Village Retirement CenterCCN 285190Verdigre, NE★★★★★★★★★★★★★★☆4.01Aug 3, 2026none in CMS Inspection Dates
Ambassador Health of OmahaCCN 285127Omaha, NE★★★★★★★★★☆★★★★☆6.66Jul 10, 2025none in CMS Inspection Dates
Bertrand Nursing HomeCCN 285258Bertrand, NE★★★★★★★★★☆★★★★★3.91May 1, 2025none in CMS Inspection Dates
Brookestone AcresCCN 285291Columbus, NE★★★★★★★★★★★★★★★4.49Sep 11, 2025none in CMS Inspection Dates
Brookestone GardensCCN 285305Kearney, NE★★★★★★★★★★★★★☆☆4.79Dec 16, 2025none in CMS Inspection Dates
Brookestone Meadows Rehabilitation and Care CenterCCN 285276Elkhorn, NE★★★★★★★★★★★★★★★4.66Apr 9, 2026Apr 9, 2026
Brookestone of David CityCCN 285074David City, NE★★★★★★★★★★★★★★☆4.20Jun 3, 2026none in CMS Inspection Dates
Brookestone of PapillionCCN 285268Papillion, NE★★★★★★★★★★★★★★☆4.18Feb 20, 2025none in CMS Inspection Dates
Brookestone VillageCCN 285242Omaha, NE★★★★★★★★★★★★★★☆4.84Feb 24, 2026none in CMS Inspection Dates
Colonial HavenCCN 285204Beemer, NE★★★★★★★★☆☆★★★★★3.98Jun 26, 2026none in CMS Inspection Dates
Dunklau GardensCCN 285119Fremont, NE★★★★★★★★★★★★★★★4.43Jun 25, 2026Jun 25, 2026
Elwood Care CenterCCN 285215Elwood, NE★★★★★★★★★★★★★★☆4.01May 6, 2026none in CMS Inspection Dates
Eventide CreteCCN 285283Crete, NE★★★★★★★★★☆★★★★☆4.93Sep 18, 2025none in CMS Inspection Dates
Eventide WilliamsburgCCN 285288Lincoln, NE★★★★★★★★★★★★★★☆5.89Dec 4, 2025none in CMS Inspection Dates
Fairview ManorCCN 285206Fairmont, NE★★★★★★★★★☆★★★★★4.13Jan 15, 2026none in CMS Inspection Dates
Good Samaritan Society - AlbionCCN 285197Albion, NE★★★★★★★★★☆★★★★★3.51May 19, 2026none in CMS Inspection Dates
Gordon Countryside CareCCN 28E257Gordon, NE★★★★★★★★★★★★★★☆4.30Sep 23, 2025none in CMS Inspection Dates
Highland Park Care CenterCCN 285063Alliance, NE★★★★★★★★★★★★★★★4.79Aug 6, 2025none in CMS Inspection Dates
Memorial Community CareCCN 28E191Aurora, NE★★★★★★★★★★★★★★☆4.68Feb 2, 2026none in CMS Inspection Dates
Newport HouseCCN 285085Omaha, NE★★★★★★★★★★★★★☆☆5.07Jan 29, 2026none in CMS Inspection Dates
Oakland HeightsCCN 285281Oakland, NE★★★★★★★★★☆★★★★★4.40Jun 12, 2025none in CMS Inspection Dates
Parkside ManorCCN 285245Stuart, NE★★★★★★★★★☆★★★★☆3.52Mar 11, 2026none in CMS Inspection Dates
Pioneer Manor Nursing HomeCCN 285212Hay Springs, NE★★★★★★★★★★★★★★☆3.99Dec 31, 2025none in CMS Inspection Dates
Rose Blumkin Jewish HomeCCN 285059Omaha, NE★★★★★★★★★★★★★★☆4.91Apr 15, 2026Apr 15, 2026
Southlake Village Rehabilitation & Care CenterCCN 285219Lincoln, NE★★★★★★★★★★★★★★☆4.72Nov 25, 2025none in CMS Inspection Dates
St Joseph's Hillside VillaCCN 285303West Point, NE★★★★★★★★★★★★★★★4.34Jul 9, 2026Jul 9, 2026
Wakefield Health Care CenterCCN 285209Wakefield, NE★★★★★★★★★★★★★★☆5.05Jul 22, 2025none in CMS Inspection Dates
York General HearthstoneCCN 285131York, NE★★★★★★★★★☆★★★★★3.90Mar 9, 2026none in CMS Inspection Dates

Star ratings are CMS's (1–5, September 2026 Provider Information): OVR overall, STF staffing, INS health inspection. “Not rated” means CMS published no rating; “fn” is a CMS rating footnote. Risk-based survey: the most recent standard inspection CMS marks with footnote 29. A dash means CMS Inspection Dates has none on record for the facility, not that no inspection took place.

