Deficiency Index

Sarah Ann Hester Memorial Home

Benkelman, Nebraska · CCN 285241

18 surveys since 2011, 6 of them producing a finding at harm level or worse.

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

Citations on record
112
Surveys
18
Harm or worse
6
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse6

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file13/18

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

The facility

Certified beds
56
Ownership
Non profit - Corporation
Chain
Independent
County
Dundy · rural
Medicare-certified since
2001

CMS ratings

Overall
2
Health inspection
3
Staffing
4
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 36 not-for-profit facilities with fewer than 66 beds in Nebraska.

Last survey on record

Apr 30, 2026

193 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 day4.203.99
Registered-nurse hours per resident day0.49—
Annual nurse turnover54.2%47.4%

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 minimalD529.4%E635.3%F423.5%
No harm, potential for minimalA—B—C211.8%
CMS’s current file: 17 of the 112 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5501×

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

  • F6041×

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • F6071×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

In the surveyor’s words

From the most serious findings on record at Sarah Ann Hester Memorial Home, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Apr 2, 2026

    Licensure Reference Number 12-006.11(E) Based on observation, interview, and record review, the facility failed to ensure use or disposal of foods prior to expiration dates, maintenence and cleaning of resident refrigerators, and sanitizing solutions were at the required strength per manufacturers instructions. The facility also failed to ensure use of gloves during meal preparation as indicated. This had the potential to affect all 31 residents. Findings are:The initial kitchen observations of the dry food storage area at 11:37AM on 3/30/2026 revealed 3 bottles of Caesar dressing in the dry food storage area with an expiration date of November 2025. There were 2 basins full of Jello boxes with expiration dates of 3/8/2026 and 6/2024. […]

  • No harm, potential for more than minimal, widespreadF812Jan 15, 2025

    Licensure Reference Number 175 NAC 12-006.11(E) Based on observation and interviews the facility failed to thoroughly clean and sanitize food surfaces after preparation of raw chicken. This affected all the residents. The facility identified a census of 30. An observation of meal preparation on 1/14/25 from 10:10 AM to 10:30 AM with Cook-I revealed Cook-I obtaining raw chicken breast in a tote from the lower shelf in the refrigerator and brought the raw chicken over to a food preparation table. Cook-I retrieved a large metal baking sheet and placed it on a food preparation counter near the chicken but not directly next to the chicken. Cook-I then performed hand hygiene for 20 seconds with soap and water and applies gloves. […]

  • No harm, potential for more than minimal, widespreadF812Nov 30, 2023

    Licensure Reference Number 175 NAC 12-006.11E Based on observation, interview, and record review; the facility kitchen staff failed to label and date opened packages of food and drink in the refrigerator, freezer, and dry storage to prevent the potential for food borne illness. This had the potential to affect all residents. The facility census was 28. Findings are: Observation on 11/28/2023 at 10:45 AM with the Dietary Manager (DM) revealed in the kitchen refrigerator a container of prepared fruit punch with no label or date; a freezer in the kitchen with an open bag of diced onions not dated and an open bag of sliced fries not dated; an upright freezer with an open bag of chicken breasts not labeled or dated, and open bag of diced ham not labeled or dated, an open bag of sausage links… […]

  • No harm, potential for more than minimal, widespreadF880Nov 30, 2023

    Based on observation, record review and interviews; the facility failed to perform hand hygiene to prevent the potential spread of infection for 4 (Resident's 13, 5, 1, 6) of 4 sampled residents. The facility identified a census of 28. The findings are: A. An observation on 11/28/23 at 2:10 PM revealed Nursing Assistant (NA)-F and NA-G entered Resident 13's room. Resident 13 stated they needed their incontinence brief changed. The positioning pillow was removed from under the resident's left side by NA-F. Both NAs applied gloves, then resident's soiled brief was opened, and NA-G wiped the front of the resident's peri-area with a disposable peri-wipe. The wipe was folded over, and a new section of the same wipe was used on either side of the groin, the penis, and the scrotum. […]

  • No harm, potential for more than minimal, widespreadF886Nov 17, 2022

    Based on record review and interview, the facility failed to ensure that staff testing for Covid-19 was documented to prevent the potential for the spread of Covid-19. This had the potential to affect all facility residents. The facility census was 27. Findings are: Record review of the facility Covid-19 Vaccination Policy dated 9/30/22 revealed it is the facility policy to ensure that all staff are fully vaccinated for Covid-19 in accordance with federal law. The purpose of this policy is to comply with the mandatory health and safety standards issued by the Centers for Medicare and Medicaid Services (CMS), and to provide a safe workplace for all staff, and to decrease the risk of transmission of Covid-19 to the vulnerable population. […]

Read 26 findings in full →The most serious and the most recent: 26 of 112 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 30, 2026Complaint1 finding
  • Apr 2, 2026Standard4 findings
  • Apr 3, 2025Complaint1 finding
  • Jan 15, 2025Standard and complaint8 findings
  • Nov 30, 2023Standard and complaint3 findings
  • Nov 17, 2022Standard8 findings
  • May 5, 2021Standard6 findings
  • Oct 24, 2019Standard3 findings
Show the 10 earlier surveys
  • Sep 25, 2018Standard8 findings
  • Sep 28, 2017Standard11 findings
  • Jul 26, 2016Standard and complaint7 findings
  • Aug 25, 2015Standard8 findings
  • Aug 27, 2014Standard5 findings
  • Aug 28, 2013—4 findings
  • Aug 30, 2012—22 findings · 3 harm
  • May 22, 2012—1 finding
  • Nov 16, 2011—1 finding · 1 harm
  • Jun 9, 2011—11 findings · 2 harm

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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