Blue Valley Lutheran Nursing Home

Nursing Home, Adult Day Care, Assisted Living, Hospice Care, Respite Care & Skilled Nursing · Hebron, NE

CMS overall rating

220 Park Avenue, Hebron, NE 68370 View map

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Blue Valley Lutheran Nursing Home accepts Medicare, Medicaid, and private pay.

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Blue Valley Lutheran Nursing Home accepts Medicare, Medicaid, and private pay.

Overview of Blue Valley Lutheran Nursing Home

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.

Facility Direct Line (402) 768-3900 info@bvlh.org

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 41m per day

vs avg

5 of 6 metrics below state avg

Standout metric LPN / LVN is +6% above state avg

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.	37m per day	▼ 15% 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.	46m per day	▲ 6% 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 26m per day	▼ 12% 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
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.	0m per day	▼ 97% State avg: 3m per day · National avg: 4m 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.	24m per day	▼ 17% State avg: 29m per day · National avg: 28m per day

Capacity and availability

666 days

64-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 57 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

48%

Lower than the Nebraska average: 70.3%

Occupied beds

31 / 64

Average occupied beds in Nebraska homes 54 beds

Facility TypeNursing Home

CountyThayer

Certification TypeCertification

Blue Valley Lutheran Nursing Home is administered by Administrator Donnavan Jacobitz.

Owner NameBlue Valley Lutheran Homes

Rehabilitation Services

Respite Care

Fax(402) 768-3901

Pets not allowed

Religious Services

Since 2011 · 15 years of data 102 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2011 vs. Nebraska state average

Overall vs. NE average

Latest Inspection March 25, 2025 Renewal

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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 assisted living residence (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 assisted living residence (6.8 vs. NE avg 3.5).↑ 94% worse

Inspection Reports Summary 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 no deficiencies and confirmed licensure renewal with full compliance.
The February 2019 annual survey cited 19 deficiencies including failure to report abuse timely, inadequate staffing, poor food sanitation, and multiple fire safety violations.
A March 2019 disciplinary action placed the facility on 90-day probation for repeated failures in fall prevention and resident supervision.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average N/A

Last Health inspection on Oct 2024

Total health citations

State average N/A

Citations per inspection

3.33

State average N/A

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.

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

10 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Quality of Care moderate citation Oct 08, 2024

Corrected

Infection Control moderate citation Jun 27, 2024

Corrected

Quality of Care moderate citation Jun 27, 2024

Corrected

Infection Control moderate citation May 25, 2023

Corrected

Total staff 77

Employees 24

Contractors 53

Staff to resident ratio 2.57 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 14

Average shift 8.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 11,318

Nursing staff breakdown

10.6 hours

9.3 hours

9.8 hours

Contractor staffing

2,227 contractor hours this quarter

Certified Nursing Assistant: 31 Medication Aide/Technician: 6 Other Physician: 4 Licensed Practical Nurse: 3 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1 Medical Director: 1 Physical Therapy Aide: 1 Speech Language Pathologist: 1 Occupational Therapy Assistant: 1 Diagnostic X-ray Services Staff: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1

