Holmes Lake Rehabilitation & Care Center
6101 Normal Blvd · Lincoln, NE · 68506 · 4024897175
97 certified beds For profit - Corporation
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
The complete Safety Report — $19
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
78% 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: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.40 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · D June 10, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 10, 2025 · found via complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected July 18, 2025 · Quality of Life and Care
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Potential for harm · F June 10, 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 July 18, 2025 · Administration
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Potential for harm · D January 13, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 13, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 24, 2025 · Pharmacy Service
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Potential for harm · D January 13, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 24, 2025 · Infection Control
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Potential for harm · D October 21, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 20, 2024 · Infection Control
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Potential for harm · D October 8, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 20, 2024 · Resident Rights
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Potential for harm · D October 8, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 20, 2024 · Quality of Life and Care
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Potential for harm · F October 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 20, 2024 · Nutrition and Dietary
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Potential for harm · F October 8, 2024
Provide and implement an infection prevention and control program.
Corrected November 20, 2024 · Infection Control
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Potential for harm · F October 8, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected November 20, 2024 · Nursing and Physician Services
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Potential for harm · E October 8, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 20, 2024 · Quality of Life and Care
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Potential for harm · D October 8, 2024 · found via complaint
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 November 20, 2024 · Pharmacy Service
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Potential for harm · D March 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 20, 2024 · Quality of Life and Care
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Potential for harm · D November 30, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 10, 2024 · Quality of Life and Care
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Potential for harm · E November 30, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 10, 2024 · Quality of Life and Care
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Potential for harm · F November 30, 2023
Post nurse staffing information every day.
Corrected January 10, 2024 · Nursing and Physician Services
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Potential for harm · F November 30, 2023
Provide and implement an infection prevention and control program.
Corrected January 10, 2024 · Infection Control
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Potential for harm · F November 30, 2023
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected January 10, 2024 · Nursing and Physician Services
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Potential for harm · D November 30, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 10, 2024 · Quality of Life and Care
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Potential for harm · E September 6, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 10, 2023 · Quality of Life and Care
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Potential for harm · D November 8, 2022
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 31, 2022 · Resident Rights
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Potential for harm · D November 8, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 31, 2022 · Resident Rights
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Potential for harm · D November 8, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 31, 2022 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285164 · certified since August 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.