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Chrisoma West
Nursing Home, Assisted Living, Hospice Care, Memory Care & Skilled Nursing · Holdrege, NE
Exterior view of Chrisoma West assisted living facility Exterior view of a facility with a steeple and entrance Exterior view of Chrisoma Villa building with signage Signage for Chrisoma West with building in background

Chrisoma West

Nursing Home, Assisted Living, Hospice Care, Memory Care & Skilled Nursing · Holdrege, NE
1927 W 4Th Ave, Holdrege, NE 68949 View map
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Overview of Chrisoma West

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Chrisoma West is a nursing home and assisted living community in Holdrege, NE, offering hospice care, memory care, and skilled nursing. Assisted living includes help with daily tasks, while memory care provides a secured setting with supervision. Nursing home and skilled nursing care include licensed nursing on site around the clock, and hospice supports residents receiving end of life care.

The range of services may suit someone whose care needs change over time without requiring a move to another community. Chrisoma West has 60 beds and private rooms, so each resident has a single private living space. Medicare, Medicaid, and private pay are accepted, giving families options whether they use public benefits or pay directly.

Total nurse staffing is 4h 3m per resident per day, representing the daily nursing time available to each resident. On site therapy services and the Rehab to Home program provide rehabilitation at the community, including support connected with returning home. An in house beauty shop gives residents access to salon services without leaving the community, and Kendra Norton serves as the administrator.

Facility Direct Line (308) 995-2086
Instagram
By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 60 Rank #74 / 127Bed count — State benchmarked This nursing home is ranked 74th out of 127 nursing 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 compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

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 #135 / 136Walk Score — State benchmarked This nursing home is ranked 135th out of 136 nursing 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 compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
2 / 100
Occupancy rate Info Occupancy higher than 95% suggests steady demand, but availability may be limited. Rank #1 / 121Occupancy rate — State benchmarked This nursing home is ranked 1st out of 121 nursing homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 121. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
100% This home is often near full
Higher than the Nebraska average: 73.8%

About This Community

License Details

StatusActive
CountyPhelps
License NumberALF030

Ownership & Operating Entity

Chrisoma West is administered by Kendra Norton.

Staffing & Medical

1 service
Medication ManagementSupport with organizing, administering, and monitoring medicines can help prevent missed or incorrect doses.

Additional Services

5 services
Personal Assistance
Meals
HousekeepingListed as: Daily housekeeping
Laundry & Linen
Transportation

Contact Information

Fax(308) 995-3995

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Beauty Salon

Room Accommodations

Building TypeTwo-story
Room Types
Private Rooms

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 data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 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 (88% 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. 10352.0 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. 4.92.6 This facility has 88% more deficiencies per inspection than a typical Nebraska nursing home (4.9 vs. NE avg 2.6).↑ 88% 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. 2113.0 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

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)

