Chimney Rock Villa

Nursing Home, Assisted Living, Hospice Care & Skilled Nursing · Bayard, NE

CMS overall rating

106 East 13Th Street, Bayard, NE 69334 View map

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Chimney Rock Villa accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Chimney Rock Villa accepts Medicaid, Medicare, and private pay.

Overview of Chimney Rock Villa

Chimney Rock Villa is a 49-bed nursing home owned by the City of Bayard in rural Bayard, Nebraska. The facility operates under a payment framework that accepts Medicare, Medicaid, and private pay options. For visitors, the surrounding rural neighborhood is mostly car-dependent with a walkability score of 29 out of 100, meaning family members will generally need a personal vehicle to travel to the property or manage errands.

Stays average around 406 days, demonstrating a workload that shifts primarily toward permanent, extended nursing placements rather than rapid short-term therapy loops. This baseline caseload utilizes 65 percent of the building’s overall capacity. To manage daily care, around-the-clock staffing delivers an average of 4 hours and 18 minutes of total nursing care per resident each day, with a combined team of registered nurses, licensed practical nurses, and nurse aides handling post-hospital recovery and standard physical conditioning.

State records present a long-term look at the property’s compliance tracking history. Health department inspection logs confirm that the facility adjusted its operational protocols to address past tracking notes regarding wound care and infection prevention, leaving the building free of recent citations and maintaining an overall cumulative citations-per-inspection rate of zero.

Older adults will find a quiet, small-scale layout configured for essential medical oversight and physical therapy tracks. Daily meals are planned by the kitchen to meet standard nutritional guidelines and are served in a centralized community dining room. The routine pairs personal care assistance and laundry services with comfortable common lounges, structured exercise blocks, and flexible hours for family visits.

Facility Direct Line (308) 586-1142 admin@chimneyrockvilla.com

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 18m per day

vs avg

4 of 6 metrics below state avg

Standout metric Weekend RN is +37% 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.	53m per day	▲ 23% 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.	5m per day	▼ 88% 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 27m 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 8m per day	▼ 13% 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	▼ 77% 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.	40m per day	▲ 37% State avg: 29m per day · National avg: 28m per day

Capacity and availability

406 days

49-bed community

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

Walk Score: 29 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

65%

Lower than the Nebraska average: 70.3%

Occupied beds

32 / 49

Average occupied beds in Nebraska homes 54 beds

Facility TypeNursing Home

CountyMorrill

CMS Certification Number285260

Certification TypeCertification

Chimney Rock Villa is administered by Administrator Samantha Clause.

Owner NameCity Of Bayard

Accept Medicaid

Accept Medicare

Rehabilitation Services

Short-Term Rehab

Short-Term Rehabilitation Care

Fax(308) 586-3015

Pets not allowed

Since 2011 · 15 years of data 108 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

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.	108	52	This facility has 108% more total deficiencies than a typical Nebraska assisted living residence (108 vs. NE avg 52).↑ 108% worse
Deficiencies per year Average deficiencies per year since 2011.	7.2	3.5	This facility has 106% more deficiencies per year than a typical Nebraska assisted living residence (7.2 vs. NE avg 3.5).↑ 106% worse

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

March 25, 2025 inspection placed the facility on 90-day probation for failing to monitor an incision, follow physician orders, and prevent infection and accidents.
Previous complaints from 2014 to 2018 included substantiated deficiencies in resident safety, abuse prevention, care planning, and failure to investigate falls.
Licensure renewals from 2014 through 2025 consistently confirmed the facility met statutory requirements and maintained a licensed capacity of 49 beds.

Show Inspection Reports

Inspections since 2023

Total health inspections 6

State average N/A

Last Health inspection on Jul 2025

Total health citations

State average N/A

Citations per inspection

4.83

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

19 of 29 citations resulted from standard inspections; 9 of 29 resulted from complaint investigations; and 1 of 29 came from combined inspections (standard and complaint).

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

1 critical citation State average: N/A

3 serious citations State average: N/A

25 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Infection Control moderate citation Jul 30, 2025

Corrected

Nursing Services moderate citation Jul 30, 2025

Corrected

Nutrition moderate citation Jul 30, 2025

Corrected

Quality of Care moderate citation Jul 30, 2025

Corrected

Total staff 64

Employees 42

Contractors 22

Staff to resident ratio 1.83 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 15

