About The Willows At GretnaThe Willows At Gretna is located at 700 Highway 6, Gretna, NE, reachable at (402) 332-3446. This For profit – Limited Liability company facility operates 63.0 certified beds and serves an average of 44 residents per day. It is part of the Avid Healthcare Group network (11 facilities nationwide). Medicare and Medicaid services have been provided since 1994-06-01. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
#12960 of 14703 nationally – #149 of 179 in Nebraska
Who Is This Facility Best For?
The Willows At Gretna may be considered for families with limited options in Gretna, NE, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5. Its clean five-year compliance record adds confidence for families making this important decision.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★2 / 5
Health Inspection
★★★★★2 / 5
Staffing Rating
★★★★★2 / 5
Quality Measures (QM)
★★★★★2 / 5
Long-Stay QM Rating
★★★★★2 / 5
Short-Stay QM Rating
★★★★★2 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightThe Willows At Gretna currently provides 3 hours 56 minutes of total nurse staffing per resident per day, including 30 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 82.0%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 56 minutes
Nurse Aide Hours2 hours 40 minutes
Licensed Practical Nurse (LPN) Hours46 minutes
Registered Nurse (RN) Hours30 minutes
Physical Therapist Hours8 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 30 minutes
Weekend Registered Nurse (RN) Hours27 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryThe Willows At Gretna has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 23 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Nationally, The Willows At Gretna ranks 12960th out of 14,703 facilities (composite score: 56.5/100), placing it in the bottom 25% nationwide. Within NE, it ranks 149th out of 179 nursing homes. For 2026 staffing: total nurse hours rank #5,262 nationally and RN hours rank #8,747 nationally (#129 in NE).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
NE State Rank
Note
2022
4.00
#4,326 / 14,703
#73 / 179
Above average
2023
4.49
#2,145 / 14,703
#40 / 179
Top 25%
2024
4.43
#2,347 / 14,703
#40 / 179
Top 25%
2025
3.21
#11,593 / 14,703
#162 / 179
⚠️ Bottom 25%
2026
3.93
#5,262 / 14,703
#91 / 179
Above average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
NE State Rank
Note
2022
0.72
#4,883 / 14,703
#85 / 179
Above average
2023
0.53
#7,569 / 14,703
#124 / 179
Below average
2024
0.70
#4,440 / 14,703
#62 / 179
Above average
2025
0.43
#9,957 / 14,703
#147 / 179
Below average
2026
0.50
#8,747 / 14,703
#129 / 179
Below average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
The Willows At Gretna is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-06-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (402) 332-3446 or your local Medicaid office to verify current eligibility.
The Willows At Gretna holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (2★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 56.5/100, placing it #12960 of 14703 facilities nationally and #149 of 179 in Nebraska. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at The Willows At Gretna receives a reported average of 3 hours 56 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 30 minutes; Licensed Practical Nurse (LPN) — 46 minutes; Nurse Aide — 2 hours 40 minutes. On weekends, total nurse staffing is 3 hours 30 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 82.0%. Families are encouraged to ask about current staffing schedules during their facility visit.
The Willows At Gretna has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 23 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 1 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 72.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, The Willows At Gretna ranks 12960th out of 14,703 facilities (composite score: 56.5/100), placing it in the bottom 25% nationwide. Within NE, it ranks 149th out of 179 nursing homes. For 2026 staffing: total nurse hours rank #5,262 nationally and RN hours rank #8,747 nationally (#129 in NE). Our composite quality score of 56.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Gretna, visit: https://nursinghomesnearme.org/nebraska/gretna/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.