Nursing home · Top rated by CMS
Elwood Care Center
607 Smith Avenue, Elwood, NE 68937 · Map
Government - City · 43 certified beds
Elwood Care Center is a Medicare-certified nursing home in Elwood, Nebraska. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.98 hours per resident per day, below the Nebraska average of 4.17. Its most recent inspection on Feb 11, 2025 cited 0 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Elwood Care Center compares
This facility vs. the Nebraska and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Nebraska avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.98 | 4.17 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.63 | 0.71 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.72 | 2.76 | 2.34 | below avg |
| Nursing staff turnover | 30.0% | 49.3% | 46.4% | below avg |
| Deficiencies cited, last inspection | 0.0 | 6.7 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Elwood Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 12, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 12, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Mar 12, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Mar 12, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 607 Smith Avenue
Elwood, NE 68937 - CMS certification #
- 285215
- Ownership
- Government - City
- Certified beds
- 43
- Avg residents/day
- 32.6
- Provider type
- Medicare and Medicaid
- First certified
- 1997-09-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Elwood Care Center using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice, 3 meals a day
- Staff pay 1 federal wage case with violations found, since 2004
Full public records, with dates and sources
Care and services
From the community’s website
What Elwood Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Our hospice teams offers guidance, counseling, and respite to loved ones, helping them navigate this difficult journey with compassion and clarity.
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
For our nursing home, both nurses and caregivers are available 24 hours a day, 7 days a week.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
We partner with a number of hospice teams that proivde hospice services in addition to our palliative care.
(page, checked Oct 15, 2026) - 3 meals a day.
We serve three balanced meals each day—breakfast, lunch, and dinner—along with snacks which are available throughout the day.
(page, checked Oct 12, 2026) - Apartment types named: companion suite, private room.
We offer both private rooms and companion rooms.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Oct 23, 2004 to Oct 7, 2006. Violations found: Overtime, Child labor. Back wages: $5,434 owed to 7 employees. Civil money penalties assessed: $1,485. Employer as DOL recorded it: Elwood Care Ctr (Elwood Care Center). Case 1458673.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Lexington Regional Health Center, Lexington. 14.8 miles away, straight line.
- Nearest Medicare nursing home
- Bertrand Nursing Home, Bertrand. 12.8 miles away, straight line.
- Nearest home health agency office
- Central Plains Home Health, Cozad. 19.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pamida Pharmacy. 27.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 68937 as rural (rural area).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 68937.
Central Plains Hospice, office in Cozad, 19.9 miles away, straight line - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 196.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Elwood Care Center a good nursing home?
CMS gives Elwood Care Center an overall rating of 5 out of 5 stars, including 4/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Elwood Care Center staffed?
Elwood Care Center reports 3.98 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Elwood Care Center had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Elwood Care Center have?
Elwood Care Center is certified for 43 beds.