Deficiency Index

Christian Homes Health Care Center

Holdrege, Nebraska · CCN 285246

20 surveys since 2010. The first finding at harm level was recorded in 2014.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
108
Surveys
20
Harm or worse
1
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file14/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
86
Ownership
Non profit - Corporation
Chain
Independent
County
Phelps · rural
Medicare-certified since
2002

CMS ratings

Overall
1
Health inspection
2
Staffing
2
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 19 not-for-profit facilities of 66–99 beds in Nebraska.

Last survey on record

Mar 11, 2026

243 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.723.95
Registered-nurse hours per resident day0.53—
Annual nurse turnover58.3%35.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1768.0%E416.0%F312.0%
No harm, potential for minimalA—B—C14.0%
CMS’s current file: 25 of the 108 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

In the surveyor’s words

From the most serious findings on record at Christian Homes Health Care Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Mar 11, 2026

    Licensure Reference Number 175 NAC 12-006.11(E) Based on record review, observations, and interviews, the facility failed to label and date foods stored in the kitchen and failed to ensure that foods were prepared and served in a manner to prevent food-borne illnesses. The facility also failed to ensure hand hygiene was followed during meal service. This had the potential to affect all individuals who received foods from the kitchen and dining rooms. The facility census was 71. […]

  • No harm, potential for more than minimal, widespreadF802Apr 8, 2025

    Licensure Reference Number 175 NAC 12-006.04(H) Based on record reviews and interviews, the facility failed to have qualified dietary staff working in the kitchen. This had the potential to affect all residents who reside in the facility. The facility census was 75. Findings are: A record review of the employee list revealed that SR-A had not been an employee of the facility. A record review of the Dietary Aide job description with a copyright date of 2023 revealed: Required Qualifications: -[AGE] years or older, working towards GED, and or High School diploma -As a condition of employment, completes all assigned training and skills competency. An interview on 4/7/25 at 11:30 AM with the Dietary Manager (DM) confirmed that SR-A was (genders) child. […]

  • No harm, potential for more than minimal, widespreadF844Apr 8, 2025

    Licensure Reference Number 175 NAC 12-006.04 (E) Findings are: Based on record review and interview, the facility failed to notify the State Agency of a change in the Director of Nursing position within the required 5 days. This failure had the potential to affect all the residents residing in the facility. The facility census was 75. A record review of the Change of Administrator of Director of Nursing Notification form revealed that the Director of Nursing was changed on 11/8/24 and the notice to the State agency was received on 1/15/25. A interview on 4/8/25 at 1:30 PM with the Administrator confirmed that the Notification of a change in the Director of Nursing was not sent to the State Agency in the required time frame and the notification should have been.

  • No harm, potential for more than minimal, widespreadF812Mar 2, 2023

    Licensure Reference Number 175NAC 12-006.11E Based on observation, record review, and interview; the facility failed to ensure documentation of high temperature sanitation dishwasher (a dishwasher that uses superheated water in the final rinse to kill food-borne bacteria to sanitize dishes) temperatures for each meal to prevent the potential for food-borne illness. This had the potential to affect 53 resident that ate food served by the facility kitchen. The facility census was 54. Findings are: Record review of the Nebraska Food Code dated 7/21/16 section 4-501.15 revealed that ware washing (dishwashing) machines shall be operated in accordance with the machine's data plate and other manufacturer's instructions. […]

  • No harm, potential for more than minimal, widespreadF880Mar 2, 2023

    LICENSURE REFERENCE NUMBER 175 NAC 12-006.17 Based on interview and record review; the facility failed to prevent and/or contain Covid-19 by failing to follow mitigation for staff who were not up to date with Covid-19 vaccinations. This had the potential to affect all of the facility residents due to the risk of disease transmission. The facility identified a census of 54 at the time of survey. Findings are: Review of the Community Transmission for [NAME] County for the week of 2/23/23 revealed it was substantial. Interview with the FA (Facility Administrator) on 3/02/23 at 7:30 AM revealed the facility was out of Covid-19 outbreak status on 2/24/23 and were currently testing unvaccinated staff for Covid-19. […]

Read 21 findings in full →The most serious and the most recent: 21 of 108 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 11, 2026Standard10 findings
  • Jul 21, 2025Complaint1 finding
  • Apr 8, 2025Complaint2 findings
  • Jan 15, 2025Complaint1 finding
  • Dec 5, 2024Standard and complaint9 findings
  • Feb 1, 2024Standard2 findings
  • Mar 2, 2023Standard5 findings
  • Sep 28, 2021Standard6 findings
Show the 12 earlier surveys
  • Dec 1, 2020Infection control1 finding
  • Oct 3, 2019Standard and complaint5 findings
  • Sep 11, 2018Complaint1 finding
  • Jun 28, 2018Standard14 findings
  • Jun 6, 2017Standard3 findings
  • Mar 7, 2016Standard4 findings
  • Feb 25, 2015Standard and complaint9 findings
  • Nov 3, 2014Complaint2 findings · 1 harm
  • Mar 18, 2014Standard and complaint8 findings
  • Dec 4, 2012—7 findings
  • Nov 7, 2011—8 findings
  • Aug 5, 2010—10 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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