Nursing HomeInspections

Arbor Care Centers-Countryside LLC

Nursing home in Madison, NE

Medicare & Medicaid certified2★ overall (CMS)

Call (402) 454-3373Send a messageMap ↗

Public-record details

Address
703 North Main Street, Madison, NE 68748
Phone
(402) 454-3373
Listed under
Government-owned
Medicare CCN
285207
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
70
Average residents per day
36
Ownership
Government, city
Legal business name
Arbor Care Centers - Countryside LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1997
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 285207. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 18, 2025. CMS lists 32 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 27, 2023 to Jun 15, 2026): 14 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 15, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 24, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 24, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 24, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		G
Actual harm, isolated
Dec 18, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 18, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 18, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Dec 18, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 18, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 18, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 18, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		E
Potential for more than minimal harm, pattern
Dec 18, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 32. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $26,750 in the last three years.

Mar 24, 2026Fine: $12,735
Mar 24, 2026Fine: $14,015

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Nursing staff turnover (yearly)
64%
RN turnover (yearly)
88%
Administrators who left in the past year
4

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.