1 of 5 stars overall for Sarah Ann Hester Memorial Home in Benkelman, NE. It has the lowest overall rating, with 2 of 5 for health inspections, 1 of 5 for quality measures, 4 of 5 for staffing, nurse staffing slightly above the federal benchmark (4.23 vs 4.1 hours per resident per day), and no fines in the last 24 months.
Last inspection: April 3, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2314.
Staffing detail
Registered nurses
0.47
Licensed practical nurses
0.94
Nurse aides
2.83
Weekend nursing
3.73
Hours per resident per day.
Total staff turnover: 48%
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
17.4%21.7%Worsening
Residents with a fall causing major injury
9.7%9.4%No change
Residents with pressure ulcers (bedsores)
12.4%0%Improving
Residents with a urinary tract infection
3.4%0%Improving
Residents who lost too much weight
3.6%3.4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.2%19.2%Improving
Residents whose ability to walk got worse
—27.4%—
Long-stay residents on antianxiety or sleep medication
26.7%25%Improving
Residents with a long-term catheter
0%6.3%Worsening
Residents with new or worsening incontinence
28.3%22.4%Improving
Residents with depressive symptoms
0%0%No change
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
—93.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 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 2023 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to make sure residents and staff were tested for COVID-19. Cited November 2022 — widespread issue, potential for harm.
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F-Tag 886 — 42 CFR §483.80 — S/S: F
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 January 2025 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
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 January 2025 — limited pattern, potential for harm.
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F-Tag 947 — 42 CFR §483.95 — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 8 health deficiencies.
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INSPECTION
Health inspection found 3 health deficiencies.
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Operator & ownership
Ownership
Non profit - Corporation
Occupancy
31.6 residents on an average day (56% of 56 beds)
Resident voice
Resident council
Medicare history
Certified for 24 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.