1–25 of 29 facilities

Nebraska in context

29High Performing icon
180Nursing homes
16.1%Share (11.6% nationally)
5RBS survey recorded

Related: Nebraska staffing overview Nebraska Special Focus Facilities All states

Methodology & sources

What the High Performing icon is

CMS added a High Performing Icon field (Y/N) to Provider Information in the September 2026 release. CMS's data dictionary describes it as marking homes that exceed the traditional five-star rating, with fewer citations, higher staffing levels and other quality indicators. CMS memo QSO-26-14-NH sets out the criteria for risk-based surveys. CMS's data dictionary does not say the icon is the same thing as eligibility for a risk-based survey, so this page shows the icon and recorded risk-based surveys side by side and does not treat one as proof of the other. The icon is reported exactly as CMS publishes it.

Star ratings and footnotes

Overall, Staffing and Health Inspection ratings are CMS's five-star ratings from the same Provider Information file. Where CMS gives no rating it publishes a footnote code instead, shown here as “fn”. In this release every facility with footnote 18 on its overall rating is a CMS Special Focus Facility, so the table labels those “Not rated: Special Focus Facility”. Other codes are shown as CMS publishes them; see CMS's Provider Information data dictionary for their definitions. In this release every staffing rating that carries footnote 23, 24 or 25 is a 1.

What "risk-based survey" means

CMS marks a standard health inspection with footnote 29 when it was a risk-based survey: “shorter visit with a smaller inspection team.” The column shows the most recent such survey in CMS Inspection Dates. 119 facilities have one on record; 46 of them do not carry the icon in this release. Eligibility and completed inspections are reported separately for that reason.

CMS-recorded risk-based survey dates run from Apr 11, 2024 to Jul 15, 2026; 108 are in 2026. These are historical inspection records, not a count of surveys conducted after nationwide rollout.

CMS revised QSO-26-14-NH (September 29, 2026) confirms that testing began in 2023 in 22 states and more than 100 facilities; nationwide implementation began September 8, 2026. The source fields do not identify pilot participation for individual inspections. PBJ320 preserves CMS footnote 29 and survey dates as published; it does not independently reclassify surveys or label all earlier records as pilot inspections.

What this page does not say

  • A missing icon is not a finding about care. CMS applies criteria that are not all public, and the icon can change month to month.
  • The icon is CMS's designation, not a PBJ320 prediction or rating.
  • A dash in the risk-based survey column means CMS Inspection Dates has no footnote-29 inspection for the facility. It is not evidence that no survey took place.
  • Star ratings and HPRD are context from different sources and periods, listed below.

Dates on this page

CMS processing dateSep 1, 2026The as-of date CMS assigns to the Provider Information file.
CMS last modifiedSep 30, 2026The last-modified date CMS records for the dataset on data.cms.gov.
CMS public releaseOct 8, 2026When CMS released the file publicly on data.cms.gov. CMS announced a delay for this release.
PBJ320 admittedOct 8, 2026When PBJ320 validated and adopted the file.
Survey datesPer facilityActual inspection dates from CMS. A recorded risk-based survey can predate the current icon.
PBJ staffing quarterQ1 2026Total nurse HPRD comes from PBJ payroll data for this quarter, a different period from the CMS ratings.

History

The September 2026 release is the first in which CMS published the High Performing icon and footnote 29. PBJ320 stores each release's designations separately; from the next release on, this page will show which facilities gained or lost the icon and when each risk-based survey first appeared.

Releases on file: September 2026 (1,699 designated)

Sources

Inspection reports

Survey dates and types come from CMS Inspection Dates. PBJ320 does not link individual CMS-2567 inspection reports: it has no source that resolves a specific survey date to its official report, and it will not attach a different inspection's report to a risk-based survey. Each facility's PBJ320 page links to its Care Compare listing.

Questions or corrections: corrections.