Staff by category


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

35 Certified Nursing Assistant

% of Days 99%

13 Medication Aide/Technician

% of Days 100%

7 Licensed Practical Nurse

% of Days 100%

6 Registered Nurse

% of Days 100%

1 Administrator

% of Days 73%

1 Mental Health Service Worker

% of Days 74%

1 Nurse Practitioner

% of Days 62%

1 Speech Language Pathologist

% of Days 12%

1 Physical Therapy Assistant

% of Days 10%

1 Diagnostic X-ray Services Staff

% of Days 1%

1 Physical Therapy Aide

% of Days 9%

4 Other Physician

% of Days 9%

1 Occupational Therapy Aide

% of Days 1%

1 Respiratory Therapy Technician

% of Days 7%

1 Medical Director

% of Days 7%

1 Occupational Therapy Assistant

% of Days 2%

1 Qualified Social Worker

% of Days 1%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 13.7

21% worse than State average

State average: 11.3

Functional decline score 25.8

11% worse than State average

State average: 23.3

Long-stay resident measures

Significantly below average

Need for Help with Daily Activities Increased 29.8%

43% worse than State average

State average: 20.8%

Walking Ability Worsened 23.0%

In line with State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 24.7%

8% better than State average

State average: 26.9%

Falls with Major Injury 8.1%

81% worse than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers 4.6%

7% worse than State average

State average: 4.3%

Urinary Tract Infection 2.5%

20% better than State average

State average: 3.1%

Lost Too Much Weight 3.0%

45% better than State average

State average: 5.4%

Depressive Symptoms 0.0%

100% better than State average

State average: 4.4%

Antipsychotic Use 28.6%

44% worse than State average

State average: 19.8%

Pneumococcal Vaccine 98.4%

6% better than State average

State average: 93.2%

Influenza Vaccine 96.9%

In line with State average

State average: 96.1%

Hospitalizations per 1,000 days 2.95

64% worse than State average

State average: 1.80

ED visits per 1,000 days 1.83

6% better than State average

State average: 1.95

Short-stay resident measures

Pneumococcal Vaccine 56.0%

31% worse than State average

State average: 80.7%

Breakdown by payment type

Medicare

44% of new residents, usually for short-term rehab.

Typical stay 18 days

Private pay

50% of new residents, often for short stays.

Typical stay 10 - 11 months

Medicaid

6% of new residents, often for long-term daily care.

Typical stay 25 years

Total residents 30

Medicare

6.7% of residents

Medicaid

76.7% of residents

Private pay or other

16.7% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Blue Valley Lutheran Nursing Home from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 48.4% ↓ 4.6pp vs 2023

Net Patient Income -$736.8K ↑ ~$524.5K vs 2023

Payroll Costs $2.5M ↓ ~$297.4K vs 2023

Operating Margin -27.2% ↑ 14.2pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	91.7%	84.3%	75.1%	70.3%	80.8%	77.2%	72.1%	52.8%	83.7%	75.9%	62.9%	52.9%	48.4%
Beds	64	64	64	64	64	64	64	64	64	64	64	64	64
Net Income	$41,253	$22,956	-$260,791	-$940,794	$371,241	-$143,106	-$512,312	-$2,019,722	-$290,303	-$16,656	$129,188	$762,952	-$518,576
Gross Revenue	$8,054,900	$7,465,158	$7,334,488	$7,134,767	$7,784,120	$8,220,664	$8,016,063	$6,382,055	$5,671,668	$5,489,012	$3,062,173	$3,044,848	$2,707,258
Operating Expenses	$7,972,565	$7,808,696	$7,757,228	$8,060,640	$8,612,384	$8,215,458	$8,493,257	$7,813,440	$6,787,709	$6,583,494	$4,343,821	$4,306,161	$3,444,074
Net Patient Income	-$54,899	-$441,803	-$536,140	-$1,111,888	-$995,575	-$339,933	-$740,516	-$1,677,213	-$1,266,509	-$1,256,460	-$1,281,648	-$1,261,313	-$736,816
Net Patient Revenue	$7,917,666	$7,366,893	$7,221,088	$6,948,752	$7,616,809	$7,875,525	$7,752,741	$6,136,227	$5,521,200	$5,327,034	$3,062,173	$3,044,848	$2,707,258
Payroll Costs	$4,469,824	$4,354,502	$4,310,449	$4,547,347	$4,826,541	$4,792,239	$4,895,473	$4,333,247	$3,696,981	$3,482,658	$2,835,289	$2,837,439	$2,540,034
Operating Margin %	-0.7%	-6.0%	-7.4%	-16.0%	-13.1%	-4.3%	-9.6%	-27.3%	-22.9%	-23.6%	-41.9%	-41.4%	-27.2%
Medicare %	3.6%	3.6%	3.6%	4.7%	4.4%	5.5%	3.4%	5.5%	1.2%	6.0%	4.4%	3.1%	1.1%
Medicaid %	51.7%	61.8%	53.5%	48.2%	48.7%	46.2%	46.1%	48.5%	69.5%	72.1%	78.1%	80.6%	77.4%
Private %	44.7%	34.7%	42.9%	47.1%	46.9%	48.3%	50.5%	46.0%	29.3%	21.9%	17.5%	16.3%	21.5%
Net Patient Revenue/Day	$369	$374	$412	$423	$402	$435	$460	$497	$282	$301	$209	$246	$239
Cost/Day	$371	$397	$442	$491	$455	$454	$504	$633	$346	$372	$296	$348	$304
Avg Length of Stay	438.4 days	492.2 days	302.3 days	335.1 days	450.7 days	369.2 days	443.4 days	246.7 days	676.3 days	681.5 days	458.9 days	374.7 days	666.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$2.7M

