Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
131
68 employees · 63 contractors · 27 on an average day Good Shepherd Lutheran Home
Nursing Home, Assisted Living, Hospice Care, Independent Living, Respite Care & Skilled Nursing · Blair, NE
CMS overall rating
1/5
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.
1/5
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.
Good Shepherd Lutheran Home
Nursing Home, Assisted Living, Hospice Care, Independent Living, Respite Care & Skilled Nursing · Blair, NE
CMS overall rating
1/5
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.
1/5
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.
Good Shepherd Lutheran Home accepts Medicare, Medicaid, and private pay.
Good Shepherd Lutheran Home offers nursing home, assisted living, hospice care, independent living, respite care and skilled nursing in Blair, NE. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks such as bathing, dressing and medication. Nursing home care and skilled nursing provide licensed nursing care on site around the clock. Hospice care focuses on comfort, and respite care offers a short stay for a family caregiver who needs to travel or recover.
The combination of independent living, assisted living, nursing home and skilled nursing may suit a resident whose care needs grow over time. The home has 84 beds and opened in 1948. Serena Smith is the administrator, and Blair Nf Operations operates the community.
Payment options are Medicare, Medicaid and private pay. Medicare covers short term skilled care after a hospital stay rather than long term residence, while Medicaid can provide a payment route for an eligible resident whose savings may not cover a long stay. Total nurse staffing is 3h 51m per resident per day, representing the total daily hands on nursing time assigned per resident.
Rehabilitation services and short term rehab are available. The community also has a salon, allows pets, and serves meals prepared by Good Shepherd in the assisted living dining and gathering room. A Walk Score of 78 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still reach nearby shops, pharmacies or cafes independently.
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 84th out of 114 nursing 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.
3h 51m
This nursing home is ranked 84th out of 114 nursing 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.
3h 51mStandout metric: Certified nursing assistant is +10% above Nebraska average
5 of 6 metrics below Nebraska average
Daily care time per resident, by role
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. 25 total: 6 of the facility's own employees and 19 agency contractors.
25 staff · 9.5-hour shifts
35m
↓ 45% · NE 1h 4mThis facility: 35m per resident per day, 45% below the Nebraska average of 1h 4m (among Nebraska facilities reporting a recent figure).
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. 25 total: 6 of the facility's own employees and 19 agency contractors.
25 staff · 9.5-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 18 total: 9 of the facility's own employees and 9 agency contractors.
18 staff · 9.2-hour shifts
28m
↓ 25% · NE 37mThis facility: 28m per resident per day, 25% below the Nebraska average of 37m (among Nebraska facilities reporting a recent figure).
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. 18 total: 9 of the facility's own employees and 9 agency contractors.
18 staff · 9.2-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 57 total: 36 of the facility's own employees and 21 agency contractors.
57 staff · 8.6-hour shifts
2h 48m
↑ 10% · NE 2h 33mThis facility: 2h 48m per resident per day, 10% above the Nebraska average of 2h 33m (among Nebraska facilities reporting a recent figure).
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. 57 total: 36 of the facility's own employees and 21 agency contractors.
57 staff · 8.6-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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.
0m
↓ 100% · NE 4mThis facility: 0m per resident per day, 100% below the Nebraska average of 4m (among Nebraska facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 32m
↓ 4% · NE 3h 41mThis facility: 3h 32m per resident per day, 4% below the Nebraska average of 3h 41m (among Nebraska facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
31m
↓ 23% · NE 41mThis facility: 31m per resident per day, 23% below the Nebraska average of 41m (among Nebraska facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
131
68 employees · 63 contractors · 27 on an average day
131 total staff / 66 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.98 : 1
↑ 1% · NE 1.97This facility: 1.98 staff per resident, 1% above the Nebraska average of 1.97 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
131 staff ÷ 66 residents
See full Nebraska ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.5 h
↑ 9% · NE 7.8 hThis facility: 8.5 h, 9% above the Nebraska average of 7.8 h (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
21,034 staff hours this quarter
See full Nebraska ranking →80.2% of staff hours were worked by the facility's own employees
Nebraska average: 89.8% · Contractors this quarter: Certified Nursing Assistant (21), Registered Nurse (19), Licensed Practical Nurse (9), Respiratory Therapy Technician (5), Physical Therapy Assistant (4), Qualified Social Worker (3), Physical Therapy Aide (1), Speech Language Pathologist (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
84
Rank #41 / 127Bed count — State benchmarked This nursing home is ranked 41st 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.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
84
Rank #41 / 127Bed count — State benchmarked This nursing home is ranked 41st 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
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #13 / 136Walk Score — State benchmarked This nursing home is ranked 13th 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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #13 / 136Walk Score — State benchmarked This nursing home is ranked 13th 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.
