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Holmes Lake Rehabilitation & Care Center
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.
Holmes Lake Rehabilitation & Care Center

Holmes Lake Rehabilitation & Care Center

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.
6101 Normal Blvd, Lincoln, NE 68506 View map Calculator: See prices in your area
Holmes Lake Rehabilitation & Care Center accepts Medicare, Medicaid, and private pay.
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Holmes Lake Rehabilitation & Care Center accepts Medicare, Medicaid, and private pay.

Overview of Holmes Lake Rehabilitation & Care Center

Holmes Lake Rehabilitation & Care Center has been a fixture at 6101 Normal Blvd in Lincoln, Nebraska, for 53 years. It’s a 97-bed facility that covers a lot of ground, offering nursing home, assisted living, independent living, and memory care services. Just a heads-up if you’re planning visits: the walkability score is a 21, so you’ll definitely need a car to get around here.

Right now, about 63% of the beds are filled. Residents stay for an average of 171 days, or about five and a half months, which suggests the center serves both short-term rehab needs and longer-term residents.

When you look at the staffing numbers, they provide 3 hours and 31 minutes of nursing care per resident each day. That includes about 25 minutes from an RN, 33 minutes from an LPN or LVN, and the rest from nurse aides. If you’re curious about inspections, the state tends to focus on practical safety issues like infection prevention, preventing falls, keeping things tidy, and fire safety, rather than just the clinical side.

They accept Medicare, Medicaid, and private pay. Honestly, because they’ve been around for over five decades and have flexible payment options, Holmes Lake is a very pragmatic choice for local families, especially if you’re navigating the healthcare system for a post-hospital recovery or need to rely on Medicaid.

Facility Direct Line (402) 489-7175
Facility Direct Line (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.
▼ 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.
▼ 69.8% Below NE avg. ▼ 69.8% 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 breakdown

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

Hours per resident per day — compared to Nebraska state averages

Total nursing care / resident Info This home is ranked 110th out of 130 homes 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 31m per day
Rank #110 / 130Nurse hours — State benchmarkedThis home is ranked 110th out of 130 homes in Nebraska. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 130 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
This facility Nebraska avg (4h 27m per day)
vs Nebraska avg
-21%

5 of 6 metrics below state avg

Standout metric Physical Therapist is +250% above state avg
Staff typeHours / Day / Residentvs 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. 25m per day ▼ 42% State avg: 43m 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. 33m per day ▼ 24% State avg: 43m 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 39m per day ▼ 4% State avg: 2h 46m 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 24m per day ▼ 6% State avg: 3h 37m 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. 11m per day ▲ 250% State avg: 3m 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. 25m per day ▼ 15% State avg: 29m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
171 days
Bed community size
97-bed community Rank #68 / 228Bed count — State benchmarkedThis home is ranked 68th out of 228 homes in Nebraska. 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.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.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
53 years in operation Rank #2 / 57Years in operation — State benchmarkedThis home is ranked 2nd out of 57 homes in Nebraska. Shows how long this facility has been in operation compared to other Nebraska facilities. Longer operating histories may benefit residents, families, and staff.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.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 21 / 100 Rank #245 / 298Walk Score — State benchmarkedThis home is ranked 245th out of 298 homes in Nebraska. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nebraska facilities. Higher scores benefit residents, families, and staff.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.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
63%
Rank #149 / 196Occupancy rate — State benchmarkedThis home is ranked 149th out of 196 homes in Nebraska. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 196. Higher occupancy signals strong local demand and financial stability.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.
Lower than the Nebraska average: 70.3%
Occupied beds
61 / 97
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyLancaster

Ownership & Operating Entity

Holmes Lake Rehabilitation & Care Center is legally operated by Holmes Lake Operations Llc, and administered 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

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.

Since 2011 · 15 years of data 79 deficiencies

Inspection Scorecard Info 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.

Since 2011 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (52% above)
• Deficiencies per year (51% above) 0 Better No metrics in this bucket.
Latest Inspection March 31, 2025 Renewal

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 7952 This facility has 52% more total deficiencies than a typical Nebraska nursing home (79 vs. NE avg 52).↑ 52% worse
Deficiencies per year Info Average deficiencies per year since 2011. 5.33.5 This facility has 51% more deficiencies per year than a typical Nebraska nursing home (5.3 vs. NE avg 3.5).↑ 51% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • March 31, 2025 renewal inspection confirmed licensure renewal with no deficiencies and valid occupancy permit for 97 beds.
  • February 26, 2019 complaint investigation substantiated failure to assess and intervene to prevent falls, resulting in multiple falls and a resident knee fracture.
  • April 30, 2018 routine inspection found 11 deficiencies mainly in infection control, environmental cleanliness, and fire/life safety compliance.
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 8

Nebraska average 4.3

Last Health inspection on Jun 2025

Total health citations
32 Rank #118 / 135Health citations — State benchmarkedThis home is ranked 118th out of 135 homes in Nebraska. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 135 NE facilities. Lower citation counts earn a better 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.

