Facility type
Nursing Home
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Nursing Home
Good Shepherd Lutheran Home
Good Shepherd Lutheran Home is a faith-based community providing skilled nursing, long-term care, and assisted living services in Blair, Nebraska. It offers a continuum of care including independent living, assisted living, and skilled nursing. The facility has been serving the community since 1948.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
84
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
73.2%
Residents per day (avg)
68
Occupancy rate
73.2%
Residents per day (avg)
68
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
36% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
53% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
11% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$7.8M
Operating deficit
-$452.5K
Voluntary non-profit community
Operated by a church.
Home revenue
$7,820,601.00
Operating deficit
$-452,504.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.3M
84-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License details
County:
WASHINGTON
Additional licensing details
CMS Certification Number:
285148
Certification type:
Certification
Ownership & operating entity
Good Shepherd Lutheran Home is administrated by Serena Smith.
Owner name:
BLAIR NF OPERATIONS, LLC
Safety & Compliance
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Contact Information
Fax:
(402) 426-4351
Additional Policies & Features
Pets Allowed
Minimum Age:
55
Housekeeping:
Yes
Linen Service:
Yes
Utilities Included:
Yes
Amenities & Lifestyle
Programs & Activities
Specific Programs
Independent Living, Assisted Living, HUD Housing, Skilled Nursing, Respite services, Hospice care
Dining & Nutrition
Food Description
Meals are prepared by Good Shepherd and served in the assisted living dining/gathering room.
Health Inspection History
Inspections
Total health inspections
4
Nebraska average 4.3
Last Health inspection on May 2025
Total health citations
23
Citations per inspection
5.75
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 23 citations resulted from standard inspections; 1 of 23 resulted from complaint investigations; and 7 of 23 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
0
0
100% better than Nebraska averageNebraska average: 0.5
0 critical citations
0 serious citations
23 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
May 01, 2025
Corrected
Abuse/Neglect moderate citation
May 01, 2025
Corrected
Environmental moderate citation
May 01, 2025
Corrected
Environmental moderate citation
May 01, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. 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.
Compare Nursing Homes around Blair
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Good Shepherd Lutheran Home
-16%
-12%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68008
84
-
CLOETER, PAUL
73.2%
$7,669,592.00
$2,888,388.00
37.7%
67.90
3.9103
23
-16%-12%+4%-
Good Shepherd Lutheran Community
-16%
-12%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Blair
84
26
CLOETER, PAUL
73.2%
$7,669,592.00
$2,888,388.00
37.7%
67.90
3.9103
23
-16%-12%+4%Private / Semi-Private Rooms
Good Shepherd Lutheran Home
Type of care:
SNF
AL
Community:
NE 68008
Bed Count:
84
Operator:
CLOETER, PAUL
CCN:
285148
Occupancy:
73.2%
Home Revenue:
$7,669,592.00
Payroll Costs:
$2,888,388.00
Payroll %:
37.7%
Avg Residents/Day:
67.90
Overall Rating:
Adj Nurse Hours:
3.9103
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
23
RN share vs State Avg:
-16%
-16%
Staffing vs State Avg:
-12%
-12%
Occupancy vs State Avg:
+4%
+4%
Good Shepherd Lutheran Community
Type of care:
SNF
AL
IL
MC
Community:
Blair
Bed Count:
84
Operator:
CLOETER, PAUL
CCN:
285148
Occupancy:
73.2%
Home Revenue:
$7,669,592.00
Payroll Costs:
$2,888,388.00
Payroll %:
37.7%
Avg Residents/Day:
67.90
Overall Rating:
Adj Nurse Hours:
3.9103
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
23
RN share vs State Avg:
-16%
-16%
Staffing vs State Avg:
-12%
-12%
Occupancy vs State Avg:
+4%
+4%
Bed Options:
Private / Semi-Private Rooms
Places of interest near Good Shepherd Lutheran Home
0.0 miles from city center
BLAIR, NE 68008
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
270
Total Staff
53
Employees
217
Contractors
25,335
Total Hours (Quarter)
34
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 22 | 10.2 | Yes |
| Licensed Practical Nurse | 41 | 9.1 | Yes |
| Certified Nursing Assistant | 145 | 8.1 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
256 staff
8.3hs shift avg
Physicians & Practitioners ⓘ
2 staff
8.2hs shift avg
Therapy Services ⓘ
9 staff
4.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
3.8hs shift avg
Dietary Services ⓘ
0 staff
0hs shift avg
Other Services ⓘ
1 staff
7.8hs shift avg
Contractor Analysis
40.4%
of total hours from contractors
10,242 contractor hours this quarter
Registered Nurse: 17
Licensed Practical Nurse: 35
Medication Aide/Technician: 37
Certified Nursing Assistant: 118
Speech Language Pathologist: 1
Physical Therapy Aide: 1
Physical Therapy Assistant: 4
Qualified Social Worker: 1
Respiratory Therapy Technician: 3
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 27 | 118 | 145 | 11,690 | 91 | 100% | 8.1 |
| Medication Aide/Technician | 11 | 37 | 48 | 4,619 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 6 | 35 | 41 | 4,226 | 91 | 100% | 9.1 |
| Registered Nurse | 5 | 17 | 22 | 1,934 | 91 | 100% | 10.2 |
| Dental Services Staff | 1 | 0 | 1 | 591 | 76 | 84% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 497 | 59 | 65% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 474 | 59 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 412 | 61 | 67% | 6.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 233 | 49 | 54% | 4.8 |
| Qualified Social Worker | 0 | 1 | 1 | 105 | 28 | 31% | 3.8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 64 | 28 | 31% | 2.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 59 | 20 | 22% | 2.9 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
66 residents
Residents by payment source
Medicare
2 residents (3%)
Medicaid
45 residents (68.2%)
Private pay or other
19 residents (28.8%)
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.9
31% better than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.9
15% better than Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
44% better than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.6%
Percent of long-stay residents whose ability to move independently worsened
15.6%
30% better than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.5%
21% worse than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
29% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.3%
Percent of long-stay high risk residents with pressure ulcers
4.3%
In line with Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.4%
Percent of long-stay residents with a urinary tract infection
5.4%
75% worse than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.5%
Percent of long-stay residents who lose too much weight
4.5%
17% better than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
7.2%
Percent of long-stay residents who have depressive symptoms
7.2%
63% worse than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
9.9%
Percent of long-stay residents who received an antipsychotic medication
9.9%
50% better than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.2%
In line with Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
80.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
80.6%
16% worse than Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.7%
15% worse than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
19% better than Nebraska averageNebraska average: 2.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Good Shepherd Lutheran Home based on CMS SNF Cost Reports.
Occupancy Rate
73.2%
↑ 6.8pp vs 2023
Net Income
-$452,504
↑ ~$383K vs 2023
Total Payroll
$3,312,494
↓ ~$293K vs 2023
Profit Margin
-5.9%
↑ 7.5pp vs 2023
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