78
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #63 / 123Occupancy rate — State benchmarked This nursing home is ranked 63rd out of 123 nursing homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 123. 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.
Occupancy lower than 85% suggests more openings may be available.
Rank #63 / 123Occupancy rate — State benchmarked This nursing home is ranked 63rd out of 123 nursing homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 123. 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.
74.8%
This home usually has availability
Based on 62.8 residents and 84 beds. Source: CMS Provider Information, average daily residents
Similar to the Nebraska average: 75.3%
Avg. Length of Stay
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.
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.
817
days
About This Community
Facility TypeNursing Home
CountyWashington
CMS Certification Number285148
Certification TypeCertification
Good Shepherd Lutheran Home is administered by Serena Smith.
Owner NameBlair Nf Operations, LLC
Resident Council
Short-Term Rehab
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Maintenance
Fax(402) 426-4351
Pets Allowed
Continuing Care Retirement Community (CCRC)
Minimum Age55
HousekeepingYes
Linen ServiceYes
Utilities IncludedYes
Community Kitchen
Beauty Salon
In-Room Features
Private Bathrooms
CMS Health Inspection History
Total health inspections
6
↑ 30% · NE 4.6This facility: 6, 30% above the Nebraska average of 4.6 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
34
Rank #103 / 121Health citations — State benchmarked This nursing home is ranked 103rd out of 121 nursing 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 121 NE facilities. Lower citation counts earn a better rank. 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.↑ 81% · NE 18.8This facility: 34, 81% above the Nebraska average of 18.8 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
5.67
Rank #102 / 121Citations per inspection — State benchmarked This nursing home is ranked 102nd out of 121 nursing homes we track in Nebraska for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 121 facilities with citation data. Lower is better. 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.↑ 39% · NE 4.07This facility: 5.67, 39% above the Nebraska average of 4.07 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
76% corrected
26 of 34 citations corrected · 8 still open
Critical
J–L
0
↓ 100% · NE 0.2This facility: 0, 100% below the Nebraska average of 0.2 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↑ 100% · NE 0.5This facility: 1, 100% above the Nebraska average of 0.5 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
0% corrected · 1 open
Actual harm
Moderate
D–F
33
↑ 85% · NE 17.8This facility: 33, 85% above the Nebraska average of 17.8 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
78% corrected · 7 open
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · NE 0.3This facility: 0, 100% below the Nebraska average of 0.3 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: May 26, 2026 · 8 citations, 0 corrected
Most cited category: Resident Rights, 7 of 34 citations · 10 categories in total
Citations history
Most recent first
May 26, 2026
8 citations
Administration moderate citation
Nursing Services moderate citation
Nutrition moderate citation
Pharmacy moderate citation
Quality of Care moderate citation
Quality of Care serious citation
Care Planning moderate citation
Resident Rights moderate citation
Mar 03, 2026
3 citations
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
May 01, 2025
11 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Apr 23, 2024
2 citations
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Apr 04, 2024
1 citation
Resident Rights moderate citation
Corrected
Corrected
May 03, 2023
9 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 34 citations
Resident Rights
7 deficiencies (21%)
Infection Control
5 deficiencies (15%)
Pharmacy Services
5 deficiencies (15%)
Resident Assessment & Care Planning
4 deficiencies (12%)
Quality of Life & Care
3 deficiencies (9%)
Abuse, Neglect & Exploitation
3 deficiencies (9%)
Environmental
3 deficiencies (9%)
Nutrition & Dietary
2 deficiencies (6%)
Administration
1 deficiency (3%)
Nursing & Physician Services
1 deficiency (3%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 34 citations resulted from standard inspections; 12 of 34 resulted from complaint investigations; and 5 of 34 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
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 · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
NE avg $28KNebraska average: $27,659. Average among the 59 Nebraska facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
NE avg 1.19Nebraska average: 1.19. Average among the 59 Nebraska facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
NE avg 0.8Nebraska average: 0.8. Average among the 59 Nebraska facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Nebraska average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 44% · NE 2.8This facility: 4.0, 44% above the NE average of 2.8 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
↓ 55% · NE 2.2This facility: 1.0, 55% below the NE average of 2.2 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
5.4
Score · lower is better
↓ 46% · NE 10.1This facility: 5.4, 46% below the NE average of 10.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
12.0
Score · lower is better
↓ 43% · NE 21.0This facility: 12.0, 43% below the NE average of 21.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 6 better, 3 worse, 4 near NE average
