The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: F
Nursing home report
Holdrege Memorial Homes, Inc
Holdrege, NE · Medicare-certified · 94 beds
In good standing
Non-profit
2 of 5 overall
Holdrege Memorial Homes, Inc. has a 2-star overall rating, with 2-star health inspection and staffing ratings and a 3-star quality measures rating. Reported nurse staffing is 3.67 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months; recent inspection citations included abuse/neglect/theft prevention, posting nurse staffing information, and infection prevention and control.
Facility ratings
Health inspections
Staffing
3.6685 hrs/resident/day
Quality measures
Last inspection: August 5, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6685.
Staffing detail
- Registered nurses
- 0.76
- Licensed practical nurses
- 0.46
- Nurse aides
- 2.45
- Weekend nursing
- 3.41
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.9%Steady
Residents with a fall causing major injury
14.9%Improving
Residents with pressure ulcers (bedsores)
0.8%Improving
Residents with a urinary tract infection
10%Worsening
Residents who lost too much weight
4.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
29.7%Improving
Residents whose ability to walk got worse
20.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
14.9%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
5.8%Improving
Residents with new or worsening incontinence
30.7%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
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 August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to encode each resident’s assessment data and send it to the state on time. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 640 — 42 CFR §483.20 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 18 days
Medicare/Medicaid payment denial
Aug 5, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 76.9 residents on an average day (82% of 94 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 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.