Average shift 8.4 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 11,624

Nursing staff breakdown

9.8 hours

8.8 hours

9.3 hours

Contractor staffing

1,458 contractor hours this quarter

Physical Therapy Assistant: 4 Speech Language Pathologist: 4 Respiratory Therapy Technician: 4 Registered Nurse: 2 Licensed Practical Nurse: 2 Physical Therapy Aide: 2 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1 Qualified Social Worker: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	21	0	21	6,427	92	100%	9.3
Registered Nurse	5	2	7	2,079	92	100%	9.8
Medication Aide/Technician	8	0	8	823	72	78%	10.2
Administrator	2	0	2	466	58	63%	7.4
Clinical Nurse Specialist	1	0	1	351	54	59%	6.5
Dietitian	1	0	1	348	43	47%	8.1
Licensed Practical Nurse	1	2	3	254	27	29%	8.8
Other Dietary Services Staff	1	0	1	207	28	30%	7.4
Nurse Practitioner	1	0	1	205	27	29%	7.6
Physical Therapy Aide	0	2	2	148	31	34%	4.5
Speech Language Pathologist	0	4	4	81	28	30%	2.9
Occupational Therapy Assistant	0	1	1	73	33	36%	2.2
Physical Therapy Assistant	0	4	4	60	30	33%	2
Nurse Aide in Training	1	0	1	37	4	4%	9.2
Respiratory Therapy Technician	0	4	4	35	16	17%	2.2
Occupational Therapy Aide	0	1	1	25	6	7%	4.1
Medical Director	0	1	1	6	3	3%	1.9
Qualified Social Worker	0	1	1	0	1	1%	0.3

21 Certified Nursing Assistant

% of Days 100%

7 Registered Nurse

% of Days 100%

8 Medication Aide/Technician

% of Days 78%

2 Administrator

% of Days 63%

1 Clinical Nurse Specialist

% of Days 59%

1 Dietitian

% of Days 47%

3 Licensed Practical Nurse

% of Days 29%

1 Other Dietary Services Staff

% of Days 30%

1 Nurse Practitioner

% of Days 29%

2 Physical Therapy Aide

% of Days 34%

4 Speech Language Pathologist

% of Days 30%

1 Occupational Therapy Assistant

% of Days 36%

4 Physical Therapy Assistant

% of Days 33%

1 Nurse Aide in Training

% of Days 4%

4 Respiratory Therapy Technician

% of Days 17%

1 Occupational Therapy Aide

% of Days 7%

1 Medical Director

% of Days 3%

1 Qualified Social Worker

% of Days 1%

View All Staffing Data

Total fines amount $128K

291% higher than State average

State average: $33K

Number of fines 2

38% more fines than State average

State average: 1.5

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $128K

State average $33K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Mar 25, 2025

$48K

Civil Money Penalty Feb 5, 2024

$80K

Last updated: Jan 2026

High-risk clinical events score 22.1

96% worse than State average

State average: 11.3

Functional decline score 32.0

37% worse than State average

State average: 23.3

Long-stay resident measures

Significantly below average State avg: 2.8

Need for Help with Daily Activities Increased 38.2%

84% worse than State average

State average: 20.8%

Walking Ability Worsened 37.9%

71% worse than State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 19.8%

26% better than State average

State average: 26.9%

Falls with Major Injury 11.7%

159% worse than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers 0.0%

100% better than State average

State average: 4.3%

Urinary Tract Infection 6.2%

102% worse than State average

State average: 3.1%

Lost Too Much Weight 22.9%

321% worse than State average

State average: 5.4%

Depressive Symptoms 5.1%

15% worse than State average

State average: 4.4%

Antipsychotic Use 46.7%

135% worse than State average

State average: 19.8%

Pneumococcal Vaccine 96.1%

In line with State average

State average: 93.2%

Influenza Vaccine 100.0%

In line with State average

State average: 96.1%

Hospitalizations per 1,000 days 2.75

53% worse than State average

State average: 1.80

ED visits per 1,000 days 4.27

119% worse than State average

State average: 1.95

Short-stay resident measures

Average State avg: 2.2

Pneumococcal Vaccine 55.0%

32% worse than State average

State average: 80.7%

Re-hospitalized after SNF stay 42.4%

103% worse than State average

State average: 20.9%

Emergency department visits 8.7%

25% better than State average

State average: 11.6%

Falls with major injury 9.1%

1081% worse than State average

State average: 0.8%

Breakdown by payment type

Medicare

46% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

34% of new residents, often for short stays.

Typical stay 1 years

Medicaid

20% of new residents, often for long-term daily care.

Typical stay 3 years

Total residents 35

Medicare

2.9% of residents

Medicaid

68.6% of residents

Private pay or other

28.6% 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 Chimney Rock Villa from 2012–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 09/2023.

