Nursing HomeMedicaid Investigative

The Palm at Regency Square

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

3501 Dakota Avenue, South Sioux City, NE 68776|72 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.0/5

based on 9 Google reviews

(402) 494-4273 Directions Website

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4/ 10

moderate 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)
Above-median deficiencies (6 vs median 5)
High RN turnover (56%)

Bottom 25% in NE · Meets national RN staffing standard · Worst in AVID HEALTHCARE GROUP chain · $33,784 in fines

Source: Medicare data

What this means for your family

This facility is highly regarded for its cleanliness and warm, family-like environment, making it a strong candidate for those prioritizing comfort and social engagement. However, because several reviews lack descriptive text, we recommend scheduling an in-person tour to observe current staffing levels and daily operations firsthand.

Google Reviews

9 reviews on Google

“The Palm at Regency Square receives high praise for its clean, odor-free environment and a staff that many families describe as attentive and caring. While long-term residents and their families report a warm, home-like atmosphere with good activities and meals, there is a lack of detailed feedback regarding clinical or medical operations.”

Quality Themes

Tap a score for details

Strengths

Clean, odor-free facility
Warm, attentive, and caring staff
Home-like atmosphere
Good variety of activities and meals

Rating Trends

Tap a year to see what changed

Distribution · 10 analyzed

How They Respond to Reviews

44%response rate

This facility responds to some reviews.

Questions for Your Tour

1It is so wonderful to see how clean and well-maintained the facility looks; what steps do you take to ensure the environment stays fresh and odor-free for the residents?
2We noticed some positive feedback regarding how attentive the staff is; how do you support your team to maintain that high level of care and staffing quality?
3Could you walk us through the specific protocols in place for handling medical emergencies or sudden changes in a resident's health during the night?
4What does a typical day look like in terms of the variety of meals and social activities available to keep the residents engaged?
5Since we are looking for a very stable environment, how is the facility currently addressing the recent state inspection findings to ensure continuous improvement?
6We appreciate how much the management interacts with the community; how does the leadership team stay involved in the day-to-day care of the residents?

Personalized based on this facility's data

Key Review Excerpts

“First of all it doesn’t smell like a nursing home. Pleasant area to walk into and nice dining area. Staff very tentative to my mother and to her family.”

Long-term resident's family · 2022★★★★★

“Regency Square Assisted Living has been home for my mom, Pearl, for the past 7 1/2 years. And that is the best way for me to describe it. She calls her apartment her home and so do we, her family. All of the employees are like her family.”

Long-term resident's family · 2020★★★★★

“The staff goes the extra mile to ensure that my aunt is comfortable and well cared for and that the family is informed of any needs or concerns that she or they may have to maintain her quality of life.”

Long-term resident's family · 2020★★★★★

Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.90hrs

Registered nurses for medical care

Total Nursing

4.01hrs

98%

All nurses + aides combined

Staff Turnover

46%

Lower is better (< 30% = good)

RN Turnover

30%

Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

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

Medicare Rating

2/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility28.0%

Worse than Avg

Here

28.0%

15.4%

20.8%

Dakota

12.4%

⚠️

Residents who fell and were seriously hurt

↓ Lower is better

This Facility9.3%

Worse than Avg

Here

9.3%

3.2%

4.4%

Dakota

2.0%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility12.6%

Mixed vs Avgs

Here

12.6%

19.5%

19.3%

Dakota

11.7%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility21.2%

Mixed vs Avgs

Here

21.2%

15.3%

19.1%

Dakota

22.9%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility98.8%

Better than Avg

Here

98.8%

93.4%

92.9%

Dakota

93.5%

🩹

Residents with pressure sores (bedsores)

↓ Lower is better

This Facility0.5%

Better than Avg

Here

0.5%

4.9%

4.2%

Dakota

5.9%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility62.8%

Worse than Avg

Here

62.8%

79.7%

75.9%

Dakota

78.2%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility68.4%

Worse than Avg

Here

68.4%

81.8%

80.5%

Dakota

80.2%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.0%

Better than Avg

Here

1.0%

1.6%

2.3%

Dakota

1.4%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies

1penalties

Above state avg (6.7)

17 complaint-triggered

$33,784 in fines

Families have filed complaints that led to 16 deficiencies, signaling ongoing concerns about care quality, medication management, and infection control at this facility. Issues span multiple areas including quality of care, resident rights, medication oversight, and safety protocols, with problems recurring across surveys from 2023 through 2025. While all deficiencies show correction dates, the persistent pattern of complaint-driven violations suggests families should carefully evaluate current conditions during visits.

Mar 18, 2026Complaint1 finding

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.

Sep 23, 2025Complaint1 finding

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 20, 2025Routine5 findings

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 12, 2024Complaint1 finding

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.

Sep 24, 2024Complaint2 findings

0919Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 27, 2024Complaint5 findings

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.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Federal Penalties

Fine

Nov 1, 2023

$33,784

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Palm at Regency Square

Organization Type

for profit

Chain Affiliation

Chain Name

Avid Healthcare Group

Chain Size

11 facilities nationwide

Chain avg rating: 1.5/5 · Rank 6 of 10 (Worst)

Ownership & Management

Owners

Ne 11 Holdings Opco LLC

Owner · Organization

100%

Brass Ne Trust