I found the following in the 1930 Census for Alliance, Box Butte, Nebraska (District 4) at the St. Joseph's Hospital.
Sister Tressa M. Summons (I saw "Simmions" hard to read), she was a member of the C (looks like Company), white, age 40, born about 1890, birth place: Rhode Island, occupation: nurse book keeper
The next is from 1930 Alliance, Box Butte, NE (district2)
Betty Mae Simonson (hard to read), stepdaughter, white, age 5, born about 1925, birth place: nebraska, both parents born: NE
Her mother's name: Neita G. & stepfather: Otto Raecke
There are other possibilities in Nebraska, but the above is all I could find for Box Butte Co.