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Nursing HomeMedicaid

Falls City Nursing and Rehabilitation Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1720 Burton Drive, Falls City, NE 6835563 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 23 Google reviews

5
4
3
2
1
Falls City Nursing and Rehabilitation Center Nursing Home in Falls City, NE — Street View
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What this means for your family

While some families report a warm and compassionate environment, the recent, highly concerning reports of neglect and slow response times are a red flag. We strongly recommend that you conduct an unannounced visit during a weekend or evening shift to observe staffing levels and response times firsthand before making a decision.

Google Reviews

Google Reviews

23 reviews on Google
Falls City Nursing and Rehabilitation Center receives highly polarized feedback, with some families praising the compassionate, homelike environment and individual staff members. However, recent reports from late 2025 describe severe neglect, including delayed response to call lights, poor hygiene management, and concerns regarding over-medication of residents.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean5.0ActivitiesN/AMeds2.0MemoryN/ACommsN/AValueN/A

Strengths

  • Compassionate and supportive nursing staff
  • Homelike, clean, and cheerful facility atmosphere
  • Strong emotional support during end-of-life care

Concerns

  • Slow response times to call lights (mentioned by 2 reviewers)
  • Poor hygiene and neglect of basic resident care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02018(1)5.02021(2)5.02023(2)5.02024(2)2.02025(4)4.92026(13)

Distribution · 24 analyzed

5
20
4
1
3
0
2
0
1
3

How They Respond to Reviews

61%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure that call lights are answered promptly and residents receive timely assistance?
  • 2I noticed that medication management is a focus area for your team; could you walk me through your current process for ensuring accuracy and safety when administering medications?
  • 3To address concerns regarding daily hygiene and personal care, what oversight measures do you have in place to ensure every resident receives consistent, high-quality attention throughout the day?
  • 4I appreciate that you engage with feedback online; how does your leadership team use family input to make tangible improvements to the daily resident experience?
  • 5With a capacity of 63 residents, how do you foster a homelike, cheerful atmosphere while ensuring that individual care needs are met consistently?
  • 6What specific training or support systems do you have in place for your nursing staff to ensure they can maintain the compassionate, supportive environment mentioned by many families, especially during end-of-life care?

Personalized based on this facility's data


Key Review Excerpts

Vicki was amazing when my Dad had a short stay and recently passed. She went above and beyond the final night, we were there and I will never forget it.

Long-term resident's family · 2023★★★★★

It takes them forever to answer call lights they left 1 paralyzed patient sit for 3 days n same spot they let my sisters pee bag get so full n popped all over the floor n in her bed n then took them over half hour to answer her light n change n clean up everything.

Long-term resident's family · 2025☆☆☆☆

He was often heavily medicated to the point where he slept almost constantly and became too weak to eat, drink, or move normally. We also noticed that his mouth was not being cleaned or swabbed.

Memory care family member · 2025☆☆☆☆
Source: 23 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
3.17hrs
77%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility59.0%
Worse than Avg
Here
59.0%
US
12.1%
NE
4.3%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility30.0%
Worse than Avg
Here
30.0%
US
15.5%
NE
20.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.3%
Better than Avg
Here
7.3%
US
15.3%
NE
19.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility85.2%
Worse than Avg
Here
85.2%
US
93.4%
NE
92.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.8%
Mixed vs Avgs
Here
25.8%
US
19.4%
NE
26.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility13.4%
Better than Avg
Here
13.4%
US
14.4%
NE
19.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility67.2%
Worse than Avg
Here
67.2%
US
81.8%
NE
80.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility80.0%
Better than Avg
Here
80.0%
US
79.8%
NE
75.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.9%
Worse than Avg
Here
3.9%
US
1.6%
NE
2.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (6.7)
2 complaint-triggered

Falls City Nursing has faced persistent fire safety and electrical system violations across multiple surveys, with families filing complaints about medication labeling and food safety issues. The facility shows recurring problems with fire protection systems, electrical equipment maintenance, and emergency preparedness that appear across all four inspections despite reported corrections. While all deficiencies have correction dates, the pattern of repeated violations in critical safety areas suggests ongoing operational challenges families should investigate thoroughly during visits.

Jul 31, 2025Routine
10
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0922Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 31, 2025Complaint
1
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Mar 25, 2025Complaint
1
0761Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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.

Jul 11, 2024Routine
8
0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Aug 23, 2023Routine
6
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0922Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Falls City Nursing and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

342 facilities nationwide

Chain avg rating: 3.2/5 · Rank 259 of 328

Ownership & Management

Owners

Port, Barry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Burnam, SoonManaging Control - Governing BodyMorris, SpencerManaging Control - Governing BodyWestengaard, JustinManaging Control - Governing BodyJorgensen, DavidOfficer / DirectorBurnam, SoonOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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