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Assisted Living in Lincoln

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.
Holmes Lake Rehabilitation & Care Center

Assisted Living in Lincoln

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.

Holmes Lake Rehabilitation & Care Center

Overview of Holmes Lake Rehabilitation & Care Center

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.

(402) 489-7175

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.
1/5
Nebraska average: 2.8/5
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.
1/5
Nebraska average: 2.8/5
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.
1/5
Nebraska average: 3.1/5
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.
3/5
Nebraska average: 2.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 31m per day

This home provides 19% less nursing time per resident than the Nebraska average.

Nebraska average: 4h 20m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 97

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Nebraska average: 70.3%
Occupancy rate 62.9%
Residents per day (avg) 53
Occupancy rate
62.9%
Residents per day (avg)
53

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

19% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

67% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

14% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$5.2M
Operating loss
-$1.7M
Privately-owned community Operated by a business corporation.
Home revenue
$5.2M
Operating loss
-$1.7M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
47.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.5M
Total costs $6.9M
Bed community size
97-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
52 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 21 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

Services

Physical Therapy
Occupational Therapy
Speech Therapy

About this community

Occupancy

Occupancy rate
63%
In line with Nebraska average
Occupied beds
61 / 97
Average residents 54 per day

License Details

Facility TypeNursing Home
CountyLancaster

Ownership & Operating Entity

Holmes Lake Rehabilitation & Care Center is legally operated by Holmes Lake Operations Llc, and administrated by Crystal Schell.

Type Of Units

Medicaid and Medicare
97 units
Total beds
97 units

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactVicky Goc, Administrator

Contact Information

Fax(402) 489-5684

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Total residents icon
Total residents icon

Total Residents: 97

Types of Care at Holmes Lake Rehabilitation & Care Center

Nursing Home

Contact Holmes Lake Rehabilitation & Care Center

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.

21 visits/inspections Info 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.

Latest inspection

Date March 31, 2025
Renewal

79 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Nebraska average: 52 deficiencies

Inspection Report Summary for Holmes Lake Rehabilitation & Care Center

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.

Health Inspection History

Inspections
Total health inspections 8

Nebraska average 4.3


Last Health inspection on Jun 2025

Total health citations 32

Nebraska average 18.2

Citations per inspection
4

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).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Nebraska average

Nebraska average: 0.2


Serious Health citations More info 0
100% better than Nebraska average

Nebraska average: 0.5

0 critical citations More info Nebraska average: 0.2

0 serious citations More info Nebraska average: 0.5

32 moderate citations More info Nebraska average: 17.2

0 minor citations More info Nebraska average: 0.2
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jun 10, 2025
Corrected

Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Jun 10, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jun 10, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 13, 2025
Corrected

Compare Assisted Living around Lincoln The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

Filter by care type
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)107No 12 -- 79.4% -Candyce HaydenLincoln 9421 Opco, Llc8200
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)97No 21 Medicaid and Medicare (97)52 62.9% A+Crystal SchellHolmes Lake Operations Llc21101279
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)84No 55 ----Catherine HornerWell Nebraska Tenant Llc0000
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 ------0000
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 ------0000

Holmes Lake Rehabilitation & Care Center Reviews

Share your thoughts and experiences about Holmes Lake Rehabilitation & Care Center. Let’s celebrate the stories that make a difference!
Reviewer avatar
Larry Martino Ballard
My wife, Carlyn, suffered a debilitating stroke at the very beginning this year (Jan 4th). She was admitted to Holmes Lake Rehabilitation and Care Center around Jan 9th and remains there as a patient to this today. I have visited my wife almost everyday since her admittance to this facility and I have observed that the level of care provided by the staff to her has been nothing short of remarkable. Let me start by giving personal "shout-outs" (or honorable mention) to several members of an awesome staff: Lance (aka "Mcgyver"), Jeff (aka "Superman"), Carissa (aka "Supergirl"), Arnetta (aka "Wonder Woman"), Gladys (aka "Ole Skool", Brianna (aka "Bree"), Violet (aka the "Painted Lady"), Raquel (aka the "Energizer Bunny"), Lexi (aka the "Taxi Driver"), Alex (aka the "Chameleon"),.....and JOY (aka "The Wizard"!) Thank you to the Heavens Holmes Lake! What y'all do is amazing and how y'all do it is PRICELESS!What do you like most about living here? Answer: Attention to detail and comfortability. Are there enough caregivers to handle the residents' needs, especially during emergencies? Answer: Yes Are the common areas pleasant and comfortable for socializing or relaxing? Answer: Yes How would you rate the quality and variety of the meals? (1-5) Answer: 5 Are special diets handled well? Answer: Yes Is the dining schedule flexible enough to meet your preferences? Answer: Yes How do you feel about the level of social interaction available with other residents? Answer: Good How was the units offered in this community? Answer: Good Do you feel safe living in this community? Answer: Yes How well do you think the community handles emergencies or unexpected events? Answer: Very well. Are there any hidden fees or unexpected charges? Answer: None Would you recommend this community to others looking for senior living options? Answer: Absolutely Is there anything you wish you knew before moving in? Answer: How to prepare my wife's special diet

