Good Shepherd Lutheran Home
Nursing Home · Blair, NE

Overview of Good Shepherd Lutheran Home

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.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Nebraska state averages

Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info 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. 51m per day ▼ 20% State avg: 1h 4m per day · National avg: 41m per day
LPN / LVN Info 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. 47m per day ▲ 27% State avg: 37m per day · National avg: 52m per day
Nurse Aide Info 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. 3h 10m per day ▲ 24% State avg: 2h 33m per day · National avg: 2h 20m per day
Total Nursing (Weekend) Info 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. 4h 12m per day ▲ 14% State avg: 3h 41m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 3m per day ▼ 25% State avg: 4m per day · National avg: 4m per day
RN (Weekend) Info 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. 21m per day ▼ 49% State avg: 41m per day · National avg: 28m per day

Finances and operations

Home revenue
$7.7M
Home revenue
$7.7M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
43.2% of revenue
Bed community size
84-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 78 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

License Details

Facility TypeNursing Home
CountyWashington
CMS Certification Number285148
Certification TypeCertification

Ownership & Operating Entity

Good Shepherd Lutheran Home is administrated by Serena Smith.

Owner NameBlair Nf Operations, LLC

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Contact Information

Fax(402) 426-4351

Additional Policies & Features

Pets Allowed
Minimum Age55
HousekeepingYes
Linen ServiceYes
Utilities IncludedYes

Amenities & Lifestyle

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 ProgramsHUD Housing

Dining & Nutrition

Food DescriptionMeals are prepared by Good Shepherd and served in the assisted living dining/gathering room.

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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.

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Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled
General Nebraska resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $4,000 individual, higher than most states
NE

Higher asset limit; rural access focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Nebraska Respite Network

NE Respite Network

Age Caregiver of someone 60+
General Nebraska resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NE

Lifespan respite focus; limited funding.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus)
General Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).
Income Limits (2025) ~$1,255/month (100% FPL, individual); spenddown allowed.
Asset Limits $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).
NE

Family can be paid caregivers; statewide via DHHS.

Benefits
Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+
General Nebraska resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $4,000 (individual), $6,000 (couple).
NE

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled
General Nebraska resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NE

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Nebraska resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NE

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Good Shepherd Lutheran Home

Address 0.0 miles from city center Info Estimated distance in miles from Blair's city center to Good Shepherd Lutheran Home's address, calculated via Google Maps.

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Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Above average Nebraska avg: 2.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.69
In line with Nebraska average

Nebraska average: 1.67

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.60
70% better than Nebraska average

Nebraska average: 1.99

Short-stay resident measures
Significantly above average Nebraska avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 14.0%
39% better than Nebraska average

Nebraska average: 23.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 1.4%
90% better than Nebraska average

Nebraska average: 14.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
22% better than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 58.4%
9% better than Nebraska average

Nebraska average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 57.6%
14% better than Nebraska average

Nebraska average: 50.6%

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Frequently Asked Questions about Good Shepherd Lutheran Home

Who is the owner of Good Shepherd Lutheran Home?

The legal owner and operator of Good Shepherd Lutheran Home is Blair Nf Operations, Llc.

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.

Who is the administrator of Good Shepherd Lutheran Home?

Serena Smith is the administrator of Good Shepherd Lutheran Home.

How many beds does Good Shepherd Lutheran Home have?

Good Shepherd Lutheran Home has 84 beds.

Are there photos of Good Shepherd Lutheran Home?

Yes — there are 2 photos of Good Shepherd Lutheran Home in the photo gallery on this page.

What is the address of Good Shepherd Lutheran Home?

Good Shepherd Lutheran Home is located at 2242 Wright Street.

What is the phone number of Good Shepherd Lutheran Home?

(402) 426-4663 will put you in contact with the team at Good Shepherd Lutheran Home.

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