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Nursing HomeMedicaid Investigative

Arbor Care Centers-Countryside LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

703 North Main Street, Madison, NE 6874870 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 3 Google reviews

Arbor Care Centers-Countryside LLC Nursing Home in Madison, NE — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (9 vs median 5)
  • High staff turnover (62%)
  • High RN turnover (92%)

Bottom 25% in NE · Worst in ARBOR CARE CENTERS chain · No penalties on record

Source: Medicare data

What this means for your family

The facility is staffed by dedicated and hardworking professionals who are highly regarded by visitors. However, you should personally inspect the living quarters to ensure the environment meets your standards for comfort and cheerfulness, as recent feedback indicates the rooms feel quite dreary and depressing.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

7

measures

Worse Than Avg

6

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NE
4.3%
Madison
19.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility34.3%
Worse than Avg
Here
34.3%
US
19.4%
NE
26.3%
Madison
19.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
15.5%
NE
20.8%
Madison
17.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility84.2%
Worse than Avg
Here
84.2%
US
95.5%
NE
96.1%
Madison
91.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility82.2%
Worse than Avg
Here
82.2%
US
93.4%
NE
92.9%
Madison
91.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.4%
Better than Avg
Here
16.4%
US
19.5%
NE
19.3%
Madison
24.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility27.3%
Worse than Avg
Here
27.3%
US
79.8%
NE
75.9%
Madison
70.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility32.3%
Worse than Avg
Here
32.3%
US
81.8%
NE
80.5%
Madison
78.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.9%
Worse than Avg
Here
4.9%
US
1.6%
NE
2.3%
Madison
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
Well above state avg (6.7)
13 complaint-triggered

Families filed 10 complaints leading to federal citations, highlighting concerning patterns in resident care, medication management, and infection control. The facility shows recurring issues with providing appropriate treatment according to residents' care plans, medication oversight by pharmacists, and infection prevention programs across multiple surveys from 2023-2025. While all deficiencies have reported correction dates, the persistent nature of core care problems suggests ongoing supervision challenges that warrant careful family consideration.

Mar 24, 2026Complaint
3
0760Actual harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Dec 18, 2025Routine
9
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0922Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0940Potential for harm · PatternCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0925Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that sources of ignition are removed from patients receiving respiratory therapy.

Dec 18, 2025Complaint
4
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Dec 5, 2024Routine
13
0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0035Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0606Minimal · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Dec 5, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 22, 2024Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Arbor Care Centers-Countryside LLC

Organization Type

government

Chain Affiliation

Chain Name

Arbor Care Centers

Chain Size

7 facilities nationwide

Chain avg rating: 2.3/5 · Rank 7 of 9 (Worst)

Ownership & Management

Key personnel

Arbor Care Centers LLCManagerKlaasmeyer, AaronManagerKlaasmeyer, JessicaManagerKlaasmeyer, KennethManagerKlaasmeyer, LindaManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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