Community Memorial Health Center

Nursing Home · Burwell, NE

CMS overall rating 2/5 Non profit - Corporation

CMS certification number285257

Contact & location

1015 F Street
Burwell, NE 68823
Garfield County
Phone
(308) 346-4440
ZIP code
68823 – all care providers

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Facility details

Certified beds
64
Residents per day
60.3 (94% occupied)
Ownership
Non profit - Corporation
Legal name
Community Memorial Hospital INC
Medicare certified since
May 1, 2004
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.8
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.2
Quality measures★★★★★ 3/5
State avg 3.0
Long-stay quality★★★★★ 3/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.98 (state 3.98 · U.S. 3.86)
Registered nurses (RN)
0.46 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.52 (state 0.67 · U.S. 0.86)
Nurse aides
3.00 (state 2.64 · U.S. 2.32)
Weekend total
3.43 (state 3.49 · U.S. 3.42)
Nursing staff turnover
24.3 (state 48.7 · U.S. 45.8)%
RN turnover
0.0 (state 44.1 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
February 26, 2026
Health deficiencies (last cycle)
10.0 (state 7.2 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
32 health · 8 fire safety
DateCitationSeverityStatus
2026-02-26 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Past Non-Compliance
2026-02-26 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Past Non-Compliance
2026-02-26 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2026-02-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Past Non-Compliance
2026-02-26 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2026-02-26 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2026-02-26 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2026-02-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2026-02-26 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2026-02-26 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2025-06-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-18
2024-11-21 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-21 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-21 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-21 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-21 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-21 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2023-10-18 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25
2023-10-18 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25
2023-10-18 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25
2023-10-18 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25
2023-10-18 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25
2023-10-18 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25
2023-10-18 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25
2023-10-18 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25
2023-10-18 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25
2023-10-18 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25
2023-10-18 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25
2023-10-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-25

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Groshans, Hayley (individual)Administrator · NOT APPLICABLE
Garner, Timothy (individual)Corporate Director · NOT APPLICABLE
Groshans, Hayley (individual)Corporate Director · NOT APPLICABLE
Holmquist, Brenda (individual)Corporate Director · NOT APPLICABLE
Schere, Melissa (individual)Corporate Director · NOT APPLICABLE
Groshans, Timothy (individual)Operational/managerial Control · NOT APPLICABLE
Groshans, Hayley (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Community Memorial Health Center?

Community Memorial Health Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.8-star average in Nebraska.

How many beds does Community Memorial Health Center have?

It has 64 certified beds and cares for about 60 residents per day.

Has Community Memorial Health Center been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Community Memorial Health Center?

(308) 346-4440. The facility is located at 1015 F Street, Burwell, NE 68823.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.