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Good Shepherd Lutheran Home
Nursing Home, Assisted Living, Hospice Care, Independent Living, Respite Care & Skilled Nursing · Blair, NE
CMS overall rating Info 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.
Interior view of a chapel with stained glass windows Interior view of a common area in the facility

Good Shepherd Lutheran Home

Nursing Home, Assisted Living, Hospice Care, Independent Living, Respite Care & Skilled Nursing · Blair, NE
CMS overall rating Info 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.
2242 Wright Street, Blair, NE 68008 View map Calculator: See prices in your area
Good Shepherd Lutheran Home accepts Medicare, Medicaid, and private pay.
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Good Shepherd Lutheran Home accepts Medicare, Medicaid, and private pay.

Overview of Good Shepherd Lutheran Home

In Blair, Nebraska, Good Shepherd Lutheran Home combines three levels of care under one roof: nursing home, assisted living, and independent living. The 84-bed community sits at 2242 Wright Street, in a very walkable stretch of town (Walk Score 78) where most daily errands don’t require a car. Blair NF Operations, LLC owns the property, with Serena Smith administering day-to-day operations.

Of the 84 beds, 71 are filled, putting the community at 84% capacity. Nursing coverage totals close to four hours per resident per day, split across registered nurses, licensed practical nurses, and nurse aides.

Short-term rehab and broader rehabilitation services are available on-site, so residents working back from surgery or a hospital stay don’t need to leave the building for therapy. Respite care gives families a temporary option when they need coverage without a long-term commitment. Good Shepherd also participates in HUD Housing, which can open placement to residents working within a housing subsidy. Pets are welcome, and daily life includes private bathrooms, a shared kitchen area, a social gathering room, and an on-site beauty shop.

Medicare, Medicaid, and private pay are all accepted, so the path to covering care doesn’t hinge on any single payment source. From the nursing, assisted living, and independent living options, the community is clearly built to hold residents across a wide range of needs, from short post-hospital rehab stays to longer-term skilled nursing to a more self-directed daily routine.

Facility Direct Line (402) 426-4663
Facility Direct Line (402) 426-4663 info@goodshepherdblair.org

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 65.8% Below NE avg. ▼ 65.8% Below NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.9% Below NE avg. ▼ 64.9% Below NE avg.NE average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 39.7% Below NE avg. ▼ 39.7% Below NE avg.NE average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 30.3% Below NE avg. ▼ 30.3% Below NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours 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 vs Nebraska averages

Rank #88 / 119Nurse hours — State benchmarkedThis home is ranked 88th out of 119 homes we track in Nebraska for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 119 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 88th out of 119 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 44m

16% below state avg
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.
33m
−48% 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.
26m
−31% 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.
2h 46m
+8% State avg: 2h 33m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.
3h 21m
−9% 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.
1m
−83% State avg: 4m per day · National avg: 4m per day
Weekend RN 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.
24m
−41% State avg: 41m per day · National avg: 28m per day

5 of 6 metrics below state avg

Standout metric: Nurse Aide is +8% above Nebraska average

Capacity and availability

Residents per day (avg)
66
Avg. Length of Stay Info 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.
500 days
Bed community size
84-bed community Rank #77 / 225Bed count — State benchmarkedThis home is ranked 77th out of 225 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 cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 78 / 100 Rank #21 / 285Walk Score — State benchmarkedThis home is ranked 21st out of 285 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 cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
79%
Rank #87 / 177Occupancy rate — State benchmarkedThis home is ranked 87th out of 177 homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 177. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Nebraska average: 70.3%
Occupied beds
66 / 84
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyWashington
CMS Certification Number285148
Certification TypeCertification

Ownership & Operating Entity

Good Shepherd Lutheran Home is administered 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

Minimum Age55
HousekeepingYes
Linen ServiceYes
Utilities IncludedYes

Amenities & Lifestyle

Community Kitchen
Salon
Pet Friendly
Social Gathering Room
Specific ProgramsHUD Housing

Contact Good Shepherd Lutheran Home

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.

Show Inspection Reports

CMS Health Inspection History

Inspections Since 2023 · 3 years of data
Total health inspections 4

Nebraska average 4.3

Last Health inspection on May 2025

Total health citations
23 Rank #89 / 122Health citations — State benchmarkedThis home is ranked 89th out of 122 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 122 NE facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Nebraska average 18.2

Citations per inspection
5.75 Rank #104 / 122Citations per inspection — State benchmarkedThis home is ranked 104th out of 122 homes we track in Nebraska for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 122 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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
100% better than Nebraska average

Nebraska average: 0.2

Serious health citations
0
100% better than Nebraska average

Nebraska average: 0.5

0 critical citations Nebraska average: 0.2
0 serious citations Nebraska average: 0.5
23 moderate citations Nebraska average: 17.2
0 minor citations Nebraska average: 0.2
Citations history (last 3 years)
Abuse/Neglect moderate citation May 01, 2025
Corrected
Abuse/Neglect moderate citation May 01, 2025
Corrected
Environmental moderate citation May 01, 2025
Corrected
Environmental moderate citation May 01, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 131
Employees 68
Contractors 63
Staff to resident ratio 1.98 : 1
0% compared with Nebraska average
Nebraska average ratio: 2.03 : 1 Nebraska average ratio: 2.03 : 1See full Nebraska ranking
Avg staff/day 27
Average shift 8.5 hours
9% better than Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 21,034

