2/5
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.
2/5
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.
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 76th out of 130 homes 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.
| 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.
| 31m per day | ▼ 28% State avg: 42m 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.
| 44m per day | ▲ 5% State avg: 41m 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 30m per day | ▼ 8% State avg: 2h 42m 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 26m per day | ▼ 5% State avg: 3h 37m per day · National avg: 3h 27m 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 | ▼ 80% 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.
| 22m per day | ▼ 25% State avg: 29m per day · National avg: 29m per day |
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.
Higher than the Nebraska average: 70.3%Chrisoma West is administered 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, 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
| 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.
Nebraska 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% fewer staff per resident 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.
9 total: 7 full-time employees and 2 contractors.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursAssists with medical care and medications.
11 total: 10 full-time employees and 1 contractor.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursHelps with daily care and mobility.
34 total: 32 full-time employees and 2 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
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 from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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."
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."
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."
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."
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.
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 #45 / 133Payroll — State benchmarkedThis home is ranked 45th out of 133 homes in Nebraska for Payroll. 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.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #108 / 133Payroll % — State benchmarkedThis home is ranked 108th out of 133 homes in Nebraska for Payroll %. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
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.
Most new residents arrive under Medicare (87% of admissions), and a typical Medicare stay runs around 25 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.0 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)
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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Brookestone Gardens | NH AL IL SNF | Kearney | 54
Facility
54
NE AVG
82
Rank
#150 / 228 | - | - | 5.16
Facility
5.16
NE AVG
4.45
Rank
#17 / 130 | +25% | +16% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 10
Facility
10
NE AVG
18.2
Rank
#31 / 135 | 5.0
Facility
5.0
NE AVG
4.2
Rank
#104 / 135 | - | 3 | - |
89
Facility
89
NE AVG
46
Rank
#1 / 298 | Anirban Ghosh | $8.9MFiscal year ending 12/2023
Facility
$8.9MFiscal year ending 12/2023
NE AVG
$7.6M
Rank
#40 / 133 | $5.8MFiscal year ending 12/2023
Facility
$5.8MFiscal year ending 12/2023
NE AVG
$3.5M
Rank
#19 / 133 | 65.2%Fiscal year ending 12/2023
Facility
65.2%Fiscal year ending 12/2023
NE AVG
49.4%
Rank
#26 / 133 | 285305 | ||||
| Mount Carmel Home | NH MC SNF | Kearney (West 18Th Street) | 75
Facility
75
NE AVG
82
Rank
#92 / 228 |
80.4%
Facility
80.4%
NE AVG
—
Rank
#99 / 196 | - | 6.51
Facility
6.51
NE AVG
4.45
Rank
#3 / 130 | -11% | +46% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 1
Facility
1
NE AVG
18.2
Rank
#1 / 135 | 1.0
Facility
1.0
NE AVG
4.2
Rank
#1 / 135 | - | 60 | - |
73
Facility
73
NE AVG
46
Rank
#35 / 298 | Mary Blavet | $7.0MFiscal year ending 06/2024
Facility
$7.0MFiscal year ending 06/2024
NE AVG
$7.6M
Rank
#57 / 133 | $4.9MFiscal year ending 06/2024
Facility
$4.9MFiscal year ending 06/2024
NE AVG
$3.5M
Rank
#46 / 133 | 69.5%Fiscal year ending 06/2024
Facility
69.5%Fiscal year ending 06/2024
NE AVG
49.4%
Rank
#42 / 133 | 285216 | ||||
| Chrisoma West | NH AL HOS MC SNF | Holdrege | 60
Facility
60
NE AVG
82
Rank
#133 / 228 | - | - | 3.98
Facility
3.98
NE AVG
4.45
Rank
#76 / 130 | -15% | -11% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 19
Facility
19
NE AVG
18.2
Rank
#77 / 135 | 3.2
Facility
3.2
NE AVG
4.2
Rank
#35 / 135 | - | 74 | - |
2
Facility
2
NE AVG
46
Rank
#287 / 298 | 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 / 133 | $4.9MFiscal year ending 06/2024
Facility
$4.9MFiscal year ending 06/2024
NE AVG
$3.5M
Rank
#45 / 133 | 61.6%Fiscal year ending 06/2024
Facility
61.6%Fiscal year ending 06/2024
NE AVG
49.4%
Rank
#108 / 133 | 285246 | ||||
| Mother Hull Home | NH SNF | Kearney | 58
Facility
58
NE AVG
82
Rank
#143 / 228 |
89.7%
Facility
89.7%
NE AVG
—
Rank
#39 / 196 | - | 6.05
Facility
6.05
NE AVG
4.45
Rank
#5 / 130 | -46% | +36% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 14
Facility
14
NE AVG
18.2
Rank
#52 / 135 | 4.7
Facility
4.7
NE AVG
4.2
Rank
#92 / 135 | - | 52 | - |
87
Facility
87
NE AVG
46
Rank
#4 / 298 | Sieg Brauer | $4.9MFiscal year ending 06/2024
Facility
$4.9MFiscal year ending 06/2024
NE AVG
$7.6M
Rank
#87 / 133 | $3.7MFiscal year ending 06/2024
Facility
$3.7MFiscal year ending 06/2024
NE AVG
$3.5M
Rank
#68 / 133 | 76.3%Fiscal year ending 06/2024
Facility
76.3%Fiscal year ending 06/2024
NE AVG
49.4%
Rank
#18 / 133 | 285254 | ||||
| Good Samaritan Society – St John’s | NH RC SNF | Kearney | 56
Facility
56
NE AVG
82
Rank
#148 / 228 |
82.1%
Facility
82.1%
NE AVG
—
Rank
#75 / 196 | - | 3.56
Facility
3.56
NE AVG
4.45
Rank
#104 / 130 | -48% | -20% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 31
Facility
31
NE AVG
18.2
Rank
#115 / 135 | 6.2
Facility
6.2
NE AVG
4.2
Rank
#118 / 135 | - | 46 | - |
89
Facility
89
NE AVG
46
Rank
#1 / 298 | Abby Richardson | $5.8MFiscal year ending 12/2023
Facility
$5.8MFiscal year ending 12/2023
NE AVG
$7.6M
Rank
#49 / 133 | $3.8MFiscal year ending 12/2023
Facility
$3.8MFiscal year ending 12/2023
NE AVG
$3.5M
Rank
#64 / 133 | 66%Fiscal year ending 12/2023
Facility
66%Fiscal year ending 12/2023
NE AVG
49.4%
Rank
#107 / 133 | 285189 |
Chrisoma West is located in Holdrege, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
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%.
Chrisoma West is registered as a non-profit in NE.
Kendra Norton is the administrator of Chrisoma West.
Chrisoma West has 60 beds.
Yes — there are 4 photos of Chrisoma West in the photo gallery on this page.
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