7 short-stay measures: 3 better, 1 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
7.1%
↓ 62% · NE 19.0This facility: 7.1, 62% below the NE average of 19.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
7.1%
↓ 62% · NE 19.0This facility: 7.1, 62% below the NE average of 19.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
4.5%
↓ 75% · NE 18.2This facility: 4.5, 75% below the NE average of 18.2 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
4.5%
↓ 75% · NE 18.2This facility: 4.5, 75% below the NE average of 18.2 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.5%
↓ 5% · NE 25.9This facility: 24.5, 5% below the NE average of 25.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.5%
↓ 5% · NE 25.9This facility: 24.5, 5% below the NE average of 25.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.5%
↓ 45% · NE 2.8This facility: 1.5, 45% below the NE average of 2.8 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.5%
↓ 45% · NE 2.8This facility: 1.5, 45% below the NE average of 2.8 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
↑ 35% · NE 4.5This facility: 6.0, 35% above the NE average of 4.5 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
↑ 35% · NE 4.5This facility: 6.0, 35% above the NE average of 4.5 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.2%
↑ 3% · NE 4.0This facility: 4.2, 3% above the NE average of 4.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.2%
↑ 3% · NE 4.0This facility: 4.2, 3% above the NE average of 4.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
5.3%
↑ 3% · NE 5.1This facility: 5.3, 3% above the NE average of 5.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
5.3%
↑ 3% · NE 5.1This facility: 5.3, 3% above the NE average of 5.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
6.0%
↑ 42% · NE 4.3This facility: 6.0, 42% above the NE average of 4.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
6.0%
↑ 42% · NE 4.3This facility: 6.0, 42% above the NE average of 4.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
7.7%
↓ 63% · NE 20.7This facility: 7.7, 63% below the NE average of 20.7 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
7.7%
↓ 63% · NE 20.7This facility: 7.7, 63% below the NE average of 20.7 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
↓ 1% · NE 93.0This facility: 92.1, 1% below the NE average of 93.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
↓ 1% · NE 93.0This facility: 92.1, 1% below the NE average of 93.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
80.6%
↓ 16% · NE 96.1This facility: 80.6, 16% below the NE average of 96.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
80.6%
↓ 16% · NE 96.1This facility: 80.6, 16% below the NE average of 96.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.69
↑ 1% · NE 1.67This facility: 1.69, 1% above the NE average of 1.67 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.69
↑ 1% · NE 1.67This facility: 1.69, 1% above the NE average of 1.67 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.60
↓ 70% · NE 1.99This facility: 0.60, 70% below the NE average of 1.99 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.60
↓ 70% · NE 1.99This facility: 0.60, 70% below the NE average of 1.99 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 7 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
58.4%
↑ 9% · US 53.7This facility: 58.4, 9% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
58.4%
↑ 9% · US 53.7This facility: 58.4, 9% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
57.6%
↑ 14% · US 50.6This facility: 57.6, 14% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
57.6%
↑ 14% · US 50.6This facility: 57.6, 14% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
↓ 22% · US 0.8This facility: 0.6, 22% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
↓ 22% · US 0.8This facility: 0.6, 22% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · NE 2.0This facility: 0.0, 100% below the NE average of 2.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · NE 2.0This facility: 0.0, 100% below the NE average of 2.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
47.7%
↓ 41% · NE 80.9This facility: 47.7, 41% below the NE average of 80.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
47.7%
↓ 41% · NE 80.9This facility: 47.7, 41% below the NE average of 80.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.0%
↓ 39% · NE 23.1This facility: 14.0, 39% below the NE average of 23.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.0%
↓ 39% · NE 23.1This facility: 14.0, 39% below the NE average of 23.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
1.4%
↓ 90% · NE 14.0This facility: 1.4, 90% below the NE average of 14.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
1.4%
↓ 90% · NE 14.0This facility: 1.4, 90% below the NE average of 14.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Good Shepherd Lutheran Home’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 117 Nebraska nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Losing money on care, and more than last year
−8.9% operating margin
−1.1 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.1M) trims the net loss to −$0.6M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Nebraska homes
38.1% payroll share of revenue
NE average 61.2%Rank #113 / 117Payroll % of net patient revenue — State benchmarked This nursing home is ranked 113th out of 117 nursing homes we track in Nebraska for payroll % of net patient revenue. 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 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.