Nebraska average 18.2

Citations per inspection
4 Rank #55 / 135Citations per inspection — State benchmarkedThis home is ranked 55th out of 135 homes in Nebraska. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 135 facilities with citation data. Lower is better.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.

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 4 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
32 moderate citations Nebraska average: 17.2
0 minor citations Nebraska average: 0.2
Citations history (last 4 years)
Abuse/Neglect moderate citation Jun 10, 2025
Corrected
Administration moderate citation Jun 10, 2025
Corrected
Quality of Care moderate citation Jun 10, 2025
Corrected
Infection Control moderate citation 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.

Staffing Data

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

Total staff 152
Employees 133
Contractors 19
Staff to resident ratio 3.23 : 1
60% more staff per resident than Nebraska average
Nebraska average ratio: 2.03 : 1 Nebraska average ratio: 2.03 : 1See full Nebraska ranking
Avg staff/day 35
Average shift 7.3 hours
6% worse than Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 23,539

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 11 total: 7 full-time employees and 4 contractors. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 19 total: 8 full-time employees and 11 contractors. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 66 total: 65 full-time employees and 1 contractor. 66
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 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

9.4%

2,219 contractor hours this quarter

Licensed Practical Nurse: 11 Registered Nurse: 4 Medication Aide/Technician: 2 Certified Nursing Assistant: 1 Nurse Practitioner: 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 Assistant651669,19392100%7.1
Medication Aide/Technician182203,59892100%7.7
Physical Therapist160163,01692100%6.3
Licensed Practical Nurse811192,5429199%11
Registered Nurse74111,45992100%9.1
Other Dietary Services Staff2028816571%7.7
Respiratory Therapy Technician4048477076%5.5
Administrator1015046368%8
Mental Health Service Worker1014645863%8
Clinical Nurse Specialist3034604549%8
Occupational Therapy Aide1011602022%8
Speech Language Pathologist2021033437%3
Nurse Practitioner112971415%6.9
Physical Therapy Assistant101961213%8
RN Director of Nursing202931213%7.8
Physical Therapy Aide101271011%2.7
66 Certified Nursing Assistant
% of Days 100%
20 Medication Aide/Technician
% of Days 100%
16 Physical Therapist
% of Days 100%
19 Licensed Practical Nurse
% of Days 99%
11 Registered Nurse
% of Days 100%
2 Other Dietary Services Staff
% of Days 71%
4 Respiratory Therapy Technician
% of Days 76%
1 Administrator
% of Days 68%
1 Mental Health Service Worker
% of Days 63%
3 Clinical Nurse Specialist
% of Days 49%
1 Occupational Therapy Aide
% of Days 22%
2 Speech Language Pathologist
% of Days 37%
2 Nurse Practitioner
% of Days 15%
1 Physical Therapy Assistant
% of Days 13%
2 RN Director of Nursing
% of Days 13%
1 Physical Therapy Aide
% of Days 11%
View All Staffing Data in Lincoln

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 Rank #1 / 135Federal fines — State benchmarkedThis home is ranked 1st out of 135 homes in Nebraska. Shows this facility's cumulative CMS federal fine dollars versus the Nebraska average among facilities with fines, and where it ranks among 135 facilities in the pool. Lower total dollars mean a better 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.
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

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. 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
Significantly below 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 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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.42
34% worse than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.26
35% better than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Above average Nebraska avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 14.5%
31% better than Nebraska average

Nebraska average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 4.2%
64% better than Nebraska average

Nebraska average: 11.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% 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. 33.3%
38% worse 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. 35.5%
30% worse 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

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

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.

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 12/2023.

For-profit
Corporation
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."
$4.6M
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."
-$1.9M
For-profit Corporation
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."
$4.6M Rank #86 / 133Revenue — State benchmarkedThis home is ranked 86th out of 133 homes in Nebraska. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
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."
-$1.9M
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.
$153.6K
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 #92 / 133Payroll — State benchmarkedThis home is ranked 92nd out of 133 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.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.
$2.8M 60.7% 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 #90 / 133Payroll % — State benchmarkedThis home is ranked 90th out of 133 homes in Nebraska. 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.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.
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).
$3.7M
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).
$6.5M
How we calculate these figures

This home is administered by Crystal Schell.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285164

Show certification details

What does this home offer?

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.

Most new residents arrive under private pay (67% of admissions), and a typical private pay stay runs around 4 - 5 months.

Admissions
103 total

Coverage residents most often arrive under.

Medicare 19%
Private pay 67%
Medicaid 14%
Discharges
103 total

Coverage residents most often leave under.

