The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Nursing home report
Heritage Crossings
Geneva, NE · Medicare-certified · 68 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
5 of 5 overall
Heritage Crossings in Geneva, NE has a 5-star overall rating, with 5 stars for health inspections, 4 stars for staffing, and 3 stars for quality measures. It reports 4.40 nurse staffing hours per resident per day, above the federal benchmark of 4.1, and has had no fines in the last 24 months; recent inspection citations included assessment accuracy, infection prevention and control, and meeting professional standards of quality.
Facility ratings
Health inspections
Staffing
4.4022 hrs/resident/day
Quality measures
Last inspection: April 1, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4022.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 0.61
- Nurse aides
- 3.11
- Weekend nursing
- 3.50
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.4%0%Improving
Residents with a fall causing major injury
5.3%2.6%Improving
Residents with pressure ulcers (bedsores)
9.2%7.9%Improving
Residents with a urinary tract infection
0%2.8%Worsening
Residents who lost too much weight
6.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.4%18.2%Worsening
Residents whose ability to walk got worse
11.8%16.3%Worsening
Long-stay residents on antianxiety or sleep medication
9.1%6.1%Improving
Short-stay residents newly given an antipsychotic
—6.1%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.7%29.6%Worsening
Residents with depressive symptoms
0%5.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.4%—
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited December 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 3 days
Medicare/Medicaid payment denial
Apr 1, 2026
Operator & ownership
Recent ownership change · Jul 1, 2017
Now operated by Vsl Geneva LLC, previously Manor of Geneva, INC.
- Ownership
- Non profit - Corporation
- Chain
- Part of VETTER SENIOR LIVING · 22 homes · 4.2 stars avg
- Occupancy
- 42.3 residents on an average day (62% of 68 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.