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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Nestled in the heart of Blair, NE, Good Shepherd Lutheran Community offers a continuum of care tailored to the needs of seniors. Specializing in skilled nursing, assisted living, and independent living services, the community provides private and semi-private accommodations, including a secured memory support unit. With a commitment to serving the elderly and those in need, its thoughtfully designed facilities ensure comfort and dignity for every resident.
Good Shepherd Lutheran Community prides itself on creating a warm and engaging atmosphere, where residents enjoy home-cooked meals, enriching activities, and access to spiritual care. The team is dedicated to fostering connections through social events, exercise programs, and serene outdoor spaces. Rooted in compassion and respect, this community embodies a mission of enhancing life with dignity and grace in a Christ-centered environment.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 74th out of 117 homes in Nebraska.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 25m per day | ▼ 42% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 42m per day | ■ Avg State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 0m per day | ▼ 28% State avg: 2h 46m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 18m per day | ▼ 9% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 67% State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 28m per day | ▼ 3% State avg: 29m per day · National avg: 29m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
36% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #64 / 120Payroll — state benchmarkedThis home is ranked 64th out of 120 homes in Nebraska.Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Nebraska average: 70.3%Good Shepherd Lutheran Community is legally operated by Blair Nf Operations, Llc, and administrated by Serena Smith.
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 143 | 52 | This facility has 175% more total deficiencies than a typical Nebraska nursing home (143 vs. NE avg 52).↑ 175% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 9.5 | 3.5 | This facility has 171% more deficiencies per year than a typical Nebraska nursing home (9.5 vs. NE avg 3.5).↑ 171% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection of Good Shepherd Lutheran Home on April 3, 2025, reported no deficiencies. Earlier inspections generally confirmed compliance with licensure requirements and did not identify significant issues. Prior to this, the facility had a history of various deficiencies primarily related to fire safety code violations, care planning, medication management, and injury prevention. Complaint investigations were mostly unsubstantiated, though some substantiated cases involved failure to report abuse timely and incomplete investigations of resident falls. The inspection record shows improvement over time, with recent reports indicating resolution of earlier cited deficiencies and no enforcement actions listed in the available reports.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on May 2025
Nebraska average 18.2
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 23 citations resulted from standard inspections; 1 of 23 resulted from complaint investigations; and 7 of 23 came from combined inspections (standard and complaint).
100% better than Nebraska averageNebraska average: 0.2
0
100% better than Nebraska averageNebraska average: 0.5
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 01, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 01, 2025
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 01, 2025
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 01, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Good Shepherd Lutheran Community is located in Blair, Nebraska.
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1.0 miles from city center
Estimated distance in miles from Blair's city center to Good Shepherd Lutheran Community's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
90% better than Nebraska averageNebraska average ratio: 2.15:1
5% better than Nebraska averageNebraska average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Total hours from contractors
10,242 contractor hours this quarter
| Certified Nursing Assistant | 27 | 118 | 145 | 11,690 | 91 | 100% | 8.1 |
| Medication Aide/Technician | 11 | 37 | 48 | 4,619 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 6 | 35 | 41 | 4,226 | 91 | 100% | 9.1 |
| Registered Nurse | 5 | 17 | 22 | 1,934 | 91 | 100% | 10.2 |
| Dental Services Staff | 1 | 0 | 1 | 591 | 76 | 84% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 497 | 59 | 65% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 474 | 59 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 412 | 61 | 67% | 6.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 233 | 49 | 54% | 4.8 |
| Qualified Social Worker | 0 | 1 | 1 | 105 | 28 | 31% | 3.8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 64 | 28 | 31% | 2.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 59 | 20 | 22% | 2.9 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
66Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.9
31% better than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.9
15% better than Nebraska averageNebraska average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
44% better than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
15.6%
30% better than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.5%
21% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
29% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
4.3%
In line with Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
5.4%
75% worse than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
4.5%
17% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
7.2%
63% worse than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
9.9%
50% better than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.2%
In line with Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
80.6%
16% worse than Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.67
48% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
5.77
196% worse than Nebraska averageNebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.7%
15% worse than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
19% better than Nebraska averageNebraska average: 2.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.3%
In line with Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.3%
20% better than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
3.9%
400% worse than Nebraska averageNebraska average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
45.1%
11% worse than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Historical financial and operational data for Good Shepherd Lutheran Community based on CMS SNF Cost Reports.
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Good Shepherd Lutheran Community is in the Wright Street neighborhood of Blair.
The legal owner and operator of Good Shepherd Lutheran Community is Blair Nf Operations, Llc.
Good Shepherd Lutheran Community has a walk score of 26. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NE state health department records, Good Shepherd Lutheran Community's license number is ALF432.
Good Shepherd Lutheran Community's occupancy is 67%.
Serena Smith is the administrator of Good Shepherd Lutheran Community.
Good Shepherd Lutheran Community has 84 beds.
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