Skilled nursing facility · CMS certification number 285306

Hemingford Care Center

Hemingford, Nebraska · Medicare and Medicaid

Certified beds, as filed in Care Compare: 39

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2025 to 30 June 2025 — a reporting period of 180 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 December 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$1,297,727	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,878	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,295,849	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,514,468	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$218,619	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$532	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$218,087	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$218,087 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	39	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	7,059	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	103	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	3,715	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	866	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	4,684	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	4	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	8	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	5	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	17	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	464.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	275.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445130, read from the public cost report file SNF10FY2025.zip.

Fiscal year 2024, ended 31 December 2024

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$2,630,587	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$15,001	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,615,586	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,816,761	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$201,175	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$66,564	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$134,611	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$134,611 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	39	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,584	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	58	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	240.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	165.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434688, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 13 December 2022 to 31 December 2023 — a reporting period of 383 days, on form CMS-2540-10, settled, processed by CMS on 25 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$1,800,182	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$319,019	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,119,201	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,361,674	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$242,473	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$138,038	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$104,435	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$104,435 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	39	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	7,648	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	37	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	378.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	206.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395890, read from the public cost report file SNF10FY2023.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Ownership Data Not Available	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SENEX OF HEMINGFORD, LLC (enrollment ID O20220616001623).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
MITCHELL FRIEDMAN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	4/18/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MITCHELL FRIEDMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	5/8/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

15 March 2023: MITCHELL FRIEDMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: MITCHELL FRIEDMAN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv

Recent changes on this record

19 December 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
25 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
15 March 2023: MITCHELL FRIEDMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: MITCHELL FRIEDMAN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	2 February 2026	2 February 2026	19	4
2	10 December 2024	10 December 2024	13	5
3	13 December 2023	13 December 2023	18	8

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

50 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
27 April 2026	Health	F 0577	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	E	Yes	Deficient, Provider has date of correction	22 May 2026
27 April 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	22 May 2026
27 April 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	22 May 2026
27 April 2026	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	22 May 2026
2 February 2026	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	Yes	Deficient, Provider has date of correction	20 February 2026
2 February 2026	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	No	Deficient, Provider has date of correction	27 February 2026
2 February 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	27 February 2026
2 February 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	27 February 2026
2 February 2026	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	27 February 2026
2 February 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	27 February 2026
2 February 2026	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	No	Deficient, Provider has date of correction	27 February 2026
2 February 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	27 February 2026
2 February 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	6 March 2026
2 February 2026	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	6 February 2026
2 February 2026	Health	F 0712	Nursing and Physician Services Deficiencies	Ensure that the resident and his/her doctor meet face-to-face at all required visits.	D	No	Deficient, Provider has date of correction	6 March 2026
2 February 2026	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	F	Yes	Deficient, Provider has date of correction	6 March 2026
2 February 2026	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	27 February 2026
2 February 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	F	Yes	Deficient, Provider has date of correction	6 March 2026
2 February 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	Yes	Deficient, Provider has date of correction	10 April 2026
10 December 2024	Health	F 0606	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Not hire anyone with a finding of abuse, neglect, exploitation, or theft.	C	No	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E	No	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0661	Resident Assessment and Care Planning Deficiencies	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.	D	No	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	Yes	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	F	No	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	No	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	D	No	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	24 January 2025
10 December 2024	Health	F 0943	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.	F	No	Deficient, Provider has date of correction	24 January 2025
16 July 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	31 July 2024
16 July 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	31 July 2024
27 March 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	3 May 2024
27 March 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Deficient, Provider has date of correction	3 May 2024
27 March 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	Yes	Deficient, Provider has date of correction	3 May 2024
27 March 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	Yes	Deficient, Provider has date of correction	3 May 2024
30 January 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	Yes	Deficient, Provider has date of correction	15 March 2024
13 December 2023	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	21 January 2024
13 December 2023	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	21 January 2024
13 December 2023	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	21 January 2024
13 December 2023	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	21 January 2024
13 December 2023	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	21 January 2024
13 December 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	21 January 2024
13 December 2023	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	21 January 2024
13 December 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	21 January 2024
13 December 2023	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	21 January 2024
13 December 2023	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	F	No	Deficient, Provider has date of correction	21 January 2024
13 December 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	21 January 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid Services	2022-12-13
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Box Butte
Telephone Number	3084873301
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Both
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	39
Average Number of Residents per Day	32.3
Overall Rating	1
Health Inspection Rating	1
QM Rating	4
Long-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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The citable document for Hemingford Care Center

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