nursing home in Madison, NE
Arbor Care Centers-Countryside LLC
703 North Main Street, Madison, NE 68748 · (402) 454-3373
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Arbor Care Centers-Countryside LLC at a glance
Arbor Care Centers-Countryside LLC is a 70-bed government nursing home in Madison, Nebraska (Madison County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Nebraska average of 2.8.
Its most recent standard health inspection (December 18, 2025) found 13 health citations. The Nebraska average is 7.4.
Federal regulators fined it 2 times in the past three years, totaling $26,750.
Nursing staff turnover is 64.1% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- Government - City
- Beds
- 70
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 1, 1997
- Resident/family council
- Resident
- County
- Madison County
- CMS Certification Number
- 285207
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) | 1 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 2.9 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Nursing staff turnover (yearly) (lower is better) | 64.1% | 48.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 87.5% | 44.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 4 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 78 | 57.3 | 80.6 | Average |
Penalties
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 0 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $26,750 | $11,975 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 70 | 76 | 107 | |
| Average residents per day | 36 | 55 | 86 | |
| Occupancy | 50.7% | 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) | 3.9% | 4.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 11.4% | 20.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.6% | 2.8% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.7% | 1.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.9% | 19% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 19.4% | 18.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.3% | 12.8% | Better |
| 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) | 16.1% | 19.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 32.1% | 25.9% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 84.2% | 96.1% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 81.9% | 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) | 4.1% | 2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 27.3% | 75.9% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 35.6% | 80.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 32 health deficiencies and 16 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 15, 2026 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Past Non-Compliance |
| March 24, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Past Non-Compliance |
| March 24, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 8, 2026 |
| March 24, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 8, 2026 |
| December 18, 2025 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | F Potential harm, widespread | Corrected February 1, 2026 |
| December 18, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected February 1, 2026 |
| December 18, 2025 Fire safety | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0925 | D Potential harm, isolated | Corrected February 1, 2026 |
| December 18, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected February 1, 2026 |
| December 18, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | E Potential harm, pattern | Corrected February 1, 2026 |
| December 18, 2025 Standard | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | E Potential harm, pattern | Corrected February 1, 2026 |
| December 18, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 1, 2026 |
| December 18, 2025 Complaint | 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 February 1, 2026 |
| December 18, 2025 Complaint | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected February 1, 2026 |
| December 18, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected February 1, 2026 |
| December 18, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected February 1, 2026 |
| December 18, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected February 1, 2026 |
| December 18, 2025 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 February 1, 2026 |
| December 5, 2024 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | F Potential harm, widespread | Corrected January 19, 2025 |
| December 5, 2024 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected January 19, 2025 |
| December 5, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected January 19, 2025 |
| December 5, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected January 19, 2025 |
| December 5, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected January 19, 2025 |
| December 5, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 19, 2025 |
| December 5, 2024 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected January 19, 2025 |
| December 5, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 19, 2025 |
| December 5, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected January 19, 2025 |
| December 5, 2024 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected January 19, 2025 |
| December 5, 2024 Complaint | 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 | D Potential harm, isolated | Corrected January 19, 2025 |
| December 5, 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 19, 2025 |
| December 5, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected January 19, 2025 |
| December 5, 2024 Standard | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 | C No harm, widespread | Corrected January 19, 2025 |
| August 22, 2024 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 October 6, 2024 |
| November 14, 2023 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 January 22, 2024 |
| November 14, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 22, 2024 |
| November 14, 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 January 22, 2024 |
| November 14, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected January 22, 2024 |
| November 14, 2023 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | D Potential harm, isolated | Corrected January 22, 2024 |
| November 14, 2023 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | D Potential harm, isolated | Corrected January 22, 2024 |
| November 14, 2023 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 December 29, 2023 |
| November 14, 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 | D Potential harm, isolated | Corrected December 29, 2023 |
| November 14, 2023 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 | D Potential harm, isolated | Corrected December 29, 2023 |
| November 14, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected December 29, 2023 |
| November 14, 2023 Standard | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 | D Potential harm, isolated | Corrected December 29, 2023 |
| November 14, 2023 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 December 29, 2023 |
| November 14, 2023 Standard | 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 December 29, 2023 |
| September 27, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected October 27, 2023 |
| September 27, 2023 Complaint | 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 October 27, 2023 |
| September 27, 2023 Complaint | Ensure 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected October 27, 2023 |
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 2 federal penalties in the past three years, including $26,750 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 24, 2026 | Fine | $14,015 |
| March 24, 2026 | Fine | $12,735 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ARBOR CARE CENTERS LLC Organization | adp of the snf | NOT APPLICABLE | 04/23/2025 |
| KLAASMEYER, AARON Individual | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| KLAASMEYER, JESSICA Individual | adp of the snf | NOT APPLICABLE | 05/01/2023 |
| KLAASMEYER, KENNETH Individual | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| KLAASMEYER, LINDA Individual | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| MCNEILL, TRISHTIAN Individual | adp of the snf | NOT APPLICABLE | 11/06/2024 |
| MCWHORTER, EVERETT Individual | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| SPANEL, ALAN Individual | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| ARBOR CARE CENTERS LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2020 |
| KLAASMEYER, AARON Individual | operational/managerial control | NOT APPLICABLE | 10/01/2020 |
| KLAASMEYER, JESSICA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| KLAASMEYER, KENNETH Individual | operational/managerial control | NOT APPLICABLE | 10/01/2020 |
| KLAASMEYER, LINDA Individual | operational/managerial control | NOT APPLICABLE | 10/01/2020 |
| MCNEILL, TRISHTIAN Individual | operational/managerial control | NOT APPLICABLE | 11/06/2024 |
| MCWHORTER, EVERETT Individual | operational/managerial control | NOT APPLICABLE | 10/01/2020 |
| SPANEL, ALAN Individual | operational/managerial control | NOT APPLICABLE | 10/01/2020 |
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Clarkson Community Care Center INC
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Frequently asked questions
What is Arbor Care Centers-Countryside LLC's rating?
Arbor Care Centers-Countryside LLC 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 Arbor Care Centers-Countryside LLC receive?
Its most recent standard health inspection found 13 citations, compared with a Nebraska average of 7.4. Every citation is listed on this page with its severity.
Does Arbor Care Centers-Countryside LLC 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 Arbor Care Centers-Countryside LLC?
It is government - city. The ownership section on this page lists the owners and managers reported to CMS.
Where is Arbor Care Centers-Countryside LLC and how do I contact it?
Arbor Care Centers-Countryside LLC is at 703 North Main Street, Madison, NE 68748. Phone: (402) 454-3373.
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.