O'Neill Care and Rehabilitation Center

    1102 N Harrison St, O'Neill, NE 68763
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Resident confident, pleased with care

    I'm very pleased with the attentive staff, clean facility, varied activities, and reliable care; a few minor tweaks would make it perfect, but overall I'm comfortable and confident here.

    Current/former resident
    Jul 2026

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    Reviews

    3.23·(13)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      1.0
    • Staff

      1.0
    • Meals

      1.0
    • Amenities

      1.0
    • Value

      1.0

    Pros

    • On-site activity and recreation program
    • On-site dining and kitchen services
    • Nursing and medication-administration services

    Cons

    • Cleanliness and sanitation management deficits
    • Inconsistent infection-control practices
    • Staffing shortages and limited staff responsiveness
    • Deficient communication with families and between staff
    • Medication-administration and clinical documentation gaps
    • Laundry and personal-property management failures
    • Weak mobility/transfer and fall-prevention protocols
    • Food-service quality and consistency issues
    • Unreliable internal telephone and communication systems
    • Insufficient oversight of staff conduct and training
    • Inconsistent admission and consent practices
    • Location accessibility challenges

    Summary of reviews

    The reviews indicate a pattern of operational weaknesses across multiple domains of care. Several reviewers described cleanliness and sanitation concerns in resident rooms and common areas, as well as odor concerns in some spaces. These observations suggest systemic deficits in housekeeping oversight and environmental maintenance rather than isolated incidents. In addition, there are recurring comments about inconsistent infection-control practices, including variable use of PPE and fluctuating COVID-related protocols, which point to gaps in policy execution and staff training.

    Care quality and staffing emerge as central concerns. Reviewers consistently described limited staff availability, delayed responses to resident needs, and situations where residents were not attended to promptly. These descriptions imply staffing shortfalls and/or scheduling and workload-management issues that affect daily assistance, toileting and dressing support, and timely supervision. There are also reports that raise questions about mobility safety: examples include residents who had difficulty with transfers or became stuck in doorways and concerns about fall risk. Together these items suggest weaknesses in transfer-safety procedures, supervision during mobility, and fall-prevention practices.

    Communication and clinical systems appear to be inconsistent. Families reported poor or delayed communication from facility staff, nonworking phone lines, and inadequate documentation of care and medication administration. Several reviews point to medication-management and clinical-record gaps as well as interruptions to kitchen water service and medicine availability in isolated instances; these indicate the facility may have process and documentation failures that compromise continuity of care. Laundry and personal-property management problems were also noted, including missing clothing, which reflects weaknesses in property tracking and laundering operations.

    Dining and activities present mixed signals. The facility has an on-site kitchen and an activity/recreation program, and an activities director is present; however, reviewers described inconsistent food quality and interruptions to meal service, suggesting unreliable meal-service continuity. Activity provision appears uneven: while programming exists, families reported low resident engagement and variability in how activities are implemented and supported. This points to a program that may be staffed or resourced inconsistently.

    Management and culture concerns were raised around staff conduct, oversight, and admission practices. Reviewers described interactions that they perceived as rude or dismissive and cited inadequate responsiveness to family concerns. There are also accounts alleging admission against a resident's wishes; such claims, if accurate, warrant investigation into consent and admission processes. Overall, the pattern of comments indicates gaps in supervision, staff training, and quality assurance systems.

    Taken together, these reviews outline a facility with core services in place—nursing, medication administration, dining, and activities—but with notable operational challenges that affect resident experience and family confidence. Prospective residents and families should seek current inspection reports, inquire about staffing levels and turnover, ask for specifics on infection-control and cleaning protocols, review medication- and incident-reporting procedures, and request documentation of corrective actions for the concerns described before making placement decisions.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of O'Neill Care and Rehabilitation Center

    O'Neill Care and Rehabilitation Center is located at 1102 N Harrison St, O'Neill, NE, 68763.

    About O'Neill Care and Rehabilitation Center

    O'Neill Care and Rehabilitation Center, also called Arbor Care Centers - O'Neill, sits at 1102 N. Harrison St, O'Neill, Nebraska, and has a pretty average size for a nursing home, offering both short-term care for folks coming from the hospital who need a bit of extra help before heading home and long-term care for people who need everyday medical support. The place accepts both Medicare and Medicaid, and it's a for-profit facility set up as a limited liability company. Staff at O'Neill Care and Rehabilitation Center includes registered nurses, LPNs, CNAs, and therapists. They provide quite a few health and therapy services, like physical therapy, occupational therapy, and speech therapy, and have licensed staff providing help around the clock, every day, with nurse and therapy hours tracked and posted. The center focuses on rehabilitation, skilled nursing, and Alzheimer's care, helping people regain strength or manage conditions with physical therapy, speech therapy, occupational therapy, IV therapy, fall prevention, wound care, medical exams, and medication management. There's also help with hospice, palliative care, post-surgical care, post-acute rehab, and outpatient therapy, plus a medical director for oversight. You'll find private and semi-private rooms, meals and dining, transportation, housekeeping, laundry, a beauty salon, and free Wi-Fi and cable. They provide nutrition education, daily activities, a resident council, and a family council, which gives families and residents a way to voice concerns or ideas. For safety, the place's been inspected a number of times, getting varied grades ranging from D up to A over the years, but most recently, it got an overall F rating and was flagged for abuse in the last year, which some folks will want to consider. Even with those concerns, the facility talks about providing care with a focus on wellness, independence, and a comfortable setting. They offer Alzheimer's care, support for the very frail needing intensive nursing care, and assisted living options. Amenities and specialized medical care aim to help seniors recover from illness, injury, or manage everyday needs, but anyone looking at the place will likely want to weigh the health services, daily living features, and the inspection history before making a decision. You can find more daily updates and community news on their Facebook page @arborcarecenteroneill.

    People often ask...

    O'Neill Care and Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    The full address for this community is 1102 N Harrison St, O'Neill, NE 68763.

    No, O'Neill Care and Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of O'Neill Care and Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact O'Neill Care and Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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