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 25 total: 6 full-time employees and 19 contractors. 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 18 total: 9 full-time employees and 9 contractors. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 57 total: 36 full-time employees and 21 contractors. 57
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

19.8%

4,165 contractor hours 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

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3621578,48492100%8.6
Medication Aide/Technician110114,57192100%9.2
Licensed Practical Nurse99183,14192100%9.2
Registered Nurse619252,2878693%9.5
Dental Services Staff1015186672%7.8
Speech Language Pathologist0114666470%7.3
Nurse Practitioner2024646470%6.6
Physical Therapy Aide0114536065%7.5
Clinical Nurse Specialist2023385560%6.1
Administrator101881112%8
Qualified Social Worker033882325%3.8
Respiratory Therapy Technician055782527%3.1
Physical Therapy Assistant044582123%2.8
57 Certified Nursing Assistant
% of Days 100%
11 Medication Aide/Technician
% of Days 100%
18 Licensed Practical Nurse
% of Days 100%
25 Registered Nurse
% of Days 93%
View All Staffing Data in Blair

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.9
15% better than Nebraska average

Nebraska average: 23.3

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.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.7%
44% better than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.6%
30% better than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 32.5%
21% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.2%
29% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.3%
In line with Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 5.4%
75% worse than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.5%
17% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 7.2%
63% worse than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.9%
50% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.2%
In line with Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 80.6%
16% worse than Nebraska average

Nebraska average: 96.1%

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 below 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.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.7%
15% worse than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.9%
19% better than Nebraska average

Nebraska average: 2.4%

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%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 66
Medicare
2
3% of residents
Medicaid
45
68.2% of residents
Private pay or other
19
28.8% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$603.5K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.7M Rank #36 / 113Net patient revenue — State benchmarkedThis home is ranked 36th out of 113 homes we track in Nebraska. 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 cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$603.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$151.0K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #68 / 113Payroll costs — State benchmarkedThis home is ranked 68th out of 113 homes we track in Nebraska. 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 cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.3M 43.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #103 / 113Payroll % of net patient revenue — State benchmarkedThis home is ranked 103rd out of 113 homes we track in Nebraska. 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 cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.3M
How we calculate these figures

This home is administered by Serena Smith.

This home is owned by Paul Cloeter

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285148

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Who this home usually serves

TYPE OF STAY

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.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 4 - 5 months.

Admissions
87 total

Coverage residents most often arrive under.

Medicare 36%
Private pay 53%
Medicaid 11%
Discharges
45 total

Coverage residents most often leave under.

Medicare 42%
Private pay 42%
Medicaid 16%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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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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 to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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: 61.4% 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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Good Shepherd Lutheran Home ★ ☆ ☆ ☆ ☆
NH
AL
HOS
IL
RC
SNF
Blair
84
Facility 84
NE AVG 81
Rank #77 / 225
78.7%
Facility 78.7%
NE AVG 73.3
Rank #87 / 177
+7%
3.74
Facility 3.74
NE AVG 4.45
Rank #88 / 119
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ +99%-16%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
23
Facility 23
NE AVG 18.2
Rank #89 / 122
5.8
Facility 5.8
NE AVG 4.2
Rank #104 / 122
-66-
78
Facility 78
NE AVG 47
Rank #21 / 285
Paul Cloeter
$7.7MFiscal year ending 06/2024
Facility $7.7MFiscal year ending 06/2024
NE AVG $7.6M
Rank #36 / 113
$3.3MFiscal year ending 06/2024
Facility $3.3MFiscal year ending 06/2024
NE AVG $4.5M
Rank #68 / 113
43.3%Fiscal year ending 06/2024
Facility 43.3%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #103 / 113
285148
Crowell Memorial Home ★ ☆ ☆ ☆ ☆
NH
Blair (Westwood)
74
Facility 74
NE AVG 81
Rank #94 / 225
90.8%
Facility 90.8%
NE AVG 73.3
Rank #24 / 177
+24%
3.80
Facility 3.80
NE AVG 4.45
Rank #83 / 119
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ +2%-15%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
26
Facility 26
NE AVG 18.2
Rank #97 / 122
3.7
Facility 3.7
NE AVG 4.2
Rank #44 / 122
167-
15
Facility 15
NE AVG 47
Rank #259 / 285
Doug Anderson
$6.8MFiscal year ending 06/2024
Facility $6.8MFiscal year ending 06/2024
NE AVG $7.6M
Rank #46 / 113
$4.8MFiscal year ending 06/2024
Facility $4.8MFiscal year ending 06/2024
NE AVG $4.5M
Rank #35 / 113
70.6%Fiscal year ending 06/2024
Facility 70.6%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #27 / 113
285210
Nursing Home Explorer

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.

Get Financial aid guidance

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)

Frequently Asked Questions about Good Shepherd Lutheran Home

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.

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.

What is the occupancy rate at Good Shepherd Lutheran Home?

Good Shepherd Lutheran Home's occupancy is 79%.

Are pets allowed at Good Shepherd Lutheran Home?

Yes, Good Shepherd Lutheran Home allows residents to bring their pets.

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.

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.

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