York General Hearthstone is a 127-bed nonprofit nursing home in York, NE. Medicare rates it 5 out of 5 stars overall (much above average); the average in Nebraska is 2.8.
Inspections: 2 problems at its last full inspection (Mar 2026), fewer than the Nebraska average of 7.4. None of its recent citations were for residents being harmed.
Staffing: nurses and aides spend about 3 hr 54 min a day with each resident, about the same as the Nebraska average of 3 hr 59 min. About 44% of nursing staff left in the past year.
Fines: no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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 rating5 of 5Much above average
Health inspections5 of 5Much above average
Quality measures3 of 5Average
Staffing4 of 5Above 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.
Registered nurse time per resident30 min a dayNebraska average: 40 min
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: 3 of 5 (average)
Sent back to the hospital31.7%State average: 20.7%
Worse than average
Needed an emergency room visit12.2%State average: 11.4%
About average
Newly given antipsychotic drugs1.0%State average: 2.0%
Better than average
Physical therapist time: about 1 minute a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 3 minutes. It is not one person’s therapy schedule; 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: 3 of 5 (average)
Falls with a major injury6.9%State average: 4.5%
Worse than average
Pressure sores (bedsores)2.4%State average: 4.0%
Better than average
Given antipsychotic drugs27.8%State average: 20.7%
Worse than average
Hospital stays per 1,000 resident days1.1State average: 1.8
Better than average
Source: Medicare (CMS) quality measures, compared with the Nebraska average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 5 stars now, the same as 5 stars in January 2019. It has ranged from 3 to 5 stars and changed 8 times.
Overall rating5★
Health inspections5★
Staffing4★
Quality of care3★
Nurse hours per resident per day3.9
20192020202120222023202420252026
Show the values by year
Month
Overall
Inspections
Staffing
Quality
Nurse hours
Jan 2019
5
4
3
5
3.3
Jan 2020
4
3
3
5
3.3
Jan 2021
4
3
2
5
3.2
Jan 2022
3
3
2
4
3.4
Jan 2023
3
3
1
5
3.1
Jan 2024
5
4
4
5
3.7
Feb 2025
5
5
3
4
3.4
Feb 2026
5
5
4
4
3.7
Sep 2026
5
5
4
3
3.9
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.
All inspection citations
Every health and fire-safety citation from this home’s recent state inspections, combined, and how serious CMS rated each one. The “Health citations at last inspection” figure above counts only health citations from the most recent inspection.
Fire safety citation detail
Violations found during this facility's separate fire and life-safety inspection - things like sprinklers, exits, and emergency plans.
Deficiencies by category
How this facility's citations break down by type, so you can see whether problems concentrate in clinical care or in the building itself.
Care & clinical
Fire safety & building
Staffing detail
Reported nursing hours per resident per day, with state and national averages where available.
Resident outcome measures (this facility's actual rates)
This facility's own rates on things like falls, pressure ulcers, and hospital readmissions, based on real resident assessment data CMS collects.
Claims-based quality measures
Outcomes calculated from Medicare claims data rather than the facility's own reporting, including hospitalizations and ER visits.
Medicare Value-Based Purchasing performance
How this facility scored in Medicare's pay-for-performance program, which raises or lowers its Medicare payments based on hospital readmission rates.
Full comparison — state & national context
How this facility's key metrics stack up against state and national averages, side by side.
How health inspection ratings are scored
State-specific deficiency point thresholds for the health inspection rating.
Facility classifications
No flags on record
Other nursing homes near York
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