Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wilber Care Center during CMS and state inspections, most recent first.
The facility did not report suspicions and allegations of abuse or unexplained injuries to the state agency within the required timeframe for two residents. In several cases, bruises were discovered and residents alleged staff involvement, but notifications to APS were delayed beyond the mandated two-hour window after discovery or allegation, as confirmed by the DON.
The facility did not complete annual performance evaluations for four out of five Nurse Aides, potentially affecting all residents. Some MAs had properly signed SERs, while others lacked documentation or had incomplete evaluations. Interviews confirmed the absence of these evaluations.
The facility did not provide the required annual in-service training for three Nurse Aides, potentially affecting all residents. MA D and MA F lacked recent training documentation, while MA E's training hours for 2024 were insufficient. The Administrator confirmed these deficiencies.
The facility failed to ensure proper hand hygiene during peri-care and wound care for three residents. Staff did not change gloves or perform hand hygiene between tasks, and incorrect wiping techniques were used. These lapses were confirmed by staff interviews, highlighting a breach in infection control protocols.
The facility failed to accurately document the Minimum Data Set (MDS) for two residents. One resident, with anxiety, was on lorazepam, but this was not reflected in the MDS. Another resident, with obstructive sleep apnea, used a BiPAP machine, which was also not documented in the MDS. These inaccuracies were confirmed by the MDS Coordinator.
A facility failed to conduct a trauma-based assessment for a resident with severe cognitive impairment and a history of trauma. The resident's CCP lacked trauma information, and the facility did not have a social worker or a specific policy for trauma-informed care. The DON confirmed the absence of trauma-informed care assessments for all residents.
Failure to Timely Report Suspected Abuse and Injuries
Penalty
Summary
The facility failed to report suspicions and allegations of abuse, neglect, or theft to the state agency within the required timeframe for two residents. In multiple instances, bruises of unknown origin were discovered on residents, and in some cases, residents alleged that the injuries were caused by staff members during care activities such as transfers. The Director of Nursing (DON) did not observe or follow up on the injuries promptly, and the incidents were not reported to Adult Protective Services (APS) within the mandated two-hour window after discovery or after an allegation was made. Specifically, one resident was found with a bruise on the right back/hip, and the DON did not observe the area until the following day, with the report to APS occurring more than two hours after discovery. Another resident was found with a bruise on the right hip and later alleged that a nurse aide had caused the injury; this was also reported to APS more than two hours after the allegation. In a third instance, a bruise on a resident's left thigh was discovered, and after the resident stated that a nurse aide had pushed on their thigh during a transfer, the report to APS was delayed several days. In all cases, the DON confirmed that the reports were not made within the required timeframe.
Failure to Complete Annual Performance Evaluations for Nurse Aides
Penalty
Summary
The facility failed to complete annual performance evaluations for four out of five Nurse Aides sampled, which had the potential to affect all residents in the facility. The facility's census was 37. A record review revealed that while some Medication Aides (MAs) had Staff Evaluation Reports (SERs) signed by both the evaluator and the employee, others either lacked an SER or had an SER that was not properly documented. Specifically, MA E had no SER available, and MA K's SER was signed only by the evaluator without documentation of discussion with the employee. Interviews with the Director of Nursing and the Business Office Manager confirmed the absence of annual performance evaluations for the Nurse Aides and MAs.
Deficiency in Annual In-Service Training for Nurse Aides
Penalty
Summary
The facility failed to provide the required annual in-service training for three out of five sampled Nurse Aides, which had the potential to affect all residents in the facility with a census of 37. Specifically, a review of the User Learning documents revealed that Medication Aide (MA) D had no documentation of any training completed after October 8, 2022, and MA F had no documentation of training completed after May 4, 2023. Additionally, MA E's training record for 2024 showed a total of only 6.25 hours, which is less than the required 12 hours. An interview with the Administrator confirmed these findings, indicating a lack of compliance with the annual in-service training requirements as per Licensure Reference Number 175 NAC 12-006.04(B)(ii)(1).
Inadequate Hand Hygiene During Resident Care
Penalty
Summary
The facility failed to ensure proper hand hygiene practices during peri-care and wound care, affecting three residents. For Resident 8, a medication aide and a nurse aide did not change gloves or perform hand hygiene after removing a soiled brief and before handling a clean one, nor did they perform hand hygiene between different stages of peri-care. This oversight was confirmed by the medication aide during an interview. Resident 25's peri-care was also compromised as a medication aide washed their hands for only 6 seconds, contrary to the facility's policy of 15 seconds. The aide did not perform hand hygiene between glove changes and incorrectly wiped the resident's peri-area from back to front, which was acknowledged during an interview. Additionally, the aide did not know the correct duration for handwashing and failed to sanitize hands when changing gloves. For Resident 12, the Director of Nursing did not perform hand hygiene between changing gloves during wound care, as they believed it was unnecessary since their hands were not visibly soiled. This was confirmed during an interview. The facility's infection preventionist and the Director of Nursing acknowledged the lapses in hand hygiene and the correct procedures that should have been followed.
Inaccurate MDS Documentation for Two Residents
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Set (MDS) for two residents, affecting the comprehensive assessment of their functional capabilities. Resident 8, who was diagnosed with anxiety, had an order for lorazepam, an anti-anxiety medication, which was administered during the look-back period. However, the MDS did not reflect the use of this medication, as confirmed by the MDS Coordinator. This oversight indicates a failure to accurately document the resident's medication use in the MDS. Similarly, Resident 18, diagnosed with obstructive sleep apnea, had an order for a BiPAP machine to be used every evening. The BiPAP was administered during the look-back period, but the MDS did not indicate the use of this non-invasive mechanical ventilator. The MDS Coordinator confirmed that the BiPAP should have been coded on the MDS. These inaccuracies in the MDS documentation for both residents highlight a deficiency in the facility's assessment process.
Failure to Conduct Trauma-Based Assessment for Resident
Penalty
Summary
The facility failed to complete a trauma-based assessment for a resident, identified as Resident 7, who was part of a sample of five residents. The facility's census was 37 at the time of the survey. Resident 7's Minimum Data Set (MDS) indicated severe cognitive impairment with a Brief Interview for Mental Status (BIMS) score of 1, and diagnoses of anxiety, depression, and frequent pain. Despite these indicators, the resident's Comprehensive Care Plan (CCP) did not include a history of trauma. An interview with the resident's representative revealed that the resident had been attacked by a cow years ago, which had a significant impact on them. The Director of Nursing (DON) confirmed that no trauma-informed care assessments had been completed for any residents, and trauma was not identified in Resident 7's CCP. Additionally, the facility lacked a social worker at the time. The facility's policy on Comprehensive Care Plans, dated March 2024, defined trauma-informed care but did not have a specific policy or assessment for trauma-informed care. The DON confirmed the absence of a facility policy regarding trauma-informed care or a facility trauma-based assessment.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 33 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Wilber
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Eventide Crete | 9.5 mi | — | 6 | 0 |
| Beatrice Health And Rehabilitaion | 18.8 mi | — | 0 | 0 |
| Good Samaritan Society - Beatrice | 19.9 mi | — | 12 | 0 |
| Milford Meadows Care Center | 19.9 mi | — | 0 | 0 |
| Gold Crest Retirement Center | 23.1 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Wilber Care Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.