The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited March 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
York General Hearthstone
York, NE · Medicare-certified · 127 beds
In good standing
Non-profit
5 of 5 overall
York General Hearthstone has a 5 out of 5 star overall rating, with 5 stars for health inspections, 4 stars for staffing, and 3 stars for quality measures. It reported 3.64 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had no fines in the last 24 months, and recent inspection citations included assessment, treatment/care, and resident self-determination issues.
Facility ratings
Health inspections
Staffing
3.6449 hrs/resident/day
Quality measures
Last inspection: March 9, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6449.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.21
- Weekend nursing
- 3.27
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 36%
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
25%28%Worsening
Residents with a fall causing major injury
4.2%7.9%Worsening
Residents with pressure ulcers (bedsores)
1.1%3.4%Worsening
Residents with a urinary tract infection
2.8%9.2%Worsening
Residents who lost too much weight
0%1.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.9%10%Worsening
Residents whose ability to walk got worse
16.9%22.6%Worsening
Long-stay residents on antianxiety or sleep medication
17.7%16.1%Improving
Short-stay residents newly given an antipsychotic
0%4.5%Worsening
Residents with a long-term catheter
3.3%4.3%Worsening
Residents with new or worsening incontinence
29.7%31.3%Worsening
Residents with depressive symptoms
0%0%No change
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
—100%—
Long-stay residents given the pneumonia vaccine
93.1%88.2%Worsening
Short-stay residents given the seasonal flu vaccine
—94.7%—
Short-stay residents given the pneumonia vaccine
90.9%57.9%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to support and respect residents’ choices and self-determination. Cited October 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 561 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 81 residents on an average day (64% of 127 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.