C79

Tiffany Square

Grade C 79/100 composite score

Non profit - Other

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
2/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

103

Ownership

Non profit - Other

Total Fines

None

Last Survey

N/A

3119 West Faidley Avenue, Grand Island, NE 68803
3083842333

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.63h
LPN
0.51h
CNA
3.24h
Total
4.38h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

STUHR, BRIAN

IndividualCORPORATE OFFICERSince Jun 2017

VETTER SENIOR LIVING

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2016

100%

VETTER SENIOR LIVING

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2016

VSL VETTER HEALTH SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jul 2017

FRUEHLING, RICHARD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2017

OLSON, STEPHANIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2021

STUHR, BRIAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2017

VANEKEREN, GLENN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2017

VETTER, ELDORA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2017

VETTER, JACK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2017

VANEKEREN, GLENN

IndividualCORPORATE OFFICERSince Jun 2017

VETTER, ELDORA

IndividualCORPORATE OFFICERSince Jun 2017

VETTER, JACK

IndividualCORPORATE OFFICERSince Jun 2017

FRUEHLING, RICHARD

IndividualCONTRACTED MANAGING EMPLOYEESince Jul 2017

OLSON, STEPHANIE

IndividualCONTRACTED MANAGING EMPLOYEESince Sep 2021

STUHR, BRIAN

IndividualCONTRACTED MANAGING EMPLOYEESince Jul 2017

VANEKEREN, GLENN

IndividualCONTRACTED MANAGING EMPLOYEESince Jul 2017

VETTER, ELDORA

IndividualCONTRACTED MANAGING EMPLOYEESince Jul 2017

VETTER, JACK

IndividualCONTRACTED MANAGING EMPLOYEESince Jul 2017

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (20)

January 13, 2025Health2 deficiencies
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Feb 17, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 17, 2025
October 16, 2024Health6 deficiencies
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 20, 2024
0758EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Nov 20, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Nov 20, 2024
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Nov 20, 2024
0803EMinimal harm, Pattern

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Nov 20, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 20, 2024
February 14, 2024Health1 deficiency
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 20, 2024
October 5, 2023Health5 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 17, 2023
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Nov 17, 2023
0656CNo harm, Widespread

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

Corrected Nov 17, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 17, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 17, 2023
July 26, 2022Health6 deficiencies
0625DMinimal harm, Isolated

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Resident Rights Deficiencies

Corrected Aug 26, 2022
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 26, 2022
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Aug 26, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 26, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 26, 2022
0886FMinimal harm, Widespread

Perform COVID19 testing on residents and staff.

Infection Control Deficiencies

Corrected Aug 26, 2022

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Frequently Asked Questions

What is the CareGrader rating for Tiffany Square?

Tiffany Square in Grand Island, Nebraska has a CareGrader grade of C (Average), with a composite score of 78.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Tiffany Square?

Tiffany Square has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Tiffany Square have?

Tiffany Square has 20 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does Tiffany Square have?

Tiffany Square has 103 certified beds with approximately 72 current residents (70% occupancy). The facility is located at 3119 West Faidley Avenue, Grand Island, Nebraska 68803. It is a non profit - other facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.