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Chrisoma West
Nursing Home, Assisted Living, Hospice Care, Memory Care & Skilled Nursing · Holdrege, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of Chrisoma West assisted living facility Exterior view of Chrisoma Villa building with signage Signage for Chrisoma West with building in background Exterior view of a facility with a steeple and entrance

Chrisoma West

Nursing Home, Assisted Living, Hospice Care, Memory Care & Skilled Nursing · Holdrege, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1927 W 4Th Ave, Holdrege, NE 68949 View map Calculator: See prices in your area
Chrisoma West accepts Medicare, Medicaid, and private pay.
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Chrisoma West accepts Medicare, Medicaid, and private pay.

Overview of Chrisoma West

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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.

Facility Direct Line (308) 995-2086
Facility Direct Line (308) 995-2086 chrisomawest@chrisoma.com
Instagram

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.
▼ 65.8% Below NE avg. ▼ 65.8% Below NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 29.8% Below NE avg. ▼ 29.8% Below NE avg.NE average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 39.7% Below NE avg. ▼ 39.7% Below NE avg.NE average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 65.2% Below NE avg. ▼ 65.2% Below NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours 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 vs Nebraska averages

Rank #71 / 119Nurse hours — State benchmarkedThis home is ranked 71st out of 119 homes we track in Nebraska for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 119 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 71st out of 119 homes we track in Nebraska for nurse hours. 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 3m

9% below state avg
Staff type
Hours / day / resident
vs 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.
35m
−19% State avg: 43m per day · National avg: 42m 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.
48m
+12% 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 39m
−8% State avg: 2h 53m per day · National avg: 2h 24m per day
Weekend Total Nursing 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 39m
−3% State avg: 3h 46m per day · National avg: 3h 30m per day
Physical Therapist Info 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
−62% State avg: 3m per day · National avg: 4m per day
Weekend RN 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.
24m
−17% State avg: 28m per day · National avg: 29m per day

5 of 6 metrics below state avg

Standout metric: LPN / LVN is +12% above Nebraska average

By The Numbers

Community insights.

Bed count Info A moderately sized community that may balance personal attention with shared amenities and social activities. 60 Rank #130 / 225Bed count — State benchmarkedThis home is ranked 130th out of 225 homes we track in Nebraska for bed count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #284 / 285Walk Score — State benchmarkedThis home is ranked 284th out of 285 homes we track in Nebraska for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Nebraska facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
2 / 100
Occupancy rate Info Occupancy higher than 95% suggests steady demand, but availability may be limited.
100% This home is often near full
Higher than the Nebraska average: 70.3%
Occupied beds
60 / 60
Residents per day Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
74
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
293 days

About this community

License Details

Facility TypeAssisted Living Facilities
StatusActive
CountyPhelps
License NumberALF030

Ownership & Operating Entity

Chrisoma West is administered by Kendra Norton.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Contact Information

Fax(308) 995-3995

Amenities & Lifestyle

Housekeeping
Activities
Laundry
Salon
Dining
Specific ProgramsRehab to Home, Therapy Services

Contact Chrisoma West

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 2010 · 16 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 103 deficiencies 21 inspections

Inspection Scorecard Info 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 2010 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (98% above)
• Deficiencies per inspection (84% above) 0 Better No metrics in this bucket.

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

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 10352 This facility has 98% more total deficiencies than a typical Nebraska nursing home (103 vs. NE avg 52).↑ 98% worse
Deficiencies per inspection Info Average deficiencies per inspection. 4.92.66 This facility has 84% more deficiencies per inspection than a typical Nebraska nursing home (4.9 vs. NE avg 2.66).↑ 84% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNE Averagevs. NE Avg
Total inspections Info Combined count of all inspections conducted at this facility. 2113 This facility has had 62% more total inspections than the Nebraska average (21 vs. NE avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 62% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data
Total health inspections 6

Nebraska average 4.3

Last Health inspection on Jul 2025

Total health citations
19 Rank #72 / 122Health citations — State benchmarkedThis home is ranked 72nd out of 122 homes we track in Nebraska for health citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 122 NE facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Nebraska average 18.2

Citations per inspection
3.17 Rank #34 / 122Citations per inspection — State benchmarkedThis home is ranked 34th out of 122 homes we track in Nebraska for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 122 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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).

