The home failed to have enough qualified staff to properly provide food and nutrition services. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
Nursing home report
Blue Valley Lutheran Nursing Home
Hebron, NE · Medicare-certified · 64 beds
In good standing
Non-profit
Data as of September 1, 2026
4 of 5 overall
Blue Valley Lutheran Nursing Home in Hebron, NE has an overall 4-star rating, with 5 stars for health inspections and 4 stars for staffing, but 1 star for quality measures. It reported 3.99 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included staffing, infection prevention and control, and resident environment concerns.
Facility ratings
Health inspections
Staffing
3.9939 hrs/resident/day
Quality measures
Last inspection: July 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9939.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.95
- Nurse aides
- 2.39
- Weekend nursing
- 3.24
Hours per resident per day.
Total staff turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—28.6%—
Residents with a fall causing major injury
10%7.1%Improving
Residents with pressure ulcers (bedsores)
7.4%3.1%Improving
Residents with a urinary tract infection
3.3%0%Improving
Residents who lost too much weight
0%14.3%Worsening
Residents who were physically restrained
10%14.3%Worsening
Residents needing more help with daily activities
36.4%50%Worsening
Residents whose ability to walk got worse
—22.5%—
Long-stay residents on antianxiety or sleep medication
8.3%22.7%Worsening
Residents with a long-term catheter
0%5.9%Worsening
Residents with new or worsening incontinence
18.2%27.5%Worsening
Residents with depressive symptoms
0%3.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—84.6%—
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited May 2023 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Church related
- Occupancy
- 28.3 residents on an average day (44% of 64 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.