Net patient income

-$736.8K

Nonprofit Church Related

Net patient revenue

$2.7M

Net patient income

-$736.8K

Other income

$229.5K

Payroll costs

$2.5M 93.8% of net patient revenue

Other operating costs

$904.0K

Total costs

$3.4M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 10 - 11 months.

Coverage residents most often arrive under.

Medicare 44%

Private pay 50%

Medicaid 6%

Coverage residents most often leave under.

Medicare 12%

Private pay 47%

Medicaid 41%

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.

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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.


Brookestone of Papillion	NH SNF	Papillion	-	110	-	35	-
Brookestone Acres	NH SNF	Columbus	-	80	-	70	-
Brookestone Meadows Rehabilitation and	NH HC HOS IL SNF	Plaza Elkhorn (Elkhorn)	-	140	-	6	-
St Joseph’s Hillside Villa	NH AL HOS RC SNF	West Point	-	54	-	66	-
Blue Valley Lutheran Nursing Home	NH ADC AL HOS RC SNF	Hebron	-	64	-	57	-

Nursing Home Explorer

Who is the owner of Blue Valley Lutheran Nursing Home?

Blue Valley Lutheran Nursing Home is legally operated by Blue Valley Lutheran Homes, and administered by Administrator Donnavan Jacobitz.

Is Blue Valley Lutheran Nursing Home in a walkable area?

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.

What is the occupancy rate at Blue Valley Lutheran Nursing Home?

Blue Valley Lutheran Nursing Home's occupancy is 48%.

Are pets allowed at Blue Valley Lutheran Nursing Home?

No, Blue Valley Lutheran Nursing Home has a no-pet policy.

Does Blue Valley Lutheran Nursing Home operate as a for-profit or non-profit?

Blue Valley Lutheran Nursing Home is registered as a non-profit in NE.

Who is the administrator of Blue Valley Lutheran Nursing Home?

Administrator Donnavan Jacobitz is the administrator of Blue Valley Lutheran Nursing Home.

How many beds does Blue Valley Lutheran Nursing Home have?

Blue Valley Lutheran Nursing Home has 64 beds.

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Blue Valley Lutheran Nursing Home

Overview of Blue Valley Lutheran Nursing Home

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Blue Valley Lutheran Nursing Home

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

35 Certified Nursing Assistant

13 Medication Aide/Technician

7 Licensed Practical Nurse

6 Registered Nurse

1 Administrator

1 Mental Health Service Worker

1 Nurse Practitioner

1 Speech Language Pathologist

1 Physical Therapy Assistant

1 Diagnostic X-ray Services Staff

1 Physical Therapy Aide

4 Other Physician

1 Occupational Therapy Aide

1 Respiratory Therapy Technician

1 Medical Director

1 Occupational Therapy Assistant

1 Qualified Social Worker

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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