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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Holmes Lake Rehabilitation & Care Center is a highly regarded nursing home in Lincoln, NE, that offers long-term care, short-term rehabilitation, and specialized therapy services. With its supportive environment, the community ensures older adults are well-cared for. Residents also receive high-quality services, including well-balanced meals, medication management, and household services. Dedicated to improving residents’ quality of life, the community follows a holistic approach to care.
Themed events, light exercises, and games help residents stay active and socially connected. State-of-the-art rehabilitation equipment and spacious rooms ensure residents’ wellness, and they can rest comfortably. Surrounded by lush trees in the peaceful residential area of Lincoln, the community ensures residents experience a stress-free retirement. This nursing home is a great choice for senior living in Nebraska, ensuring older adults can live to their potential in retirement.
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.
This home is ranked 103rd out of 117 homes in Nebraska.| Staff type | Hours / day | 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.
| 17m per day | ▼ 60% 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.
| 37m per day | ▼ 14% 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 32m per day | ▼ 8% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 0m per day | ▼ 17% 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.
| 5m per day | ▲ 67% State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 17m per day | ▼ 41% State avg: 29m per day · National avg: 28m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
19% of new residents, usually for short-term rehab.
67% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #74 / 120Payroll — state benchmarkedThis home is ranked 74th out of 120 homes in Nebraska.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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Nebraska average: 70.3%Holmes Lake Rehabilitation & Care Center is legally operated by Holmes Lake Operations Llc, and administrated by Crystal Schell.
Key information about the people who lead and staff this community.
Total Residents: 97
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.
The data displayed corresponds to the last 16 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
3.8 deficiencies per inspection
Nebraska average: 4.0 deficiencies per inspection
The most recent inspection on March 31, 2025, confirmed that Holmes Lake Rehabilitation & Care Center met statutory requirements for licensure renewal without any deficiencies. Earlier inspections showed a mixed record with several citations related to resident care, fall prevention, infection control, and life safety code compliance. Notable issues included failure to assess and implement fall prevention interventions, incomplete fire safety measures, and documentation problems, with one license probation period in 2019 due to fall-related deficiencies. Complaint investigations were mostly unsubstantiated, except for a substantiated failure to prevent falls leading to injury in 2019 and a substantiated delay in pain medication delivery in 2011; enforcement actions included a 90-day probation in 2019 but no fines or license revocations were listed. The facility’s recent clean renewal inspections suggest improvement following earlier compliance challenges.
Nebraska average 4.3
Last Health inspection on Jun 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.
20 of 32 citations resulted from standard inspections; 9 of 32 resulted from complaint investigations; and 3 of 32 came from combined inspections (standard and complaint).
100% better than Nebraska averageNebraska average: 0.2
0
100% better than Nebraska averageNebraska average: 0.5
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 10, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 10, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 10, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 13, 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.
Holmes Lake Rehabilitation & Care Center is located in Lincoln, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
5.4 miles from city center
Estimated distance in miles from Lincoln's city center to Holmes Lake Rehabilitation & Care Center's address, calculated via Google Maps.
— 0.66 miles to nearest hospital (Madonna Rehabilitation Hospitals-Lincoln Campus)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
38% better than Nebraska averageNebraska average ratio: 2.15:1
6% worse than Nebraska averageNebraska average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursThis role is partially covered by contractors.
Total hours from contractors
2,482 contractor hours this quarter
| Certified Nursing Assistant | 53 | 1 | 54 | 8,725 | 91 | 100% | 7 |
| Medication Aide/Technician | 19 | 0 | 19 | 3,461 | 91 | 100% | 7.3 |
| Physical Therapist | 16 | 0 | 16 | 3,245 | 91 | 100% | 6.6 |
| Licensed Practical Nurse | 6 | 15 | 21 | 2,689 | 91 | 100% | 9.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 938 | 63 | 69% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 907 | 80 | 88% | 5.4 |
| Registered Nurse | 5 | 8 | 13 | 873 | 74 | 81% | 8.4 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 489 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| RN Director of Nursing | 1 | 1 | 2 | 367 | 44 | 48% | 8.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 208 | 26 | 29% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 163 | 48 | 53% | 3.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 88 | 11 | 12% | 8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47Residents 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.
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.
12.7
12% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.4
17% worse than Nebraska averageNebraska 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
22.3%
7% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
30.2%
37% worse than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.7%
10% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
In line with Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
4.8%
11% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
3.6%
16% worse than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
1.4%
74% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
6.8%
53% worse than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
16.0%
20% better than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.9%
19% worse than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
69.4%
28% worse than Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.42
34% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.26
35% better than Nebraska averageNebraska 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
47.4%
41% worse than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
20% better than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
32.0%
58% worse than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.5%
31% better than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.2%
64% better than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
33.3%
38% worse than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
35.5%
30% worse than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
90% lower than Nebraska averageNebraska average: $33K
31% fewer fines than Nebraska averageNebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Nebraska averageNebraska average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 15, 2023 · $3K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 15, 2023Last updated: Jan 2026
| AVIVA Woodlands |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lincoln (Gable Pines Road) | 107 | No | 12 | - | - | 79.4% | - | Candyce Hayden | Lincoln 9421 Opco, Llc | 8 | 2 | - | - |
| Holmes Lake Rehabilitation & Care Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Lincoln (Normal Boulevard) | 97 | No | 21 | Medicaid and Medicare (97) | 53 | 62.9% | A+ | Crystal Schell | Holmes Lake Operations Llc | 21 | 10 | 12 | 79 |
| Bailey Pointe Assisted Living at Van Dorn |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lincoln (Van Dorn Meadows) | 84 | No | 55 | - | - | - | - | Catherine Horner | Well Nebraska Tenant Llc | - | - | - | - |
| Country House at Lincoln (70th & O) |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lincoln | - | No | 70 | - | - | - | - | - | - | - | - | - | - |
| Country House at Lincoln (84th & Pine Lake) |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lincoln (Covenant) | - | No | 23 | - | - | - | - | - | - | - | - | - | - |
Historical financial and operational data for Holmes Lake Rehabilitation & Care Center based on CMS SNF Cost Reports.
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Holmes Lake Rehabilitation & Care Center is in the Normal Boulevard neighborhood of Lincoln.
The legal owner and operator of Holmes Lake Rehabilitation & Care Center is Holmes Lake Operations Llc.
Holmes Lake Rehabilitation & Care Center has a walk score of 21. Car-dependent. Most errands require a car, with limited nearby walkable options.
Crystal Schell is the administrator of Holmes Lake Rehabilitation & Care Center.
Holmes Lake Rehabilitation & Care Center has 97 beds.
Holmes Lake Rehabilitation & Care Center is located at 6101 Normal Blvd, Lincoln, NE 68506, United States.
(402) 489-7175 will put you in contact with the team at Holmes Lake Rehabilitation & Care Center.
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