Occupancy Rate 77.2% ↑ 8.8pp vs 2022

Net Patient Income -$221.5K ↓ $597 vs 2022

Payroll Costs $1.8M ↑ ~$217.7K vs 2022

Operating Margin -6.2% ↑ 1.1pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	107.2%	101.2%	98.1%	99.4%	92.3%	76.0%	64.7%	65.2%	72.8%	73.1%	68.3%	77.2%
Beds	49	49	49	49	49	49	49	49	49	49	49	49
Net Income	$156,355	-$151,707	-$51,259	$413,927	$65,969	-$206,050	$49,668	$16,005	$317,194	$596,407	$224,344	-$122,560
Gross Revenue	$3,191,520	$2,845,937	$2,774,790	$2,824,053	$2,617,713	$2,067,317	$2,400,938	$2,297,049	$2,990,329	$3,343,665	$3,030,406	$3,579,833
Operating Expenses	$3,118,583	$3,000,687	$2,828,660	$2,412,369	$2,559,837	$2,470,733	$2,440,770	$2,287,605	$2,676,518	$3,110,138	$3,251,353	$3,801,377
Net Patient Income	$72,937	-$154,750	-$53,870	$411,684	$57,876	-$403,416	-$39,832	$9,444	$313,811	$233,527	-$220,947	-$221,544
Net Patient Revenue	$3,191,520	$2,845,937	$2,774,790	$2,824,053	$2,617,713	$2,067,317	$2,400,938	$2,297,049	$2,990,329	$3,343,665	$3,030,406	$3,579,833
Payroll Costs	$2,069,302	$2,032,249	$1,811,465	$1,474,257	$1,593,773	$1,635,840	$1,585,066	$1,605,862	$1,759,060	$1,867,882	$1,537,832	$1,755,485
Operating Margin %	2.3%	-5.4%	-1.9%	14.6%	2.2%	-19.5%	-1.7%	0.4%	10.5%	7.0%	-7.3%	-6.2%
Medicare %	6.6%	5.2%	3.9%	3.5%	3.4%	3.3%	12.0%	6.0%	18.2%	7.2%	6.8%	6.4%
Medicaid %	66.2%	75.7%	72.5%	71.6%	71.4%	73.3%	76.2%	74.3%	73.5%	65.3%	68.2%	58.5%
Private %	27.2%	19.1%	23.6%	24.9%	25.2%	23.3%	11.8%	19.7%	8.2%	27.5%	25.0%	35.1%
Net Patient Revenue/Day	$166	$157	$158	$159	$159	$152	$207	$197	$229	$256	$248	$259
Cost/Day	$163	$166	$161	$136	$155	$182	$211	$196	$205	$238	$266	$275
Avg Length of Stay	390.7 days	337.0 days	228.7 days	397.8 days	306.8 days	135.9 days	150.3 days	271.3 days	408.1 days	353.5 days	230.6 days	405.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

Net patient revenue

$3.6M

Net patient income

-$221.5K

Government City

Net patient revenue

$3.6M

Net patient income

-$221.5K

Other income

$99.8K

Payroll costs

$1.8M 49% of net patient revenue

Other operating costs

$2.0M

Total costs

$3.8M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (46% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 46%

Private pay 34%

Medicaid 20%

Coverage residents most often leave under.

Medicare 21%

Private pay 32%

Medicaid 47%

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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	-
Chimney Rock Villa	NH AL HOS SNF	Bayard	-	49	-	29	-

Nursing Home Explorer

Who is the owner of Chimney Rock Villa?

Chimney Rock Villa is legally operated by City Of Bayard, and administered by Administrator Samantha Clause.

Is Chimney Rock Villa in a walkable area?

Chimney Rock Villa has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Chimney Rock Villa?

Chimney Rock Villa's occupancy is 65%.

Are pets allowed at Chimney Rock Villa?

No, Chimney Rock Villa has a no-pet policy.

Is Chimney Rock Villa a government-operated facility?

Chimney Rock Villa is a government-operated nursing facility in NE.

Who is the administrator of Chimney Rock Villa?

Administrator Samantha Clause is the administrator of Chimney Rock Villa.

How many beds does Chimney Rock Villa have?

Chimney Rock Villa has 49 beds.

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Chimney Rock Villa

Overview of Chimney Rock Villa

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Additional Services

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Chimney Rock Villa

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

21 Certified Nursing Assistant

7 Registered Nurse

8 Medication Aide/Technician

2 Administrator

1 Clinical Nurse Specialist

1 Dietitian

3 Licensed Practical Nurse

1 Other Dietary Services Staff

1 Nurse Practitioner

2 Physical Therapy Aide

4 Speech Language Pathologist

1 Occupational Therapy Assistant

4 Physical Therapy Assistant

1 Nurse Aide in Training

4 Respiratory Therapy Technician

1 Occupational Therapy Aide

1 Medical Director

1 Qualified Social Worker

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

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

Mostly short-term rehab stays

Admissions

Discharges

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