Sarah Ann Hester Memorial Home

407 Dakota Street · Benkelman, NE · 69021 · 3084232179

56 certified beds Non profit - Corporation

  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 76 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 100
Staffing 20% 73
Federal penalties 15% 100
Trend 10% 47
Context 5% 100

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: 4 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day4.233.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day3.73≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)none

Inspection citations (21 in the current record)

  • Potential for harm · D April 30, 2026 · found via complaint

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

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 3, 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 May 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 15, 2025

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

    Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 15, 2025

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

    Corrected February 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F January 15, 2025

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

    Corrected February 28, 2025 · Nutrition and Dietary

  • Potential for harm · D January 15, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 28, 2025 · Infection Control

  • Potential for harm · E January 15, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected February 28, 2025 · Nursing and Physician Services

  • Potential for harm · E January 15, 2025 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected February 28, 2025 · Pharmacy Service

  • Potential for harm · E January 15, 2025 · 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 February 28, 2025 · Pharmacy Service

  • No harm found · C January 15, 2025

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    Corrected February 28, 2025 · Nursing and Physician Services

  • Potential for harm · F November 30, 2023

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

    Corrected January 14, 2024 · Nutrition and Dietary

  • Potential for harm · F November 30, 2023

    Provide and implement an infection prevention and control program.

    Corrected January 14, 2024 · Infection Control

  • Potential for harm · E November 30, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 14, 2024 · Quality of Life and Care

  • Potential for harm · D November 17, 2022

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected December 28, 2022 · Resident Rights

  • Potential for harm · D November 17, 2022

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected December 28, 2022 · Resident Rights

  • Potential for harm · D November 17, 2022

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected December 28, 2022 · Resident Rights

  • Potential for harm · D November 17, 2022

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected December 28, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 17, 2022

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected December 28, 2022 · Quality of Life and Care

  • Potential for harm · E November 17, 2022

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected December 28, 2022 · Pharmacy Service

  • Potential for harm · E November 17, 2022

    Provide and implement an infection prevention and control program.

    Corrected December 28, 2022 · Infection Control

  • Potential for harm · F November 17, 2022

    Perform COVID19 testing on residents and staff.

    Corrected December 28, 2022 · Infection Control

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

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 285241 · certified since November 1, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.