nursing home in Norfolk, NE
St. Joseph's Rehabilitation and Care Center
401 North 18th Street, Norfolk, NE 68701 · (402) 644-7375
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
St. Joseph's Rehabilitation and Care Center at a glance
St. Joseph's Rehabilitation and Care Center is a 83-bed for-profit nursing home in Norfolk, Nebraska (Madison County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Nebraska average of 2.8.
Residents receive about 3.4 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (March 3, 2026) found 14 health citations. The Nebraska average is 7.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 65% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 83
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- April 1, 1995
- Resident/family council
- Resident
- County
- Madison County
- CMS Certification Number
- 285160
Ratings
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.9 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.1 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.44 hrs | 3.98 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.67 hrs | 0.67 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.36 hrs | 2.64 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.90 hrs | 3.48 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 65% | 48.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 62.5% | 44.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 87 | 57.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $11,975 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 83 | 76 | 107 | |
| Average residents per day | 63 | 55 | 86 | |
| Occupancy | 75.9% | 73% | 80.9% |
Long-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3% | 4.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3% | 4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 14.4% | 20.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.9% | 2.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20.1% | 19% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 32.5% | 18.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 11.4% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 18.4% | 4.3% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.3% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20.7% | 19.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 33.2% | 25.9% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 75% | 93% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.1% | 2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 92.4% | 75.9% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 52.1% | 80.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 31 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 14, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 3, 2026 |
| April 29, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 21, 2026 |
| March 3, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected March 31, 2026 |
| March 3, 2026 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected March 31, 2026 |
| March 3, 2026 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected March 31, 2026 |
| March 3, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected March 31, 2026 |
| March 3, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 31, 2026 |
| March 3, 2026 Complaint | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | F Potential harm, widespread | Corrected March 31, 2026 |
| March 3, 2026 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected March 31, 2026 |
| March 3, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 31, 2026 |
| March 3, 2026 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected March 31, 2026 |
| March 3, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected March 31, 2026 |
| March 3, 2026 Complaint | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected March 31, 2026 |
| March 3, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 31, 2026 |
| March 3, 2026 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected March 31, 2026 |
| March 3, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected March 31, 2026 |
| March 3, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 31, 2026 |
| March 3, 2026 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | B No harm, pattern | Corrected March 31, 2026 |
| December 17, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected December 31, 2024 |
| December 17, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 31, 2024 |
| December 17, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 27, 2025 |
| December 17, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected January 27, 2025 |
| December 17, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 27, 2025 |
| December 17, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected January 27, 2025 |
| December 17, 2024 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected January 27, 2025 |
| December 17, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected January 27, 2025 |
| December 17, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 27, 2025 |
| December 17, 2024 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected January 27, 2025 |
| November 28, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected December 11, 2023 |
| November 28, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected December 11, 2023 |
| November 28, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 11, 2023 |
| November 28, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 5, 2024 |
| November 28, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 5, 2024 |
| November 28, 2023 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected January 5, 2024 |
| November 28, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected January 5, 2024 |
| November 28, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected January 5, 2024 |
| November 28, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected January 5, 2024 |
| November 28, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected January 5, 2024 |
| November 28, 2023 Standard | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected January 5, 2024 |
| November 28, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected January 5, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MILLER, BLAKE Individual | adp of the snf | NOT APPLICABLE | 04/18/2025 |
| RECOB, SAMUEL Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 07/22/2024 |
| GATEWAY HEALTHCARE LLC Organization | direct ownership interest | NOT APPLICABLE | 07/22/2024 |
| THE ENSIGN GROUP INC Organization | indirect ownership interest | NOT APPLICABLE | 07/22/2024 |
| BURNAM, SOON Individual | managing control - governing body | NOT APPLICABLE | 07/22/2024 |
| HELENTHAL, TARA Individual | managing control - governing body | NOT APPLICABLE | 07/22/2024 |
| JORGENSEN, DAVID Individual | managing control - governing body | NOT APPLICABLE | 07/22/2024 |
| SATO, AMI Individual | managing control - governing body | NOT APPLICABLE | 09/09/2024 |
| MILLER, BLAKE Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| RECOB, SAMUEL Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
Other nursing homes near St. Joseph's Rehabilitation and Care Center
Heritage of Bel Air
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★★★★★5Much above averageCommunity Pride Care Center
901 South 4th Street, Battle Creek, NE 68715 · 9.1 mi
Government · 50 beds
★★★★★4Above average- ★★★★★4Above average
- ★★★★★3Average
Arbor Care Centers-Countryside LLC
703 North Main Street, Madison, NE 68748 · 13.8 mi
Government · 70 beds
★★★★★2Below averageColonial Manor of Randolph
811 South Main Street, Randolph, NE 68771 · 23.5 mi
For-profit · 45 beds · Part of The Ensign Group
★★★★★1Much below average
Frequently asked questions
What is St. Joseph's Rehabilitation and Care Center's rating?
St. Joseph's Rehabilitation and Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Nebraska nursing homes is 2.8 stars.
How many inspection citations did St. Joseph's Rehabilitation and Care Center receive?
Its most recent standard health inspection found 14 citations, compared with a Nebraska average of 7.4. Every citation is listed on this page with its severity.
Does St. Joseph's Rehabilitation and Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns St. Joseph's Rehabilitation and Care Center?
It is for profit - limited liability company and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is St. Joseph's Rehabilitation and Care Center and how do I contact it?
St. Joseph's Rehabilitation and Care Center is at 401 North 18th Street, Norfolk, NE 68701. Phone: (402) 644-7375.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.