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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.
Blue Valley Lutheran Nursing Home is a 64-bed nursing home at 220 Park Avenue, Hebron, Thayer County, Nebraska, administered by Donnavan Jacobitz and owned by Blue Valley Lutheran Homes, a faith-based organization. The facility provides nursing care, long-term care, respite care, and rehabilitation services, emphasizing spiritual services and a home-like atmosphere.
Staffing shows mixed performance against state standards. Registered nurses provide 40 minutes per resident per day, 7 percent below the Nebraska average of 43 minutes. Licensed practical nurses deliver 1 hour 1 minute per day, 42 percent above the state average of 43 minutes. Nurse aides work 2 hours 18 minutes per day, 17 percent below the Nebraska average of 2 hours 46 minutes. Weekend total nursing hours reach 3 hours 2 minutes per day, 16 percent below the state average of 3 hours 37 minutes. Occupancy runs at 48 percent with 31 residents in 64 beds, substantially below the Nebraska state average of 70.3 percent and indicating significant available capacity.
Blue Valley Lutheran’s inspection record reflects substantial improvement. The Nebraska Department of Health and Human Services, Division of Public Health, conducted 20 inspections over the facility’s history. The inspection on March 25, 2025, found the facility met all statutory requirements for licensure renewal with no deficiencies noted. Earlier inspections documented deficiencies centered on environmental safety, fall prevention, care plan updates, resident dignity, and life safety code compliance. Complaint investigations were predominantly unsubstantiated, though some substantiated findings involved failure to update care plans, pressure ulcer prevention, and medication security. The facility was placed on 90-day probation in March 2019 due to safety and fall prevention violations. No fines or license suspensions appear in available records. The facility has incurred no federal penalties in the past three years.
The recent clean renewal inspection marks documented improvement following the earlier probationary period. However, the low occupancy rate warrants discussion about the facility’s current operational status and staffing stability.
Families considering Blue Valley Lutheran for long-term care should ask administrators directly about fall prevention protocols and care plan procedures given the earlier deficiency pattern.
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 35th out of 117 homes in Nebraska. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | 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.
| 40m per day | ▼ 7% 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.
| 1h 1m per day | ▲ 42% 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 18m per day | ▼ 17% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 5m per day | ▼ 15% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
Weekend RN
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.
| 27m per day | ▼ 7% State avg: 29m per day · National avg: 28m per day |
Lower than the Nebraska average: 70.3%Blue Valley Lutheran Nursing Home is administrated by Administrator Donnavan Jacobitz.
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
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 102 | 52 | This facility has 96% more total deficiencies than a typical Nebraska nursing home (102 vs. NE avg 52).↑ 96% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 6.8 | 3.5 | This facility has 94% more deficiencies per year than a typical Nebraska nursing home (6.8 vs. NE avg 3.5).↑ 94% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on March 25, 2025, found Blue Valley Lutheran Nursing Home met all statutory requirements for licensure renewal with no deficiencies noted. Earlier inspections showed a pattern of deficiencies primarily related to environmental safety, fall prevention, care plan updates, resident dignity, and life safety code compliance. Complaint investigations over the years were mostly unsubstantiated, though some substantiated findings involved failure to update care plans, pressure ulcer prevention, and medication security. Enforcement actions included a 90-day probation starting in March 2019 due to safety and fall prevention violations, but fines or license suspensions were not listed in the available reports. The facility’s record shows improvement over time, culminating in a clean renewal inspection in 2025.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Oct 2024
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.
9 of 10 citations resulted from standard inspections; and 1 of 10 resulted from complaint investigations.
100% better than Nebraska averageNebraska average: 0.2
100% better than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
27% better than Nebraska average
13% better than Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 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.
9.8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,227 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 4 | 31 | 35 | 3,329 | 91 | 99% | 9.8 |
| Medication Aide/Technician | 7 | 6 | 13 | 3,195 | 92 | 100% | 9.7 |
| Licensed Practical Nurse | 4 | 3 | 7 | 2,052 | 92 | 100% | 9.3 |
| Registered Nurse | 6 | 0 | 6 | 1,183 | 92 | 100% | 10.6 |
| Administrator | 1 | 0 | 1 | 541 | 67 | 73% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 521 | 68 | 74% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 7 | 11 | 12% | 0.7 |
| Physical Therapy Assistant | 0 | 1 | 1 | 7 | 9 | 10% | 0.7 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 7 | 1 | 1% | 6.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 6 | 8 | 9% | 0.7 |
| Other Physician | 0 | 4 | 4 | 5 | 8 | 9% | 0.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 4 | 1 | 1% | 3.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 4 | 6 | 7% | 0.6 |
| Medical Director | 0 | 1 | 1 | 3 | 6 | 7% | 0.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 2 | 2 | 2% | 0.8 |
| Qualified Social Worker | 0 | 1 | 1 | 0 | 1 | 1% | 0.3 |
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.
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.
13.7
21% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
11% worse 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
29.8%
43% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
23.0%
In line with Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.7%
8% better than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
8.1%
81% worse than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
4.6%
7% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
2.5%
20% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
3.0%
45% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
28.6%
44% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
6% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.95
64% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.83
6% better than Nebraska averageNebraska average: 1.95
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
56.0%
31% worse than Nebraska averageNebraska average: 80.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
44% of new residents, usually for short-term rehab.
50% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
30Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Blue Valley Lutheran Nursing Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #90 / 120Payroll — State benchmarkedThis home is ranked 90th 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Hebron's city center to Blue Valley Lutheran Nursing Home's address, calculated via Google Maps.
Add your location
Blue Valley Lutheran Nursing Home is located in HEBRON, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Blue Valley Lutheran Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Hebron | 64 | 48.4% | -31% | 4.68 | -19% | +5% | $0 | 10 | 3.3 | - | 31 | - | 57 | Doug Chos | $2.9M | $2.5M | 86.5% | 285259 | ||||
| Tabitha Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lincoln (Witherbee) | 208 | 81.7% | +16% | 5.76 | -20% | +29% | $13.0k | 18 | 4.5 | - | 170 | A+ | 59 | Tabitha, Inc. | $71.9M | $39.2M | 54.5% | 285057 | ||||
| Nye Pointe |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fremont (Laverna Street) | 43 | 100.0% | +42% | 3.95 | +25% | -11% | $0 | 8 | 2.7 | - | 43 | A+ | 36 | Russell Peterson | $7.3M | $2.2M | 29.5% | 285235 | ||||
| Emerald Columbus |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Columbus (40Th Avenue) | 145 | 56.6% | -20% | 3.78 | -37% | -15% | $0 | 20 | 3.3 | - | 82 | A+ | 57 | Columbus Operations LLC | $11.3M | $6.1M | 54% | 285092 | ||||
| Holmes Lake Rehabilitation & Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lincoln (Normal Boulevard) | 97 | 62.9% | -11% | 3.51 | -25% | -21% | $3.2k | 32 | 4.0 | - | 61 | A+ | 21 | Holmes Lake Operations LLC | $5.2M | $2.8M | 53.9% | 285164 |
The legal owner and operator of Blue Valley Lutheran Nursing Home is Blue Valley Lutheran Homes.
Blue Valley Lutheran Nursing Home has a walk score of 57. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Blue Valley Lutheran Nursing Home's occupancy is 48%.
Administrator Donnavan Jacobitz is the administrator of Blue Valley Lutheran Nursing Home.
Blue Valley Lutheran Nursing Home has 64 beds.
Yes — there is 1 photo of Blue Valley Lutheran Nursing Home in the photo gallery on this page.
Blue Valley Lutheran Nursing Home is located at 220 Park Avenue.
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