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
4 of 5 overall
Blue Valley Lutheran Nursing Home in Hebron, NE has a 4 out of 5 overall rating, with a 5-star health inspection rating and 4-star staffing, but a 1-star quality measures rating. Reported nurse staffing is 3.80 hours per resident per day versus the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7997 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 3.7997.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 0.76
- Nurse aides
- 2.43
- Weekend nursing
- 3.08
Hours per resident per day.
Total staff turnover: 29%
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
23.8%28.6%Worsening
Residents with a fall causing major injury
9.4%10.3%Worsening
Residents with pressure ulcers (bedsores)
4.8%0%Improving
Residents with a urinary tract infection
3.1%3.6%No change
Residents who lost too much weight
7.7%4.5%Improving
Residents who were physically restrained
12.5%10.3%Improving
Residents needing more help with daily activities
41.7%30%Improving
Residents whose ability to walk got worse
—22.3%—
Long-stay residents on antianxiety or sleep medication
15.4%17.4%Worsening
Residents with a long-term catheter
3.7%2.6%Improving
Residents with new or worsening incontinence
28.4%7.1%Improving
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
96.9%100%Improving
Short-stay residents given the pneumonia vaccine
—68.2%—
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
- 29.2 residents on an average day (46% of 64 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 21 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.