2/5
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.
2/5
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.
Mike Ecklun owns Holdrege Memorial Homes, a 45-bed nursing facility located on 11th Avenue in Holdrege, Nebraska. The office takes care of billing through standard choices like Medicare, Medicaid, and private pay. If you want to check out the immediate area, the neighborhood has a walkability score of 45 out of 100, which means visiting family members can run a few basic errands on foot, though a car is still helpful for most trips.
Residents live here for an average of 396 days, meaning the facility focuses mostly on long-term residential care alongside short-term post-hospital rehab. The building stays busy and regularly fills its available beds. To look after daily medical needs, the nursing team provides an average of 3 hours of total care per resident each day, with a registered nurse and an on-staff doctor managing the daily health schedules.
State health department logs show the facility has a clean regulatory track record. Recent inspections came back with zero deficiencies, and all past complaint investigations were found to be unsubstantiated, which keeps its cumulative citations-per-inspection rate at zero.
Prospective residents can access specialized physical and occupational therapy, temporary respite care, and a local Meals on Wheels program. The campus features an on-site library, a beauty shop, regular religious services, and local medical transportation. Daily life combines three hot meals cooked on-site with scheduled recreational activities, laundry help, room cleaning, and open visiting hours for family members.
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.
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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 46m per day | ▲ 6% State avg: 43m per day · National avg: 41m per day |
|
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.
| 28m per day | ▼ 35% State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
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 27m per day | ▼ 12% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 25m per day | ▼ 6% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
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.
| 2m per day | ▼ 50% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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.
| 33m per day | ▲ 14% State avg: 29m per day · National avg: 28m per day |
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.
Higher than the Nebraska average: 70.3%Holdrege Memorial Homes, Inc is administered by Administrator Kevin Moriarty.
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.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 53 | 52 | This facility has 2% more total deficiencies than a typical Nebraska assisted living residence (53 vs. NE avg 52).↑ 2% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 3.5 | 3.5 | This facility has deficiencies per year in line with the Nebraska average (3.5 vs. NE avg 3.5).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Aug 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 13 citations resulted from standard inspections; and 1 of 13 resulted from complaint investigations.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
All 59 CNA Staff are full-time employees. No contractors work on this role.
59
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,217 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 59 | 0 | 59 | 17,294 | 92 | 100% | 7.6 |
| Registered Nurse | 11 | 0 | 11 | 4,398 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,829 | 92 | 100% | 8.2 |
| Other Dietary Services Staff | 7 | 0 | 7 | 2,224 | 92 | 100% | 7 |
| Mental Health Service Worker | 2 | 0 | 2 | 853 | 66 | 72% | 7.1 |
| Dietitian | 1 | 0 | 1 | 535 | 66 | 72% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 477 | 59 | 64% | 6.5 |
| Administrator | 1 | 0 | 1 | 467 | 60 | 65% | 7.8 |
| RN Director of Nursing | 1 | 0 | 1 | 450 | 60 | 65% | 7.5 |
| Physical Therapy Assistant | 0 | 5 | 5 | 356 | 59 | 64% | 5.1 |
| Speech Language Pathologist | 0 | 7 | 7 | 276 | 55 | 60% | 3.4 |
| Qualified Social Worker | 0 | 5 | 5 | 221 | 58 | 63% | 3.5 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 177 | 43 | 47% | 4 |
| Physical Therapy Aide | 0 | 2 | 2 | 117 | 36 | 39% | 3.2 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
Includes penalties issued in 2025
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 Jan 2026)
100% lower than State averageState average: $33K
100% fewer fines than State averageState average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
38% more payment denials than State averageState average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 5, 2025 · 18 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 5, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.4
28% worse than State averageState average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.3
9% worse than State averageState average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
31.8%
53% worse than State averageState average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
20.9%
6% better than State averageState average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.3%
13% better than State averageState average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
13.9%
209% worse than State averageState average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
0.8%
81% better than State averageState average: 4.3%
Percent of long-stay residents with a urinary tract infection
9.2%
200% worse than State averageState average: 3.1%
Percent of long-stay residents who lose too much weight
4.7%
14% better than State averageState average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
2.7%
87% better than State averageState average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than State averageState average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with State averageState average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
1.44
20% better than State averageState average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.77
9% better than State averageState average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
24% better than State averageState average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
32% better than State averageState average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
15.7%
25% better than State averageState average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.6%
69% better than State averageState average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
2.5%
229% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
29.0%
46% worse than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.9%
15% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
69% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
73Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Holdrege Memorial Homes, Inc from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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."
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."
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."
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."
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.
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 #20 / 129Payroll — State benchmarkedThis home is ranked 20th out of 129 homes in Nebraska for Payroll. Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #23 / 129Payroll % — State benchmarkedThis home is ranked 23rd out of 129 homes in Nebraska for Payroll %. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (69% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Holdrege's city center to Holdrege Memorial Homes, Inc's address, calculated via Google Maps.
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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Brookestone of Papillion | NH SNF | Papillion | - | 110 | - | 35 | - |
| Brookestone Acres | NH SNF | Columbus | - | 80 | - | 70 | - |
| Brookestone Meadows Rehabilitation and | NH HC HOS IL SNF | Plaza Elkhorn (Elkhorn) | - | 140 | - | 6 | - |
| St Joseph’s Hillside Villa | NH AL HOS RC SNF | West Point | - | 54 | - | 66 | - |
| Holdrege Memorial Homes, Inc | NH AL SNF | Holdrege | - | 45 | - | 69 | - |
Holdrege Memorial Homes, Inc has a walk score of 69. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to NE state health department records, Holdrege Memorial Homes, Inc's license number is ALF110.
Holdrege Memorial Homes, Inc's occupancy is 100%.
Yes, Holdrege Memorial Homes, Inc allows residents to bring their pets.
Holdrege Memorial Homes, Inc is registered as a non-profit in NE.
Administrator Kevin Moriarty is the administrator of Holdrege Memorial Homes, Inc.
Holdrege Memorial Homes, Inc has 45 beds.
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