Blue Valley Lutheran Nursing Home
Nursing Home · Nebraska, NE
CMS overall rating Info 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

Nursing Home · Nebraska, NE
CMS overall rating Info 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.
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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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 44.4% Above NE avg.
Health Inspection Info 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.
▲ 81.2% Above NE avg.
Staffing Info 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.
▲ 27.4% Above NE avg.
Quality Measures Info 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.
▼ 63.2% Below NE avg.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Nebraska state averages

Total nursing care / resident Info 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.
4h 41m per day
This facility Nebraska avg (4h 20m per day)
vs Nebraska avg
+8%

4 of 5 metrics below state avg

Standout metric LPN / LVN is +42% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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 Info 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 Info 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
Total Nursing (Weekend) Info 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
RN (Weekend) Info 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

Capacity and availability

Avg. Length of Stay
666 days

Who this home usually serves

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.

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

Finances and operations

Voluntary non-profit community
Home revenue
$2.9M
Operating deficit
-$518.6K
Voluntary non-profit community
Home revenue
$2.9M
Operating deficit
-$518.6K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
86.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$904.0K
Total costs $3.4M
Bed community size
64-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
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 residents per home in Nebraska 54 per day

License Details

Facility TypeNursing Home
CountyThayer
Certification TypeCertification

Ownership & Operating Entity

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

Owner NameBlue Valley Lutheran Homes

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Contact Information

Fax(402) 768-3901

Amenities & Lifestyle

Specific ProgramsWorship Services, Bible Study Opportunities
Religious ServicesYes

Contact Blue Valley Lutheran Nursing Home

Inspection History

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.

Since 2011 · 15 years of data 102 deficiencies

Inspection Scorecard Info 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.

Since 2011 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (96% above)
• Deficiencies per year (94% above)
0 Better No metrics in this bucket.
Latest Inspection March 25, 2025 Renewal

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

MetricThis FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 10252 This facility has 96% more total deficiencies than a typical Nebraska nursing home (102 vs. NE avg 52).↑ 96% worse
Deficiencies per year Info Average deficiencies per year since 2011. 6.83.5 This facility has 94% more deficiencies per year than a typical Nebraska nursing home (6.8 vs. NE avg 3.5).↑ 94% worse

Inspection Reports Summary Info 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 Reports

Health Inspection History

Inspections
Total health inspections 3

Nebraska average 4.3


Last Health inspection on Oct 2024

Total health citations
10

Nebraska average 18.2

Citations per inspection
3.33

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.

Breakdown of citation severity (last 3 years)
Critical Health citations More info
0
100% better than Nebraska average

Nebraska average: 0.2


Serious Health citations More info 0
100% better than Nebraska average

Nebraska average: 0.5

0 critical citations More info Nebraska average: 0.2

0 serious citations More info Nebraska average: 0.5

10 moderate citations More info Nebraska average: 17.2

0 minor citations More info Nebraska average: 0.2
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 08, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jun 27, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jun 27, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. May 25, 2023
Corrected

Financial Assistance for
Nursing Home in Nebraska

Blue Valley Lutheran Nursing Home is located in HEBRON, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.

Get Financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled
General Nebraska resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $4,000 individual, higher than most states
NE

Higher asset limit; rural access focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Nebraska Respite Network

NE Respite Network

Age Caregiver of someone 60+
General Nebraska resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NE

Lifespan respite focus; limited funding.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus)
General Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).
Income Limits (2025) ~$1,255/month (100% FPL, individual); spenddown allowed.
Asset Limits $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).
NE

Family can be paid caregivers; statewide via DHHS.

Benefits
Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+
General Nebraska resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $4,000 (individual), $6,000 (couple).
NE

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled
General Nebraska resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NE

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Nebraska resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NE

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Blue Valley Lutheran Nursing Home

Address 0.0 miles from city center Info Estimated distance in miles from Hebron's city center to Blue Valley Lutheran Nursing Home's address, calculated via Google Maps.

