The Willows At Gretna faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 32th percentile among Nebraska nursing homes, suggesting significant room for improvement.
Staffing at The Willows At Gretna is near the national average, with 3.93 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 20 deficiencies at The Willows At Gretna. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.93 | 3.8 | Average |
| Registered Nurses (RN) | 0.50 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.76 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.67 | 2.4 | Above Average |
| Weekend Total Nursing | 3.49 | 3.8 | Average |
| Weekend RN Hours | 0.45 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Aug 20, 2025 · Nutrition and Dietary Deficiencies
- Tag 0689 Severity EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity DProvide appropriate pressure ulcer care and prevent new ulcers from developing.Aug 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Aug 20, 2025 · Infection Control Deficiencies
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.May 4, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.0% | 4.5% | Worse |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 31.8% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 17.6% | 14.0% | Worse |
| Excessive weight loss | 8.5% | 7.5% | Worse |
| New/worsened incontinence | 17.6% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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