Places of interest near Holmes Lake Rehabilitation & Care Center

Address 5.4 miles from city center Info 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)

Calculate Travel Distance to Holmes Lake Rehabilitation & Care Center

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 139
Employees 114
Contractors 25
Staff to resident ratio 2.96:1
38% better than Nebraska average

Nebraska average ratio: 2.15:1

Avg staff/day 35
Average shift 7.3 hours
6% worse than Nebraska average

Nebraska average: 7.8 hours

Total staff hours (quarter) 23,152
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 54
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

10.7%

2,482 contractor hours this quarter

Licensed Practical Nurse: 15 Registered Nurse: 8 Certified Nursing Assistant: 1 RN Director of Nursing: 1
Staff by category
Certified Nursing Assistant531548,72591100%7
Medication Aide/Technician190193,46191100%7.3
Physical Therapist160163,24591100%6.6
Licensed Practical Nurse615212,68991100%9.8
Other Dietary Services Staff2029386369%8
Respiratory Therapy Technician4049078088%5.4
Registered Nurse58138737481%8.4
Administrator1015126470%8
Mental Health Service Worker1014896167%8
Nurse Practitioner1014806066%8
RN Director of Nursing1123674448%8.3
Occupational Therapy Aide1012082629%8
Speech Language Pathologist2021634853%3.4
Clinical Nurse Specialist101881112%8
Physical Therapy Assistant101811%8
54 Certified Nursing Assistant
% of Days 100%
19 Medication Aide/Technician
% of Days 100%
16 Physical Therapist
% of Days 100%
21 Licensed Practical Nurse
% of Days 100%
2 Other Dietary Services Staff
% of Days 69%
4 Respiratory Therapy Technician
% of Days 88%
13 Registered Nurse
% of Days 81%
1 Administrator
% of Days 70%
1 Mental Health Service Worker
% of Days 67%
1 Nurse Practitioner
% of Days 66%
2 RN Director of Nursing
% of Days 48%
1 Occupational Therapy Aide
% of Days 29%
2 Speech Language Pathologist
% of Days 53%
1 Clinical Nurse Specialist
% of Days 12%
1 Physical Therapy Assistant
% of Days 1%

Facility Characteristics

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

Total residents 47
Medicare
5
10.6% of residents
Medicaid
20
42.6% of residents
Private pay or other
22
46.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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. 12.7
12% worse 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. 27.4
17% worse than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 22.3%
7% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 30.2%
37% worse 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 29.7%
10% 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 4.6%
In line with Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.8%
11% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.6%
16% worse than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.4%
74% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.8%
53% worse than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.0%
20% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 75.9%
19% worse than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 69.4%
28% worse than Nebraska average

Nebraska average: 96.1%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 47.4%
41% 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%
20% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 32.0%
58% worse than Nebraska average

Nebraska average: 75.9%

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 (Data as of Jan 2026)

Total fines amount $3K
90% lower than Nebraska average

Nebraska average: $33K

Number of fines 1
31% fewer fines than Nebraska average

Nebraska average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Nebraska average

Nebraska average: 0.7

Fines amount comparison
Fines amount comparison
This facility $3K
Nebraska average $33K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 15, 2023
$3K

Last updated: Jan 2026

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Financial Aid for Nebraska Seniors

Get financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled, Nebraska resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$4,000 (individual, higher than most states).

Higher asset limit; rural access focus.

Nebraska Respite Network

NE Respite Network

Caregiver of someone 60+, Nebraska resident.

No strict limit; prioritizes low-income.

Not applicable.

Lifespan respite focus; limited funding.

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus), Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).

~$1,255/month (100% FPL, individual); spenddown allowed.

$4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).

Family can be paid caregivers; statewide via DHHS.

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

Nebraska PACE (Immanuel Pathways)

Age 55+, Nebraska resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$4,000 (individual), $6,000 (couple).

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

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled, Nebraska resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

Senior Community Service Employment Program (SCSEP)

Nebraska SCSEP

Age 55+, unemployed, low-income, Nebraska resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Nebraska resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.