Calculate Travel Distance to Blue Valley Lutheran Nursing Home

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 69
Employees 23
Contractors 46
Staff to resident ratio 2.30:1
7% better than Nebraska average

Nebraska average ratio: 2.15:1

Avg staff/day 15
Average shift 8.2 hours
5% better than Nebraska average

Nebraska average: 7.8 hours

Total staff hours (quarter) 11,192

Nursing staff breakdown

Registered Nurse

Manages medical care and health needs.

Total count 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.3 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

15.6%

1,746 contractor hours this quarter

Certified Nursing Assistant: 26 Medication Aide/Technician: 5 Other Physician: 4 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1 Qualified Social Worker: 1 Feeding Assistant: 1 Physical Therapy Aide: 1 Medical Director: 1 Diagnostic X-ray Services Staff: 1 Speech Language Pathologist: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1 Physician Assistant: 1

Staff by category

Medication Aide/Technician85133,73391100%8.7
Licensed Practical Nurse5052,61091100%9.3
Certified Nursing Assistant326292,4259099%10.3
Registered Nurse5051,31491100%9.8
Nurse Practitioner1015126470%8
Mental Health Service Worker1015056571%7.8
Qualified Social Worker011223640%0.6
Diagnostic X-ray Services Staff0112133%6.9
Respiratory Therapy Technician011192527%0.7
Physical Therapy Assistant011131921%0.7
Physical Therapy Aide0116910%0.7
Other Physician044478%0.6
Medical Director011355%0.6
Occupational Therapy Aide011311%2.5
Occupational Therapy Assistant011233%0.7
Speech Language Pathologist011133%0.2
Feeding Assistant011111%0.5
Physician Assistant011011%0.4
13 Medication Aide/Technician
% of Days 100%
5 Licensed Practical Nurse
% of Days 100%
29 Certified Nursing Assistant
% of Days 99%
5 Registered Nurse
% of Days 100%
1 Nurse Practitioner
% of Days 70%
1 Mental Health Service Worker
% of Days 71%
1 Qualified Social Worker
% of Days 40%
1 Diagnostic X-ray Services Staff
% of Days 3%
1 Respiratory Therapy Technician
% of Days 27%
1 Physical Therapy Assistant
% of Days 21%
1 Physical Therapy Aide
% of Days 10%
4 Other Physician
% of Days 8%
1 Medical Director
% of Days 5%
1 Occupational Therapy Aide
% of Days 1%
1 Occupational Therapy Assistant
% of Days 3%
1 Speech Language Pathologist
% of Days 3%
1 Feeding Assistant
% of Days 1%
1 Physician Assistant
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 30
Medicare
2
6.7% of residents
Medicaid
23
76.7% of residents
Private pay or other
5
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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.8
11% worse than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Significantly below average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 29.8%
43% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 23.0%
In line with Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.7%
8% better than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.1%
81% worse than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.6%
7% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.5%
20% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.0%
45% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.6%
44% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
6% better than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.9%
In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.95
64% worse than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.83
6% better than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 56.0%
31% worse than Nebraska average

Nebraska average: 80.7%

Penalties and fines

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.

Compare Nursing Home around Nebraska

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

5 facilities compared · CMS & NE Dept. of Health data · Updated May 2026

Filter by care type
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

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AL

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AL

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AL

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Arbor Care Centers – Ord, LLC
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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.

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Frequently Asked Questions about Blue Valley Lutheran Nursing Home

Who is the owner of Blue Valley Lutheran Nursing Home?

The legal owner and operator of Blue Valley Lutheran Nursing Home is Blue Valley Lutheran Homes.

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%.

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.

Are there photos of Blue Valley Lutheran Nursing Home?

Yes — there is 1 photo of Blue Valley Lutheran Nursing Home in the photo gallery on this page.

What is the address of Blue Valley Lutheran Nursing Home?

Blue Valley Lutheran Nursing Home is located at 220 Park Avenue.

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