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

Nebraska average: 0.2

Serious health citations
0
100% better than Nebraska average

Nebraska average: 0.5

0 critical citations Nebraska average: 0.2
0 serious citations Nebraska average: 0.5
18 moderate citations Nebraska average: 17.2
1 minor citation Nebraska average: 0.2
Citations history (last 3 years)
Infection Control moderate citation Jul 21, 2025
Corrected
Administration moderate citation Apr 08, 2025
Corrected
Nutrition moderate citation Apr 08, 2025
Corrected
Abuse/Neglect moderate citation Jan 15, 2025
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 110
Employees 78
Contractors 32
Staff to resident ratio 1.69 : 1
17% fewer staff per resident than Nebraska average
Nebraska average ratio: 2.03 : 1 Nebraska average ratio: 2.03 : 1See full Nebraska ranking
Avg staff/day 35
Average shift 8.5 hours
9% better than Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 27,509

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 9 total: 7 full-time employees and 2 contractors. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 11 total: 10 full-time employees and 1 contractor. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 34 total: 32 full-time employees and 2 contractors. 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

14%

3,845 contractor hours this quarter

Medication Aide/Technician: 6 Speech Language Pathologist: 6 Physical Therapy Assistant: 4 Occupational Therapy Aide: 3 Qualified Social Worker: 3 Certified Nursing Assistant: 2 Registered Nurse: 2 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Licensed Practical Nurse: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Medication Aide/Technician226288,46992100%9
Certified Nursing Assistant322348,08992100%7.7
Licensed Practical Nurse101114,83692100%9.8
Registered Nurse7292,40092100%9.8
Other Dietary Services Staff2027566571%7.8
Administrator1015286672%8
Nurse Practitioner1015286672%8
Mental Health Service Worker1015166368%8.2
Dietitian1014736368%7.5
Clinical Nurse Specialist1014525863%7.8
Qualified Social Worker033932123%4.4
Physical Therapy Aide022931921%4.6
Speech Language Pathologist066851718%2.9
Respiratory Therapy Technician022731617%4.6
Occupational Therapy Aide033541718%3
Physical Therapy Assistant044391011%3.6
Occupational Therapy Assistant0112789%3.3
28 Medication Aide/Technician
% of Days 100%
34 Certified Nursing Assistant
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
9 Registered Nurse
% of Days 100%
View All Staffing Data in Kearney

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.

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. 15.3
35% 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. 30.9
33% 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 29.1%
40% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 31.3%
41% worse than 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 32.4%
20% worse 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 6.7%
49% 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 0.0%
100% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.5%
51% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.4%
72% worse 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 21.4%
8% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
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 98.4%
In line with Nebraska average

Nebraska average: 96.1%

Short-stay resident measures
Significantly below average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.7%
20% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.8%
58% worse than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 89.7%
18% better than Nebraska average

Nebraska average: 75.9%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

87% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

10% of new residents, often for short stays.

Typical stay 2 - 3 years

Medicaid

3% of new residents, often for long-term daily care.

Typical stay 9 - 10 years

Facility Characteristics

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

Total residents 65
Medicare
8
12.3% of residents
Medicaid
25
38.5% of residents
Private pay or other
32
49.2% of residents
Programs & Services
Residents Group

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

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

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.

Finances and operations

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

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.5M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.9M Rank #34 / 113Net patient revenue — State benchmarkedThis home is ranked 34th out of 113 homes we track in Nebraska. Shows this facility's net patient revenue compared to the Nebraska average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.5M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$2.4M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #31 / 113Payroll costs — State benchmarkedThis home is ranked 31st out of 113 homes we track in Nebraska. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Nebraska average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.9M 61.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #57 / 113Payroll % of net patient revenue — State benchmarkedThis home is ranked 57th out of 113 homes we track in Nebraska. Shows payroll as a percentage of net patient revenue versus the Nebraska average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$10.4M
How we calculate these figures

This home is administered by Kendra Norton.

This home is owned by Midwest District Of The Evangelical Free Church Of America

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285246

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Two-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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

Most new residents arrive under Medicare (87% of admissions), and a typical Medicare stay runs around 25 days.

Admissions
89 total

Coverage residents most often arrive under.

Medicare 87%
Private pay 10%
Medicaid 3%
Discharges
64 total

Coverage residents most often leave under.

Medicare 47%
Private pay 28%
Medicaid 25%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Chrisoma West

Address 2.0 miles from city center Info 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)

Calculate Travel Distance to Chrisoma West

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Compare Nursing Homes around Kearney

Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nebraska average is: 61.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Brookestone Gardens ★ ★ ★ ★ ★
NH
AL
IL
SNF
Kearney
54
Facility 54
NE AVG 81
Rank #147 / 225
--
5.13
Facility 5.13
NE AVG 4.45
Rank #17 / 119
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +25%+15%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
10
Facility 10
NE AVG 18.2
Rank #31 / 122
5.0
Facility 5.0
NE AVG 4.2
Rank #94 / 122
-3-
89
Facility 89
NE AVG 47
Rank #1 / 285
Anirban Ghosh
$8.9MFiscal year ending 12/2023
Facility $8.9MFiscal year ending 12/2023
NE AVG $7.6M
Rank #28 / 113
$5.8MFiscal year ending 12/2023
Facility $5.8MFiscal year ending 12/2023
NE AVG $4.5M
Rank #20 / 113
65.2%Fiscal year ending 12/2023
Facility 65.2%Fiscal year ending 12/2023
NE AVG 61.4%
Rank #48 / 113
285305
Mount Carmel Home ★ ★ ★ ★ ☆
NH
MC
SNF
Kearney
75
Facility 75
NE AVG 81
Rank #90 / 225
75.5%
Facility 75.5%
NE AVG 73.3%
Rank #97 / 177
+3%
6.74
Facility 6.74
NE AVG 4.45
Rank #2 / 119
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ -11%+51%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
1
Facility 1
NE AVG 18.2
Rank #1 / 122
1.0
Facility 1.0
NE AVG 4.2
Rank #1 / 122
-57-
73
Facility 73
NE AVG 47
Rank #32 / 285
Mary Blavet
$7.0MFiscal year ending 06/2024
Facility $7.0MFiscal year ending 06/2024
NE AVG $7.6M
Rank #41 / 113
$4.9MFiscal year ending 06/2024
Facility $4.9MFiscal year ending 06/2024
NE AVG $4.5M
Rank #32 / 113
69.5%Fiscal year ending 06/2024
Facility 69.5%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #31 / 113
285216
Bethany Home ★ ★ ☆ ☆ ☆
NH
AL
MC
SNF
Minden
64
Facility 64
NE AVG 81
Rank #121 / 225
79.7%
Facility 79.7%
NE AVG 73.3%
Rank #79 / 177
+9%
4.90
Facility 4.90
NE AVG 4.45
Rank #24 / 119
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ☆ +53%+10%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
19
Facility 19
NE AVG 18.2
Rank #72 / 122
6.3
Facility 6.3
NE AVG 4.2
Rank #109 / 122
-51-
47
Facility 47
NE AVG 47
Rank #152 / 285
Bethany Home Inc
$8.2MFiscal year ending 06/2024
Facility $8.2MFiscal year ending 06/2024
NE AVG $7.6M
Rank #31 / 113
$5.0MFiscal year ending 06/2024
Facility $5.0MFiscal year ending 06/2024
NE AVG $4.5M
Rank #29 / 113
60.9%Fiscal year ending 06/2024
Facility 60.9%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #62 / 113
285270
Mother Hull Home ★ ★ ☆ ☆ ☆
NH
SNF
Kearney
58
Facility 58
NE AVG 81
Rank #140 / 225
89.7%
Facility 89.7%
NE AVG 73.3%
Rank #29 / 177
+22%
5.57
Facility 5.57
NE AVG 4.45
Rank #8 / 119
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -46%+25%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
14
Facility 14
NE AVG 18.2
Rank #49 / 122
4.7
Facility 4.7
NE AVG 4.2
Rank #85 / 122
-52-
87
Facility 87
NE AVG 47
Rank #4 / 285
Sieg Brauer
$4.9MFiscal year ending 06/2024
Facility $4.9MFiscal year ending 06/2024
NE AVG $7.6M
Rank #75 / 113
$3.7MFiscal year ending 06/2024
Facility $3.7MFiscal year ending 06/2024
NE AVG $4.5M
Rank #53 / 113
76.3%Fiscal year ending 06/2024
Facility 76.3%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #9 / 113
285254
Chrisoma West ★ ☆ ☆ ☆ ☆
NH
AL
HOS
MC
SNF
Holdrege
60
Facility 60
NE AVG 81
Rank #130 / 225
--
4.04
Facility 4.04
NE AVG 4.45
Rank #71 / 119
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ -15%-9%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
19
Facility 19
NE AVG 18.2
Rank #72 / 122
3.2
Facility 3.2
NE AVG 4.2
Rank #34 / 122
-74-
2
Facility 2
NE AVG 47
Rank #284 / 285
Midwest District Of The Evangelical Free Church Of America
$7.9MFiscal year ending 06/2024
Facility $7.9MFiscal year ending 06/2024
NE AVG $7.6M
Rank #34 / 113
$4.9MFiscal year ending 06/2024
Facility $4.9MFiscal year ending 06/2024
NE AVG $4.5M
Rank #31 / 113
61.6%Fiscal year ending 06/2024
Facility 61.6%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #57 / 113
285246
Nursing Home Explorer

Financial Assistance for
Nursing Home in Nebraska

Chrisoma West is located in Holdrege, 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)

Frequently Asked Questions about Chrisoma West

Is Chrisoma West in a walkable area?

Chrisoma West has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Chrisoma West?

According to NE state health department records, Chrisoma West's license number is ALF030.

What is the occupancy rate at Chrisoma West?

Chrisoma West's occupancy is 100%.

Are pets allowed at Chrisoma West?

No, Chrisoma West has a no-pet policy.

Does Chrisoma West operate as a for-profit or non-profit?

Chrisoma West is registered as a non-profit in NE.

Who is the administrator of Chrisoma West?

Kendra Norton is the administrator of Chrisoma West.

How many beds does Chrisoma West have?

Chrisoma West has 60 beds.

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