Nebraska average 4.3
Last Health inspection on May 2025

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Good Shepherd Lutheran Home is an 84-bed Nursing Home at 2242 Wright Street, Blair, Washington County, Nebraska. Administrated by Serena Smith and owned by Blair NF Operations, LLC, the facility is a voluntary non-profit community operated by a church. The facility is certified by the Centers for Medicare & Medicaid Services (CMS Certification Number 285148). Good Shepherd Lutheran Home is a faith-based community providing skilled nursing, long-term care, and assisted living services, including independent living, and assisted living. The facility has been serving the community since 1948.
Medicare admissions (36%) typically stay 1-2 months for short-term rehab. Private pay admissions (53%) typically stay 4-5 months. Medicaid admissions (11%) typically stay 4-5 years for long-term daily care. Average length of stay is 500 days, indicating substantial long-term population. Occupancy rate is 73.2%, ranked #67 out of 122 in Nebraska, slightly above the state average of 70.3%.
The CMS Overall Rating of 2/5 stars falls below the Nebraska average of 2.8/5 stars. The Health Inspection Rating of 2/5 stars falls below the Nebraska average of 2.8/5 stars. The Staffing Rating of 2/5 stars falls significantly below the Nebraska average of 3.1/5 stars. The Quality Measures Rating of 2/5 stars falls below the Nebraska average of 2.7/5 stars.
The Nebraska Department of Health and Human Services, Division of Public Health conducted 4 total health inspections (vs Nebraska average 4.3). The facility received 23 total citations (vs Nebraska average 18.2, ranked #87 out of 122). Citations averaged 5.75 per inspection compared to the state average of 4.19, ranked #101 out of 122. No critical citations were issued (100% better than Nebraska average of 0.2). No serious citations were issued (100% better than Nebraska average of 0.5). All 23 citations were moderate in severity. The most recent inspection occurred in May 2025. Of 23 citations, 15 resulted from standard inspections, 1 from complaint investigation, and 7 from revisit inspections.
Staffing levels are below average. Total nursing hours reach 3 hours 55 minutes per day, ranked #74 out of 117 in Nebraska, 10% below the Nebraska average of 4 hours 20 minutes. Registered Nurse hours total 51 minutes per day, 20% below the state average of 1 hour 4 minutes. Licensed Practical Nurse hours total 47 minutes per day, 27% above the state average of 37 minutes. Certified Nursing Aide hours total 3 hours 10 minutes per day, 24% above the state average of 2 hours 33 minutes. Weekend nursing hours total 3 hours 18 minutes per day, 10% below the state average of 3 hours 41 minutes. Weekend Registered Nurse hours total 21 minutes per day, 49% below the state average of 41 minutes. Physical Therapist hours total 3 minutes per day, 25% below the state average of 4 minutes. Four of six staffing metrics fall below state average.
Good Shepherd Lutheran Home operates with annual revenue of $7.8 million, ranked #44 out of 120 in Nebraska. The facility reports an operating deficit of $452.5 thousand. Payroll comprises $2.9 million, ranked #64 out of 120 in Nebraska, representing 36.9% of revenue, significantly below the typical SNF range of 55–65%.
Families should ask about the below-average CMS ratings, above-average citation count, below-average total nursing hours, and low weekend RN coverage before placement.
Good Shepherd Lutheran Home is administrated by Serena Smith.
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.
Nebraska average 4.3
Last Health inspection on May 2025
Nebraska average 18.2
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
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).
Nebraska average: 0.2
Nebraska average: 0.5
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
4,165 contractor hours this quarter
| Certified Nursing Assistant | 36 | 21 | 57 | 8,484 | 92 | 100% | 8.6 |
| Medication Aide/Technician | 11 | 0 | 11 | 4,571 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 9 | 9 | 18 | 3,141 | 92 | 100% | 9.2 |
| Registered Nurse | 6 | 19 | 25 | 2,287 | 86 | 93% | 9.5 |
| Dental Services Staff | 1 | 0 | 1 | 518 | 66 | 72% | 7.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 466 | 64 | 70% | 7.3 |
| Nurse Practitioner | 2 | 0 | 2 | 464 | 64 | 70% | 6.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 453 | 60 | 65% | 7.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 338 | 55 | 60% | 6.1 |
| Administrator | 1 | 0 | 1 | 88 | 11 | 12% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 88 | 23 | 25% | 3.8 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 78 | 25 | 27% | 3.1 |
| Physical Therapy Assistant | 0 | 4 | 4 | 58 | 21 | 23% | 2.8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
36% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Good Shepherd Lutheran Home based on CMS SNF Cost Reports.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
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Good Shepherd Lutheran Home is located in BLAIR, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The legal owner and operator of Good Shepherd Lutheran Home is Blair Nf Operations, Llc.
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.
Serena Smith is the administrator of Good Shepherd Lutheran Home.
Good Shepherd Lutheran Home has 84 beds.
Yes — there are 2 photos of Good Shepherd Lutheran Home in the photo gallery on this page.
Good Shepherd Lutheran Home is located at 2242 Wright Street.
(402) 426-4663 will put you in contact with the team at Good Shepherd Lutheran Home.
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