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Nursing home report

Chimney Rock Villa

Bayard, NE · Medicare-certified · 49 beds

Needs attention
Government-run
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.4146 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $31,135 was recorded.

  5. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

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.