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Nursing HomeMedicaid

Sandhills Care Center

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

143 N Fullerton Street, Ainsworth, NE 6921046 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 8 Google reviews

5
4
3
2
1
Sandhills Care Center Nursing Home in Ainsworth, NE — Street View
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What this means for your family

The facility is noted for its professional and respectful approach to admissions and patient care. However, due to a serious report regarding staff behavior, we strongly recommend that families conduct a thorough interview with management regarding their code of conduct and employee vetting processes.

Google Reviews

Google Reviews

8 reviews on Google
Sandhills Care Center receives praise for its professional and respectful care during the admission process, particularly for residents with urgent health needs. However, the facility faces serious reputational concerns regarding the conduct of its staff outside of the workplace. Prospective families should weigh the positive clinical feedback against reports of unprofessional behavior by employees.

Quality Themes

Tap a score for details
FoodN/AStaff6.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Professional and respectful nursing staff
  • Efficient and supportive admission process
  • Respect for religious beliefs and personal values

Concerns

  • Unprofessional and immoral staff conduct

Rating Trends

Tap a year to see what changed

2344.22024(5)5.02026(3)

Distribution · 8 analyzed

5
7
4
0
3
0
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about how respectful the nursing staff is to residents; how do you ensure that level of professional care is maintained across all shifts?
  • 2Since we value personal values and religious traditions, how does the facility incorporate a resident's specific beliefs into their daily routine?
  • 3What steps is the facility currently taking to address recent state inspection findings and improve overall health inspection scores?
  • 4In the event of a medical emergency during the night, what is the specific protocol for notifying the family and providing immediate care?
  • 5What kind of daily activities or social outings are available to help residents stay engaged with one another?
  • 6We noticed the admission process is described as very efficient; what can we expect from the transition period when a loved one first moves in?

Personalized based on this facility's data


Key Review Excerpts

It was very hard to move our mother from her town but Ainsworth Care Center made it an easy process and have great care.

Long-term resident's family · 2024★★★★★

Everyone was very professional, was respectful of her religious beliefs, and did all they could to provide the services needed.

Friend of resident · 2024★★★★★
Source: 8 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.78hrs
OK
Registered nurses for medical care
Total Nursing
4.27hrs
OK
All nurses + aides combined

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
19.5%
NE
19.3%
Brown
17.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility33.3%
Worse than Avg
Here
33.3%
US
14.4%
NE
19.5%
Brown
15.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility22.5%
Worse than Avg
Here
22.5%
US
12.1%
NE
4.3%
Brown
7.9%

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 Facility7.4%
Better than Avg
Here
7.4%
US
15.5%
NE
20.8%
Brown
16.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NE
92.9%
Brown
98.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.3%
Mixed vs Avgs
Here
25.3%
US
19.4%
NE
26.3%
Brown
20.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility87.1%
Mixed vs Avgs
Here
87.1%
US
81.8%
NE
80.5%
Brown
94.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (6.7)
4 complaint-triggered

Sandhills Care Center has persistent issues with medication management, safety systems, and infection control appearing across multiple surveys over three years. Families have filed complaints that triggered investigations into resident protection and hiring practices. While all 43 deficiencies show correction dates, the recurring problems with emergency preparedness, fire safety equipment, and medication error rates suggest ongoing operational challenges that warrant careful consideration during visits.

Jun 17, 2025Routine
13
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0362Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0761Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

May 23, 2024Routine
14
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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0922Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0925Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0761Potential for harm · IsolatedCorrected

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.

May 23, 2024Complaint
3
0600Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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.

0606Minimal · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Oct 26, 2023Complaint
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.

May 18, 2023Routine
12
0755Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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

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.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0582Potential for harm · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0200Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Sandhills Care Center

Organization Type

government

Ownership & Management

Owners

Ainsworth Brown County Care Center

Owner · Organization

100%

Key personnel

Jones, ThomasManaging Control - Governing BodyJacobs, PennyManagerMayhew, SaraManagerWasmund, KennethManagerJacobs, PennyAdp of the Snf
Source: Medicare provider data

Contact

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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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