Chimney Rock Villa in Bayard, NE has a 1-star overall rating, with a 1-star health inspection rating, a 2-star quality measures rating, and 4-star staffing. Reported nurse staffing is 3.41 hours per resident per day versus the 4.1 federal benchmark, and the facility had $31,135 in fines in the last 24 months with a recent federal penalty.
Last inspection: November 24, 2025Penalties, last 24 months: $31,135recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4146.
Staffing detail
Registered nurses
0.88
Licensed practical nurses
0.09
Nurse aides
2.45
Weekend nursing
3.13
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 56%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
45%34.8%Improving
Residents with a fall causing major injury
15.4%6.5%Improving
Residents with pressure ulcers (bedsores)
0%4%Worsening
Residents with a urinary tract infection
16%22.6%Worsening
Residents who lost too much weight
24%31%Worsening
Residents who were physically restrained
3.8%0%Improving
Residents needing more help with daily activities
38.5%31%Improving
Residents whose ability to walk got worse
—29.2%—
Long-stay residents on antianxiety or sleep medication
0%17.2%Worsening
Residents with a long-term catheter
4.7%3.3%Improving
Residents with new or worsening incontinence
15.5%34.1%Worsening
Residents with depressive symptoms
12%10.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—83.3%—
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — limited pattern, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: H
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited February 2024 — isolated incident, actual harm.
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F-Tag 867 — 42 CFR §483.75 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 6 health deficiencies.
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PENALTY
A federal fine of $31,135 was recorded.
INSPECTION
Health inspection found 4 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $110,988 in total fines.
Federal fine
Mar 25, 2025
$31,135
Federal fine
Feb 5, 2024
$79,853
Operator & ownership
Ownership
Government - City
Occupancy
32.4 residents on an average day (66% of 49 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.