Show Inspection Reports
Total health inspections
4
Nebraska average 4.3
Last Health inspection on May 2025
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.
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Nursing Home in Blair
CMS overall rating
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.
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.
Good Shepherd Lutheran Home
Nursing Home in Blair
CMS overall rating
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.
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.
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
$7.8M
Operating deficit
-$452.5K
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
Facility TypeNursing Home
CountyWASHINGTON
CMS Certification Number285148
Certification TypeCertification
Good Shepherd Lutheran Home is administrated by Serena Smith.
Owner NameBLAIR NF OPERATIONS, LLC
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
Fax(402) 426-4351
Pets Allowed
Minimum Age55
HousekeepingYes
Linen ServiceYes
Utilities IncludedYes
Private Bathrooms
Kitchen Area
Social Gathering Room
Beauty Shop
Pet Friendly Environment
Smoke Detectors
Fully Sprinkled Building
Maintenance Staff
Snow Removal
And Mowing Services
Specific ProgramsIndependent Living, Assisted Living, HUD Housing, Skilled Nursing, Respite services, Hospice care
Food DescriptionMeals are prepared by Good Shepherd and served in the assisted living dining/gathering room.
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.
Health Inspection History
Inspections
Total health citations
23
Nebraska average 18.2
Citations per inspection
5.75
Nebraska average 4.19
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
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 01, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 01, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 01, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 01, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 01, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 01, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 01, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
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.
Filter by care type
Good Shepherd Lutheran Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Blair
84
73.2%
+4%
3.91
-12%
0
23
5.8
0
68
-
-
Cloeter, Paul
$7.7M
$2.9M
37.7%
285148
Good Shepherd Lutheran Community
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Blair
84
73.2%
+4%
3.91
-12%
0
23
5.8
0
68
-
26
Cloeter, Paul
$7.7M
$2.9M
37.7%
285148
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
270
Employees
53
Contractors
217
Staff to resident ratio
4.09:1
90% better than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
34
Average shift
8.2 hours
5% better than Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
25,335
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
41
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
145
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
40.4%
10,242 contractor hours this quarter
Certified Nursing Assistant: 118
Medication Aide/Technician: 37
Licensed Practical Nurse: 35
Registered Nurse: 17
Physical Therapy Assistant: 4
Respiratory Therapy Technician: 3
Speech Language Pathologist: 1
Physical Therapy Aide: 1
Qualified Social Worker: 1
Staff by category
| 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 |
145 Certified Nursing Assistant
% of Days
100%
48 Medication Aide/Technician
% of Days
100%
41 Licensed Practical Nurse
% of Days
100%
22 Registered Nurse
% of Days
100%
1 Dental Services Staff
% of Days
84%
1 Clinical Nurse Specialist
% of Days
65%
1 Nurse Practitioner
% of Days
65%
1 Administrator
% of Days
59%
1 Physical Therapy Aide
% of Days
67%
1 Speech Language Pathologist
% of Days
54%
1 Qualified Social Worker
% of Days
31%
4 Physical Therapy Assistant
% of Days
31%
3 Respiratory Therapy Technician
% of Days
22%
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
-$452.5K
↑ ~$382.9K vs 2023
Total Payroll
$3.3M
↓ ~$292.7K vs 2023
Profit Margin
-5.9%
↑ 7.5pp vs 2023
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