Payroll fell $0.1M while revenue rose $0.9M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Nebraska homes.
Revenue & profit
Losing money on care
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | NE median | Compared with NE homesRank in NE | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $8.5M | +$0.9M | Trend 20182025 | NE median $6.3M | Rank in NE Rank #33 / 117Net patient revenue — State benchmarked This nursing home is ranked 33rd out of 117 nursing homes we track in Nebraska for net patient revenue. 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 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. Higher than 72% of homes | Above NE median Higher net patient revenue than 72% of NE homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $9.3M | +$1.0M | Trend 20182025 | NE median — | Rank in NE Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.8M | −$0.2M | Trend 20182025 | NE median — | Rank in NE Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −8.9% | −1.1 pts | Trend 20182025 | NE median — | Rank in NE Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | NE median — | Rank in NE Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.6M | −$0.2M | Trend — | NE median — | Rank in NE Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Nebraska homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | NE median | Compared with NE homesRank in NE | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.3M | −$0.1M | Trend 20182025 | NE median $3.7M | Rank in NE Rank #71 / 117Payroll costs — State benchmarked This nursing home is ranked 71st out of 117 nursing homes we track in Nebraska for payroll costs. 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 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. Higher than 40% of homes | Below NE median Higher payroll than 40% of NE homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 38.1% | −5.2 pts | Trend 20182025 | NE median 61.9% | Rank in NE Rank #113 / 117Payroll % of net patient revenue — State benchmarked This nursing home is ranked 113th out of 117 nursing homes we track in Nebraska for payroll % of net patient revenue. 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 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. Higher than 3% of homes | 23.1 pts under NE average The NE average is 61.2% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · NE benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Nebraska payroll average.
% of net patient revenue
Payroll share Operating margin NE payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $4.7M | $4.7M | $5.9M | $11.0M | $6.1M | $6.4M | $7.7M | $8.5M |
| Operating expenses | $6.5M | $6.3M | $7.3M | $14.1M | $7.2M | $7.4M | $8.3M | $9.3M |
| Net patient income | −$1.9M | −$1.6M | −$1.4M | −$3.1M | −$1.0M | −$1.0M | −$0.6M | −$0.8M |
| Operating margin | −40.1% | −33.1% | −23.9% | −28.3% | −17.0% | −16.5% | −7.9% | −8.9% |
| Net income | −$1.8M | −$1.6M | −$0.3M | −$2.5M | −$0.7M | −$0.8M | −$0.5M | −$0.6M |
| Payroll costs | $3.7M | $2.8M | $3.4M | $7.6M | $4.4M | $3.6M | $3.3M | $3.3M |
| Payroll share of revenue | 78.7% | 58.9% | 58.4% | 69.0% | 71.1% | 56.8% | 43.3% | 38.1% |
| Beds | 108 | 108 | 84 | 84 | 84 | 84 | 84 | 84 |
| Gross revenue | $6.1M | $6.4M | $6.8M | $12.1M | $6.9M | $6.2M | $7.7M | $8.5M |
| Salaries | $2.8M | $2.5M | $2.9M | $6.4M | $3.7M | $3.1M | $2.9M | $2.9M |
| Wage-related costs | $0.8M | $0.3M | $0.5M | $1.2M | $0.6M | $0.5M | $0.4M | $0.4M |
| Contract labor | — | — | — | — | — | — | — | — |
| Other operating costs | $2.9M | $3.5M | $3.9M | $6.5M | $2.8M | $3.8M | $4.9M | $6.0M |
| Net patient revenue per day | $198 | $207 | $288 | $643 | $334 | $312 | $340 | $348 |
| Cost per day | $277 | $276 | $357 | $824 | $391 | $363 | $367 | $379 |
| Average length of stay | 296.4 days | 242.5 days | 378.6 days | 416.8 days | 327.3 days | 391.6 days | 499.8 days | 816.8 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
51 admissions · FY2025
Residents admitted during the year.
