Overall rating: 1 of 5 stars. Good Shepherd Lutheran Home in Blair, NE has the lowest overall rating, with 1-star staffing and 2-star health inspection results; reported nurse staffing is 2.97 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Last inspection: March 3, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9651.
Staffing detail
Registered nurses
0.47
Licensed practical nurses
0.48
Nurse aides
2.01
Weekend nursing
2.66
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 75%
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
7%7%No change
Residents with a fall causing major injury
3.2%5.9%Worsening
Residents with pressure ulcers (bedsores)
3%1.2%Improving
Residents with a urinary tract infection
4.9%3%Improving
Residents who lost too much weight
5.5%10.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.9%16.1%Worsening
Residents whose ability to walk got worse
4.7%6.3%Worsening
Long-stay residents on antianxiety or sleep medication
10.5%15.5%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.2%1.5%Improving
Residents with new or worsening incontinence
31.5%27.7%Improving
Residents with depressive symptoms
8.5%5.2%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
—80.6%—
Long-stay residents given the pneumonia vaccine
96.8%89.7%Worsening
Short-stay residents given the pneumonia vaccine
57.1%52%Worsening
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 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited May 2025 — widespread issue, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited April 2024 — widespread issue, potential for harm.
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F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to ensure there was enough outside ventilation in the area, through windows, mechanical systems, or both. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 923 — 42 CFR §483.90 — 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 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
70.7 residents on an average day (84% of 84 beds)
Resident voice
Resident council
Medicare history
Certified for 32 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.