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St. Joseph's Rehabilitation And Care Center

401 North 18Th Street, Norfolk, NE 687014026447375Ownership: For profit - Limited Liability companyCertified beds: 83Avg. daily residents: 63Chain: The Ensign Group (342 facilities)County: Madison

The complete public record on St. Joseph's Rehabilitation And Care Center, a Medicare & Medicaid–certified nursing home in Norfolk, Nebraska, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Nebraska average: 2.8 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
St. Joseph's Rehabilitation And Care Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 65% is well above the Nebraska average of 49%; high turnover is one of the strongest predictors of inconsistent care. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.44 total nurse staff hours per resident per day
below the state average (3.98)
0.67 RN hours per resident per day
about the state average (0.67)
2.90 weekend nurse staff hours per resident per day
65.0% total nursing staff turnover
above the state average (48.7)
62.5% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

March 3, 2026 most recent standard health inspection
13 health deficiencies cited in the most recent inspection cycle
above the state average (7.2)
10 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

30 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
April 29, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintD · Potential for more than minimal harm
March 3, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with… ComplaintF · Potential for more than minimal harm
March 3, 20260881Implement a program that monitors antibiotic use. ComplaintF · Potential for more than minimal harm
March 3, 20260565Honor the resident's right to organize and participate in resident/family groups in the facility.E · Potential for more than minimal harm
March 3, 20260804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. ComplaintE · Potential for more than minimal harm
March 3, 20260880Provide and implement an infection prevention and control program. ComplaintE · Potential for more than minimal harm
March 3, 20260641Ensure each resident receives an accurate assessment.D · Potential for more than minimal harm
March 3, 20260644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D · Potential for more than minimal harm
March 3, 20260677Provide care and assistance to perform activities of daily living for any resident who is unable. ComplaintD · Potential for more than minimal harm
March 3, 20260692Provide enough food/fluids to maintain a resident's health.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.