Medicare
16 · 31%
Medicaid
8 · 16%
Private pay & other
27 · 53%
Resident snapshot
66 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
2 · 3%
Medicaid
45 · 68%
Private pay & other
19 · 29%
Leaving
30 discharges · FY2025
Residents discharged during the year.
Medicare
10 · 33%
Medicaid
8 · 27%
Private pay & other
12 · 40%
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.
Places of interest near Good Shepherd Lutheran Home
0.0 miles from city center
Estimated distance in miles from Blair's city center to Good Shepherd Lutheran Home's address, calculated via Google Maps.
Calculate Travel Distance to Good Shepherd Lutheran Home
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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.
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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.
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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.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Crowell Memorial Home | NH | Blair (Westwood) | 74
Facility
74
NE AVG
81
Rank
#50 / 127 |
93.0%
Facility
93.0%
NE AVG
75.3%
Rank
#25 / 123 | +23% | - | +2% | - | $0
Facility
$0
NE AVG
$37.2k
Rank
#1 / 121 | 28
Facility
28
NE AVG
18.8
Rank
#95 / 121 | 3.5
Facility
3.5
NE AVG
4.1
Rank
#51 / 121 | 2 | 69 | - |
15
Facility
15
NE AVG
48
Rank
#126 / 136 | Doug Anderson | $6.8MFiscal year ending 06/2025
Facility
$6.8MFiscal year ending 06/2025
NE AVG
$8.0M
Rank
#52 / 117 | $5.3MFiscal year ending 06/2025
Facility
$5.3MFiscal year ending 06/2025
NE AVG
$4.8M
Rank
#31 / 117 | 77.6%Fiscal year ending 06/2025
Facility
77.6%Fiscal year ending 06/2025
NE AVG
61.2%
Rank
#6 / 117 | 285210 | ||||
| Good Shepherd Lutheran Home | NH AL HOS IL RC SNF | Blair | 84
Facility
84
NE AVG
81
Rank
#41 / 127 |
74.8%
Facility
74.8%
NE AVG
75.3%
Rank
#63 / 123 | -1% | 3.85
Facility
3.85
NE AVG
4.68
Rank
#84 / 114 | +99% | -18% | $0
Facility
$0
NE AVG
$37.2k
Rank
#1 / 121 | 34
Facility
34
NE AVG
18.8
Rank
#103 / 121 | 5.7
Facility
5.7
NE AVG
4.1
Rank
#102 / 121 | 1 | 63 | - |
78
Facility
78
NE AVG
48
Rank
#13 / 136 | Blair Nf Operations, LLC | $8.5MFiscal year ending 06/2025
Facility
$8.5MFiscal year ending 06/2025
NE AVG
$8.0M
Rank
#33 / 117 | $3.3MFiscal year ending 06/2025
Facility
$3.3MFiscal year ending 06/2025
NE AVG
$4.8M
Rank
#71 / 117 | 38.1%Fiscal year ending 06/2025
Facility
38.1%Fiscal year ending 06/2025
NE AVG
61.2%
Rank
#113 / 117 | 285148 |
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 2 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Nebraska
Good Shepherd Lutheran Home is located in BLAIR, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
Know before you visit
Frequently Asked Questions about Good Shepherd Lutheran Home
Quick answers from public records and the community's own listing.01 Who is the owner of Good Shepherd Lutheran Home?
Good Shepherd Lutheran Home is legally operated by Blair Nf Operations, LLC, and administered by Serena Smith.
02 Is Good Shepherd Lutheran Home in a walkable area?
Good Shepherd Lutheran Home has a walk score of 78. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
03 What is the occupancy rate at Good Shepherd Lutheran Home?
Good Shepherd Lutheran Home's occupancy is 74.8%.
04 Are pets allowed at Good Shepherd Lutheran Home?
Yes, Good Shepherd Lutheran Home allows residents to bring their pets.
05 What is the best email address for Good Shepherd Lutheran Home?
The team at Good Shepherd Lutheran Home can be reached at info@goodshepherdblair.org.
06 Does Good Shepherd Lutheran Home operate as a for-profit or non-profit?
Good Shepherd Lutheran Home is registered as a for-profit in NE.
07 Who is the administrator of Good Shepherd Lutheran Home?
Serena Smith is the administrator of Good Shepherd Lutheran Home.
Updated on
