GoodStanding

Nursing home report

Holmes Lake Rehabilitation & Care Center

Lincoln, NE · Medicare-certified · 97 beds

Needs attention
For-profit
1 of 5 overall

Holmes Lake Rehabilitation & Care Center has a 1-star overall rating, with 1-star health inspection and staffing scores and a 2-star quality rating. It reports 3.61 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has no fines in the last 24 months, and is flagged for the lowest overall rating.

Facility ratings

Health inspections

Staffing

3.6081 hrs/resident/day

Quality measures

Last inspection: June 10, 2025Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6081.

Staffing detail

Registered nurses
0.42
Licensed practical nurses
0.55
Nurse aides
2.65
Weekend nursing
3.40

Hours per resident per day.

Total staff turnover: 78%
Registered nurse turnover: 71%

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

15.6%20.8%Worsening

Residents with a fall causing major injury

4.2%6.4%Worsening

Residents with pressure ulcers (bedsores)

1.5%5.3%Worsening

Residents with a urinary tract infection

2.2%2.2%No change

Residents who lost too much weight

0%3.2%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

14.6%15.6%Worsening

Residents whose ability to walk got worse

19.9%

Long-stay residents on antianxiety or sleep medication

7.3%15.6%Worsening

Short-stay residents newly given an antipsychotic

4%2.9%Improving

Residents with a long-term catheter

3.4%2.6%Improving

Residents with new or worsening incontinence

38.9%30.3%Improving

Residents with depressive symptoms

11.1%6.4%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

69.4%

Long-stay residents given the pneumonia vaccine

72.9%70.2%Worsening

Short-stay residents given the seasonal flu vaccine

32%

Short-stay residents given the pneumonia vaccine

55.3%60.9%Improving

What the inspectors found

The nursing home failed to properly report ownership or management changes to the state agency and follow required disclosure rules. Cited June 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 844 — 42 CFR §483.70 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(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 October 2024 — 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 ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited October 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 947 — 42 CFR §483.95 — S/S: F

The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited November 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 732 — 42 CFR §483.35(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 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Operator & ownership

Ownership
For profit - Corporation
Occupancy
52.5 residents on an average day (54% of 97 beds)
Resident voice
Resident council
Medicare history
Certified for 30 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.