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St. Joseph's Rehabilitation and Care Center

⌖ Norfolk, NE · Madison County
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Medicare overall rating 2 of 5 stars
Certified beds83
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)

About St. Joseph's Rehabilitation and Care Center

St. Joseph's Rehabilitation and Care Center is a 83-bed for-profit nursing home in Norfolk, NE. Medicare rates it 2 out of 5 stars overall (below average); the average in Nebraska is 2.8. At its last full inspection (Mar 2026), inspectors found 14 problems, more than the Nebraska average of 7.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 26 min a day with each resident, less than the Nebraska average of 3 hr 59 min. About 65% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are similar for short-term rehab (2 of 5) and long-term care (2 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameSt. Joseph\'s Rehabilitation And Care Center
LocationMadison County, Nebraska
Address401 North 18th Street, Norfolk, NE 68701 · Madison County
Medicare provider number285160
Ownership typeFor-profit (limited liability company)
Operating companyThe Ensign Group · 343 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceApril 1, 1995 (31 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections2 of 5Below average
Quality measures2 of 5Below average
Staffing2 of 5Below average

Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Mar 2026.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength

About average

  • Registered nurse time per resident40 min a dayNebraska average: 40 min
    About average

Things to ask about

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  • Health citations at last inspection14 (Mar 2026)Nebraska average: 7.4. Most citations are minor and corrected within weeks.
    Worse than state average
  • Nurse staffing per resident3 hr 26 min a dayNebraska average: 3 hr 59 min
    Worse than state average
  • Nursing staff turnover65% a yearNebraska average: 49%
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Nebraska average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 2 of 5 (below average)

  • Sent back to the hospital26.5%State average: 20.7%
    Worse than average
  • Needed an emergency room visit22.1%State average: 11.4%
    Worse than average
  • Newly given antipsychotic drugs1.1%State average: 2.0%
    Better than average

Physical therapist time: about 10 minutes per resident a day. That is more than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 2 of 5 (below average)

  • Falls with a major injury3.0%State average: 4.5%
    Better than average
  • Pressure sores (bedsores)3.0%State average: 4.0%
    Better than average
  • Given antipsychotic drugs14.4%State average: 20.7%
    Better than average
  • Hospital stays per 1,000 resident days3.8State average: 1.8
    Worse than average

Source: Medicare (CMS) quality measures, compared with the Nebraska average. Lower is better for every rate shown.

Who pays, and how full it is

Many residents here pay privately or through insurance. In Nebraska, Medicaid pays for 50% of resident days at a typical home.

  • 39% Medicaid
  • 6% Medicare
  • 55% Private pay, insurance and other
Beds in use, on average60%Nebraska typical: 72%
Cost of care per resident day$320Nebraska typical: $347

Shares of resident days, from the home’s Medicare cost report for the year ending December 2023. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 10 times.

Overall rating2★
Health inspections2★
Staffing2★
Quality of care2★
Nurse hours per resident per day3.4
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201955554.7
Jan 202055544.7
Jan 202154544.7
Jan 202255554.4
Jan 202344444.1
Jan 202433151.1
Feb 202533333.9
Feb 202622223.9
Sep 202622223.4

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.