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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.
Chrisoma West is a premier assisted living community, presenting services catering to seniors seeking independent living with congregate dining and those searching for assistive services. The community boasts various assisted living apartments in diverse sizes and styles, providing ample options for individual preferences.
At Chrisoma West, every aspect of senior living is thoughtfully designed to foster a comfortable, engaging, and fulfilling lifestyle for each resident. They offer a well-equipped library with WiFi access and computers, accessible to all residents to enhance convenience, this assisted living community also extends transportation services for medical appointments and shopping trips within the Holdrege area, ensuring seamless access to essential services and activities. Additionally, senior residents can enjoy housekeeping services, delectable meals, engaging activities, and convenient transportation for local appointments and shopping excursions within the serene setting.
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 68th 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 |
|---|---|---|
|
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 26m per day | ▼ 4% State avg: 3h 34m per day · National avg: 3h 25m per day |
Higher than the Nebraska average: 70.3%Chrisoma West is administrated by Kendra Norton.
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.
| 103 | 52 | This facility has 98% more total deficiencies than a typical Nebraska nursing home (103 vs. NE avg 52).↑ 98% worse |
|
Deficiencies per year
Average deficiencies per year since 2010.
| 6.4 | 3.3 | This facility has 94% more deficiencies per year than a typical Nebraska nursing home (6.4 vs. NE avg 3.3).↑ 94% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 21, 2025, identified deficiencies related to failure to implement interventions to protect residents from elopement, resulting in a prohibition on new admissions until compliance is demonstrated and a fine of $1,000 per violation. Earlier inspections were mostly clean and focused on licensure renewal and occupancy permits, with one citation in 2011 for a food safety issue involving dietary staff handwashing. Complaint investigations in 2016 and 2019 were unsubstantiated, with no evidence found to support allegations regarding resident protection or staffing. No other enforcement actions such as license suspensions or warnings were listed in the available reports. The recent deficiencies represent a new area of concern compared to prior inspections, indicating a need for corrective action in resident safety measures.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Jul 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.
12 of 19 citations resulted from standard inspections; 4 of 19 resulted from complaint investigations; and 3 of 19 came from combined inspections (standard and complaint).
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.
17% worse than Nebraska average
9% 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.
9.8 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.
9.8 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.
7.7 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
3,845 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Medication Aide/Technician | 22 | 6 | 28 | 8,469 | 92 | 100% | 9 |
| Certified Nursing Assistant | 32 | 2 | 34 | 8,089 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 10 | 1 | 11 | 4,836 | 92 | 100% | 9.8 |
| Registered Nurse | 7 | 2 | 9 | 2,400 | 92 | 100% | 9.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 756 | 65 | 71% | 7.8 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 516 | 63 | 68% | 8.2 |
| Dietitian | 1 | 0 | 1 | 473 | 63 | 68% | 7.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 452 | 58 | 63% | 7.8 |
| Qualified Social Worker | 0 | 3 | 3 | 93 | 21 | 23% | 4.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 93 | 19 | 21% | 4.6 |
| Speech Language Pathologist | 0 | 6 | 6 | 85 | 17 | 18% | 2.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 73 | 16 | 17% | 4.6 |
| Occupational Therapy Aide | 0 | 3 | 3 | 54 | 17 | 18% | 3 |
| Physical Therapy Assistant | 0 | 4 | 4 | 39 | 10 | 11% | 3.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 27 | 8 | 9% | 3.3 |
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.
15.3
35% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.9
33% worse than Nebraska averageNebraska average: 23.3
Percent of long-stay residents whose need for help with daily activities has increased
29.1%
40% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
31.3%
41% worse than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.4%
20% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
49% worse than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
1.5%
51% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
9.4%
72% worse 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
21.4%
8% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
6% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
In line with Nebraska averageNebraska average: 96.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
20% better than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.8%
58% worse than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
18% better than Nebraska averageNebraska average: 75.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
87% of new residents, usually for short-term rehab.
10% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
65Residents 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.
Historical financial and operational data for Chrisoma West 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 #38 / 120Payroll — State benchmarkedThis home is ranked 38th 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.
Housing Options: Private Rooms
Building Type: Two-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
32.5 miles from city center
Estimated distance in miles from Holdrege's city center to Chrisoma West's address, calculated via Google Maps.
— 1.47 miles to nearest hospital (Phelps Memorial Health Center)
Add your location
Chrisoma West is located in Holdrege, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
| Mount Carmel 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.
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.
N Nursing | Kearney (West 18Th Street) | 75 | 78.1% | +11% | 6.51 | -11% | +46% | $0 | 1 | 1.0 | - | 58 | 73 | Mary Blavet | $7.3M | $4.9M | 66.4% | 285216 | ||||
| Chrisoma West |
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. | Holdrege | 60 | 123.3% | +75% | 3.98 | -15% | -11% | $0 | 19 | 3.2 | - | 74 | 2 | Midwest District Of The Evangelical Free Church Of America | $10.4M | $4.9M | 47.2% | 285246 |
Chrisoma West has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NE state health department records, Chrisoma West's license number is ALF030.
Chrisoma West's occupancy is 100%.
Kendra Norton is the administrator of Chrisoma West.
Chrisoma West has 60 beds.
Yes — there are 3 photos of Chrisoma West in the photo gallery on this page.
(308) 995-2086 will put you in contact with the team at Chrisoma West.
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