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Nursing HomeMedicaid Investigative

Westfield Quality Care of Aurora

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

1313 1st Street, Aurora, NE 6881864 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 20 Google reviews

5
4
3
2
1
Westfield Quality Care of Aurora Nursing Home in Aurora, NE — Street View
Street View

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3/ 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 (11 vs median 5)

Bottom 25% in NE · Below recommended RN staffing · Above recommended total nurse staffing · $54,629 in fines

Source: Medicare data

What this means for your family

While some families report that their loved ones receive kind and respectful care, the facility has faced serious allegations regarding staffing ratios and management support. When touring, we strongly recommend asking for specific details on nurse-to-resident ratios during medication pass times to ensure your loved one's safety.

Google Reviews

Google Reviews

20 reviews on Google
Westfield Quality Care of Aurora receives polarized feedback, with some visitors praising the cheerful demeanor of the staff and the happiness of residents. However, significant concerns have been raised regarding chronic understaffing and management's lack of support, which critics argue compromises medication safety and quality of care.

Quality Themes

Tap a score for details
FoodN/AStaff6.0CleanN/AActivitiesN/AMeds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Cheerful and friendly staff
  • Kind and respectful resident care
  • Welcoming atmosphere

Concerns

  • Chronic understaffing leading to unsafe medication pass ratios

Rating Trends

Tap a year to see what changed

2343.0'19(4)5.01.0'21(1)2.63.0'23(2)3.74.0'25(1)3.7'26(3)

Distribution · 20 analyzed

5
10
4
1
3
0
2
0
1
9

How They Respond to Reviews

5%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I've heard wonderful things about how friendly and welcoming the staff is here; how do you foster that sense of community among the residents?
  • 2With the recent changes in state inspections, what specific steps is the facility taking to improve medication management and safety protocols?
  • 3How does the nursing team ensure that medication passes are handled accurately and timely during busy shifts?
  • 4What is the process for communicating important medical updates or changes in condition to family members?
  • 5In the event of a medical emergency after hours, what is the immediate protocol for resident care and family notification?
  • 6What kind of daily activities or social outings do you have planned to keep the residents engaged and active?

Personalized based on this facility's data


Key Review Excerpts

They will run their staff so short and no one from the office will come out to help.There are times for this 4 winged, 65 bed faucility there will be 2 medication aides and 2 CNAs and only 1 nurse for the whole building.

Former staff or observer · 2022☆☆☆☆

My mother has had the best care. They are kind accommodating and respectful.

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

The staff here is wonderful. Ariel is always smiling and happy to be with the residents! She brighten the whole place.

Visitor · 2026★★★★★
Source: 20 Google reviews

Quality Measures

Quality Measures

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

Medicare Rating
1/ 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 Facility2.9%
Better than Avg
Here
2.9%
US
12.1%
NE
4.3%
Hamilton
29.7%

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%
Hamilton
11.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility34.3%
Worse than Avg
Here
34.3%
US
19.5%
NE
19.3%
Hamilton
22.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
93.4%
NE
92.9%
Hamilton
88.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility15.5%
Mixed vs Avgs
Here
15.5%
US
15.3%
NE
19.1%
Hamilton
8.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.7%
Mixed vs Avgs
Here
12.7%
US
14.4%
NE
19.5%
Hamilton
6.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.0%
Better than Avg
Here
87.0%
US
79.8%
NE
75.9%
Hamilton
65.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.2%
Better than Avg
Here
86.2%
US
81.8%
NE
80.5%
Hamilton
70.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility9.1%
Worse than Avg
Here
9.1%
US
1.6%
NE
2.3%
Hamilton
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
1penalties
Well above state avg (6.7)
2 complaint-triggered
$54,629 in fines

This facility shows recurring issues across multiple areas, with families filing complaints that led to investigations about abuse reporting and food safety. The most persistent problems involve emergency preparedness and safety systems (appearing in all three surveys), nutrition and dietary services, and medication management. While all deficiencies have correction dates, the pattern of repeat violations in critical areas like emergency systems and the complaint-triggered investigations suggest ongoing operational challenges that warrant careful consideration during your visit.

Mar 4, 2026Complaint
1
0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Apr 7, 2025Routine
17
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

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.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

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.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

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.

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.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Apr 7, 2025Complaint
1
0844Potential for harm · WidespreadCorrected

Administration Deficiencies

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Apr 15, 2024Routine
15
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0567Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0024Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

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.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0500Potential for harm · PatternCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Apr 11, 2023Routine
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.

0885Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Report COVID19 data to residents and families.

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.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

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.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

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.

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Federal Penalties

Fine

Apr 15, 2024

$41,980

Ownership & Operations

Who Operates This Facility

Owner / Operator

Westfield Quality Care of Aurora

Organization Type

for profit

Ownership & Management

Owners

Kauffman Investments LLC

Owner · Organization

Mrs Enterprises LLC

Owner · Organization

Ochsner Jjj LLC

Owner · Organization

Quality Care Solutions LLC

Owner · Organization

Anderson, Douglas

Owner

Hermansen, Lance

Owner

Keller, Duane

Owner

Krajicek, Stephen

Owner

Moyer, Sam

Owner

Ohlson, Cory

Owner

Uden, Gene

Owner

Vanderheiden, James

Owner

Key personnel

Heritage Bank5% or Greater Mortgage InterestGroshans, HayleyW-2 Managing EmployeeGroshans, TimothyOfficer / DirectorPenner, KirkOfficer / DirectorHeritage BankManager
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.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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