Imperial Manor Nursing Home in Imperial, NE has a 2 out of 5 overall rating, with a 2-star health inspection rating and 3-star quality measures, while staffing is rated 4 stars. It reports 4.30 nurse staffing hours per resident per day, above the 4.1 federal benchmark, and had $0 in fines over the last 24 months; recent inspection citations included food safety and infection prevention/control issues.
Last inspection: November 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3047.
Staffing detail
Registered nurses
0.62
Licensed practical nurses
0.89
Nurse aides
2.80
Weekend nursing
3.51
Hours per resident per day.
Total staff turnover: 50%
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
13.6%9.1%Improving
Residents with a fall causing major injury
3%0%Improving
Residents with pressure ulcers (bedsores)
8.3%3.8%Improving
Residents with a urinary tract infection
6.5%0%Improving
Residents who lost too much weight
13.3%12%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
48.3%34.8%Improving
Residents whose ability to walk got worse
—28.2%—
Long-stay residents on antianxiety or sleep medication
18.8%8%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.8%4.3%Worsening
Residents with new or worsening incontinence
35.7%56.8%Worsening
Residents with depressive symptoms
3.2%4.5%Worsening
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
—93.5%—
Long-stay residents given the pneumonia vaccine
87.9%61.5%Worsening
Short-stay residents given the pneumonia vaccine
—40.4%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — 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 November 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 ensure a qualified person was assigned to oversee infection prevention and control. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — 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 keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,903 in total fines.
Federal fine
Jan 30, 2024
$7,903
Operator & ownership
Ownership
Government - City/county
Occupancy
27.7 residents on an average day (48% of 58 beds)
Resident voice
Resident council
Medicare history
Certified for 23 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.