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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-ranked to lowest-ranked based on our 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.
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: 61.2% 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 #85 / 127
95.4%
Facility 95.4%
NE AVG 73.8%
Rank #9 / 121
+29%
5.13
Facility 5.13
NE AVG 4.56
Rank #17 / 113
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +42%+12%
$0
Facility $0
NE AVG $49.9k
Rank #1 / 121
9
Facility 9
NE AVG 19.3
Rank #23 / 121
4.5
Facility 4.5
NE AVG 4.2
Rank #77 / 121
-52-
89
Facility 89
NE AVG 48
Rank #1 / 136
Vsl Kearney, LLC
$9.2MFiscal year ending 12/2024
Facility $9.2MFiscal year ending 12/2024
NE AVG $8.0M
Rank #28 / 117
$6.2MFiscal year ending 12/2024
Facility $6.2MFiscal year ending 12/2024
NE AVG $4.8M
Rank #24 / 117
66.8%Fiscal year ending 12/2024
Facility 66.8%Fiscal year ending 12/2024
NE AVG 61.2%
Rank #36 / 117
285305
Mount Carmel Home ★ ★ ★ ★ ★
NH
MC
SNF
Kearney
75
Facility 75
NE AVG 81
Rank #48 / 127
77.1%
Facility 77.1%
NE AVG 73.8%
Rank #56 / 121
+5%
6.54
Facility 6.54
NE AVG 4.56
Rank #2 / 113
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +7%+43%
$0
Facility $0
NE AVG $49.9k
Rank #1 / 121
5
Facility 5
NE AVG 19.3
Rank #6 / 121
2.5
Facility 2.5
NE AVG 4.2
Rank #18 / 121
-58-
73
Facility 73
NE AVG 48
Rank #18 / 136
Mary Blavet
$7.6MFiscal year ending 06/2025
Facility $7.6MFiscal year ending 06/2025
NE AVG $8.0M
Rank #41 / 117
$5.5MFiscal year ending 06/2025
Facility $5.5MFiscal year ending 06/2025
NE AVG $4.8M
Rank #26 / 117
72%Fiscal year ending 06/2025
Facility 72%Fiscal year ending 06/2025
NE AVG 61.2%
Rank #15 / 117
285216
Bethany Home ★ ★ ★ ☆ ☆
NH
AL
MC
SNF
Minden
64
Facility 64
NE AVG 81
Rank #66 / 127
93.8%
Facility 93.8%
NE AVG 73.8%
Rank #12 / 121
+27%
4.84
Facility 4.84
NE AVG 4.56
Rank #26 / 113
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ +71%+6%
$0
Facility $0
NE AVG $49.9k
Rank #1 / 121
19
Facility 19
NE AVG 19.3
Rank #73 / 121
6.3
Facility 6.3
NE AVG 4.2
Rank #112 / 121
-60-
47
Facility 47
NE AVG 48
Rank #75 / 136
Bethany Home, Inc
$9.0MFiscal year ending 06/2025
Facility $9.0MFiscal year ending 06/2025
NE AVG $8.0M
Rank #30 / 117
$5.0MFiscal year ending 06/2025
Facility $5.0MFiscal year ending 06/2025
NE AVG $4.8M
Rank #34 / 117
56%Fiscal year ending 06/2025
Facility 56%Fiscal year ending 06/2025
NE AVG 61.2%
Rank #86 / 117
285270
Mother Hull Home ★ ★ ☆ ☆ ☆
NH
SNF
Kearney
58
Facility 58
NE AVG 81
Rank #81 / 127
72.2%
Facility 72.2%
NE AVG 73.8%
Rank #70 / 121
-2%
5.80
Facility 5.80
NE AVG 4.56
Rank #6 / 113
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ -34%+27%
$0
Facility $0
NE AVG $49.9k
Rank #1 / 121
17
Facility 17
NE AVG 19.3
Rank #64 / 121
5.7
Facility 5.7
NE AVG 4.2
Rank #102 / 121
-42-
87
Facility 87
NE AVG 48
Rank #4 / 136
Mother Hull Home Corp
$4.9MFiscal year ending 06/2025
Facility $4.9MFiscal year ending 06/2025
NE AVG $8.0M
Rank #78 / 117
$4.1MFiscal year ending 06/2025
Facility $4.1MFiscal year ending 06/2025
NE AVG $4.8M
Rank #51 / 117
83%Fiscal year ending 06/2025
Facility 83%Fiscal year ending 06/2025
NE AVG 61.2%
Rank #2 / 117
285254

Rank badges are statewide and care-type specific: each nursing home is ranked against every other NE nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities

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)
Know before you visit

Frequently Asked Questions about Chrisoma West

Quick answers from public records and the community's own listing.
01 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.
02 What is the license number of Chrisoma West?
According to NE state health department records, Chrisoma West's license number is ALF030.
03 What is the occupancy rate at Chrisoma West?
Chrisoma West's occupancy is 100%.
04 Are pets allowed at Chrisoma West?
No, Chrisoma West has a no-pet policy.
05 What is the best email address for Chrisoma West?
The team at Chrisoma West can be reached at chrisomawest@chrisoma.com.
06 Who is the administrator of Chrisoma West?
Kendra Norton is the administrator of Chrisoma West.
07 How many beds does Chrisoma West have?
Chrisoma West has 60 beds.
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