Medicare 13%
Private pay 66%
Medicaid 21%

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

How we assess these insights

Holmes Lake Rehabilitation & Care Center Reviews

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 3.9 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.

Calculate Travel Distance to Holmes Lake Rehabilitation & Care Center

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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

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NE AVG $7.6M
Rank #1 / 133
$37.5M
Facility $37.5M
NE AVG $3.5M
Rank #1 / 133
68.2%
Facility 68.2%
NE AVG 49.4%
Rank #83 / 133
285057
Brookside Rehabilitation Center
NH
HC
PC
RC
Redlands97 88.7% +5%4.27 -8%+1%$0353.5-79A+ 0 Michelle Mora$13.2M$7.7M58.5%56372
Gateway Vista
NH
AL
IL
PC
RC
Lincoln (Culler)
80
Facility 80
NE AVG 82
Rank #84 / 228
90.0%
Facility 90.0%
NE AVG 70.3%
Rank #38 / 196
+28%
4.84
Facility 4.84
NE AVG 4.45
Rank #30 / 130
 -20%+9%
$8.7k
Facility $8.7k
NE AVG $38.1k
Rank #100 / 135
10
Facility 10
NE AVG 18.2
Rank #31 / 135
3.3
Facility 3.3
NE AVG 4.2
Rank #37 / 135
172-
71
Facility 71
NE AVG 46
Rank #43 / 298
Mikel Ardley
$14.8M
Facility $14.8M
NE AVG $7.6M
Rank #4 / 133
$7.0M
Facility $7.0M
NE AVG $3.5M
Rank #18 / 133
47.1%
Facility 47.1%
NE AVG 49.4%
Rank #130 / 133
285266
Holmes Lake Rehabilitation & Care Center
NH
Lincoln (Normal Boulevard)
97
Facility 97
NE AVG 82
Rank #68 / 228
62.9%
Facility 62.9%
NE AVG 70.3%
Rank #149 / 196
-11%
3.51
Facility 3.51
NE AVG 4.45
Rank #110 / 130
 -25%-21%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 135
32
Facility 32
NE AVG 18.2
Rank #118 / 135
4.0
Facility 4.0
NE AVG 4.2
Rank #55 / 135
-53-
21
Facility 21
NE AVG 46
Rank #245 / 298
Holmes Lake Operations LLC
$4.6M
Facility $4.6M
NE AVG $7.6M
Rank #86 / 133
$2.8M
Facility $2.8M
NE AVG $3.5M
Rank #92 / 133
60.7%
Facility 60.7%
NE AVG 49.4%
Rank #90 / 133
285164
Emerald Nursing & Rehab Lancaster LLC
NH
HC
MC
NC
PC
Lincoln (Irvingdale)
293
Facility 293
NE AVG 82
Rank #1 / 228
--
3.69
Facility 3.69
NE AVG 4.45
Rank #94 / 130
 +16%-17%
$79.7k
Facility $79.7k
NE AVG $38.1k
Rank #131 / 135
58
Facility 58
NE AVG 18.2
Rank #134 / 135
3.1
Facility 3.1
NE AVG 4.2
Rank #34 / 135
440A+
76
Facility 76
NE AVG 46
Rank #28 / 298
Lancaster Opco Holdings LLC
$23.5M
Facility $23.5M
NE AVG $7.6M
Rank #5 / 133
$9.0M
Facility $9.0M
NE AVG $3.5M
Rank #7 / 133
38.3%
Facility 38.3%
NE AVG 49.4%
Rank #106 / 133
285275
Nursing Home Explorer

Financial Assistance for
Nursing Home in Nebraska

Holmes Lake Rehabilitation & Care Center is located in Lincoln, 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 Holmes Lake Rehabilitation & Care Center

What neighborhood is Holmes Lake Rehabilitation & Care Center in?

Holmes Lake Rehabilitation & Care Center is in the Normal Boulevard neighborhood of Lincoln.

Who is the owner of Holmes Lake Rehabilitation & Care Center?

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

Is Holmes Lake Rehabilitation & Care Center in a walkable area?

Holmes Lake Rehabilitation & Care Center has a walk score of 21. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Holmes Lake Rehabilitation & Care Center?

Holmes Lake Rehabilitation & Care Center's occupancy is 63%.

Does Holmes Lake Rehabilitation & Care Center operate as a for-profit or non-profit?

Holmes Lake Rehabilitation & Care Center is registered as a for-profit in NE.

Who is the administrator of Holmes Lake Rehabilitation & Care Center?

Crystal Schell is the administrator of Holmes Lake Rehabilitation & Care Center.

How many beds does Holmes Lake Rehabilitation & Care Center have?

Holmes Lake Rehabilitation & Care Center has 97 beds.

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