Christian Homes Health Care Center
1923 West 4th Avenue · Holdrege, NE · 68949 · 3089954493
86 certified beds Non profit - Corporation Part of a CCRC
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.73 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.43 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (25 in the current record)
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Potential for harm · E March 11, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 25, 2026 · Resident Rights
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Potential for harm · E March 11, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 25, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 25, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Ensure each resident receives an accurate assessment.
Corrected April 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 11, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 11, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 11, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 11, 2026
Provide routine and 24-hour emergency dental care for each resident.
Corrected April 25, 2026 · Quality of Life and Care
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Potential for harm · F March 11, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 25, 2026 · Nutrition and Dietary
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Potential for harm · D March 11, 2026
Provide and implement an infection prevention and control program.
Corrected April 25, 2026 · Infection Control
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Potential for harm · D July 21, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 4, 2025 · Infection Control
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Potential for harm · F April 8, 2025 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected April 30, 2025 · Nutrition and Dietary
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Potential for harm · F April 8, 2025 · found via complaint
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Corrected April 30, 2025 · Administration
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Potential for harm · D January 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 19, 2025 · Resident Rights
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Potential for harm · D December 5, 2024
Ensure each resident receives an accurate assessment.
Corrected January 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 5, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected January 19, 2025 · Pharmacy Service
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Potential for harm · D December 5, 2024
Provide and implement an infection prevention and control program.
Corrected January 19, 2025 · Infection Control
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Potential for harm · D December 5, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C December 5, 2024 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected January 19, 2025 · Nursing and Physician Services
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Potential for harm · D February 1, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 17, 2024 · Resident Rights
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Potential for harm · D February 1, 2024
Provide and implement an infection prevention and control program.
Corrected March 17, 2024 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285246 · certified since August 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.