Kimball County Manor
Nursing Home, Adult Day Care, Assisted Living, Hospice Care, Respite Care & Skilled Nursing · Kimball, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Kimball County Manor

Nursing Home, Adult Day Care, Assisted Living, Hospice Care, Respite Care & Skilled Nursing · Kimball, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Kimball County Manor accepts Medicaid, Medicare, and private pay.

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 83 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 (60% above)
• Deficiencies per year (57% above)
0 Better No metrics in this bucket.
Latest Inspection April 21, 2025

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. 8352 This facility has 60% more total deficiencies than a typical Nebraska assisted living residence (83 vs. NE avg 52).↑ 60% worse
Deficiencies per year Info Average deficiencies per year since 2011. 5.53.5 This facility has 57% more deficiencies per year than a typical Nebraska assisted living residence (5.5 vs. NE avg 3.5).↑ 57% worse

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

  • April 21, 2025 inspection found resident abuse and failure to protect residents, resulting in a 180-day probation and admission ban starting May 20, 2025.
  • March 12, 2019 complaint investigation identified 12 deficiencies including medication errors, food safety violations, and failure to provide a homelike meal environment.
  • March 13, 2025 licensure renewal confirmed the facility met all statutory requirements with no deficiencies or inspection findings.

Health Inspection History

Inspections since 2023
Total health inspections 4

State average N/A


Last Health inspection on Aug 2025

Total health citations
27 Rank #104 / 131Health citations — State benchmarkedThis home is ranked 104th out of 131 homes in Nebraska for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 131 NE facilities. Lower citation counts earn a better rank.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.

State average N/A

Citations per inspection
6.75 Rank #124 / 131Citations per inspection — State benchmarkedThis home is ranked 124th out of 131 homes in Nebraska for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 131 facilities with citation data. Lower is better.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.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

20 of 27 citations resulted from standard inspections; 1 of 27 resulted from complaint investigations; and 6 of 27 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
1
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

26 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Quality of Care moderate citation Aug 27, 2025
Corrected

Abuse/Neglect critical citation Apr 21, 2025
Corrected

Abuse/Neglect moderate citation Apr 21, 2025
Corrected

Abuse/Neglect moderate citation Apr 21, 2025
Corrected

Staffing Data

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

Total staff 54
Employees 28
Contractors 26
Staff to resident ratio 1.38 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 20
Average shift 9.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 16,769

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 All 2 RN Staff are full-time employees. No contractors work on this role. 2
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 4 LPN Staff are full-time employees. No contractors work on this role. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 22 total: 8 full-time employees and 14 contractors. 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 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

36.2%

6,063 contractor hours this quarter

Certified Nursing Assistant: 14 Physical Therapy Assistant: 3 Speech Language Pathologist: 3 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Qualified Social Worker: 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 Assistant814227,31492100%10
Medication Aide/Technician9093,56292100%10.5
Licensed Practical Nurse4041,76992100%10.2
Registered Nurse2021,0549199%9.3
Other Dietary Services Staff2028176773%7.1
Administrator1014956368%7.9
Clinical Nurse Specialist1014755964%8
Dental Services Staff1014696368%7.4
Physical Therapy Aide0224286672%6.3
Speech Language Pathologist0332223336%6.5
Physical Therapy Assistant033862830%3.1
Respiratory Therapy Technician033772426%3.2
Qualified Social Worker011222%1
22 Certified Nursing Assistant
% of Days 100%
9 Medication Aide/Technician
% of Days 100%
4 Licensed Practical Nurse
% of Days 100%
2 Registered Nurse
% of Days 99%
2 Other Dietary Services Staff
% of Days 73%
1 Administrator
% of Days 68%
1 Clinical Nurse Specialist
% of Days 64%
1 Dental Services Staff
% of Days 68%
2 Physical Therapy Aide
% of Days 72%
3 Speech Language Pathologist
% of Days 36%
3 Physical Therapy Assistant
% of Days 30%
3 Respiratory Therapy Technician
% of Days 26%
1 Qualified Social Worker
% of Days 2%

Penalties and fines

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)

Total fines amount $42K Rank #113 / 133Federal fines — State benchmarkedThis home is ranked 113th out of 133 homes in Nebraska for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Nebraska average among facilities with fines, and where it ranks among 133 facilities in the pool. Lower total dollars mean a better rank.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.
30% higher than State average

State average: $33K

Number of fines 1
31% fewer fines than State average

State 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 State average

State average: 0.7

Fines amount comparison
Fines amount comparison
This facility $42K
State average $33K
Penalty History

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

1 penalty in the past 3 years

Apr 21, 2025 · $42K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 21, 2025
$42K

Last updated: Jan 2026

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. 12.5
10% worse than State average

State average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.6
12% better than State average

State average: 23.3

Long-stay resident measures
Below average State 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 24.6%
19% worse than State average

State average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.7%
11% better than State average

State 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 17.6%
35% better than State average

State average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.9%
32% worse than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.0%
85% worse than State average

State average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 6.2%
101% worse than State average

State average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.2%
23% better than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.7%
84% better than State average

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.8%
46% better than State average

State average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than State average

State average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
In line with State average

State average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.43
21% better than State average

State average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 4.28
119% worse than State average

State average: 1.95

Short-stay resident measures
Significantly below average State 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 95.4%
18% better than State average

State average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 13.9%
486% worse than State average

State average: 2.4%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.9%
24% worse than State average

State average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 40.2%
247% worse than State average

State average: 11.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.8%
261% worse than State average

State 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. 17.9%
67% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 33.3%
34% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

56% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

20% of new residents, often for short stays.

Typical stay 3 - 4 years

Medicaid

24% of new residents, often for long-term daily care.

Typical stay 4 years

Facility Characteristics

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

Total residents 39
Medicare
4
10.3% of residents
Medicaid
17
43.6% of residents
Private pay or other
18
46.2% 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.

Finances and operations

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

Government
Operated by federal authorities.
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."
$4.9M
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."
-$405.2K
Government Operated by federal authorities.
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."
$4.9M Rank #83 / 129Revenue — State benchmarkedThis home is ranked 83rd out of 129 homes in Nebraska for Revenue. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
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."
-$405.2K
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.
$381.3K
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 #102 / 129Payroll — State benchmarkedThis home is ranked 102nd 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.
$2.7M 53.7% 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 #92 / 129Payroll % — State benchmarkedThis home is ranked 92nd 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.
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).
$2.7M
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).
$5.3M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (56% of admissions), and a typical Medicare stay runs around 2 - 3 months.

Admissions
25 total

Coverage residents most often arrive under.

Medicare 56%
Private pay 20%
Medicaid 24%
Discharges
31 total

Coverage residents most often leave under.

Medicare 23%
Private pay 48%
Medicaid 29%

Places of interest near Kimball County Manor

Address 0.0 miles from city center Info Estimated distance in miles from Kimball's city center to Kimball County Manor's address, calculated via Google Maps.

Calculate Travel Distance to Kimball County Manor

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Frequently Asked Questions about Kimball County Manor

Is Kimball County Manor in a walkable area?

Kimball County Manor has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Kimball County Manor?

Kimball County Manor's occupancy is 96%.

Are pets allowed at Kimball County Manor?

No, Kimball County Manor has a no-pet policy.

Is Kimball County Manor a government-operated facility?

Kimball County Manor is a government-operated nursing facility in NE.

Who is the administrator of Kimball County Manor?

Administrator Sarah Stull is the administrator of Kimball County Manor.

How many beds does Kimball County Manor have?

Kimball County Manor has 49 beds.

What is the address of Kimball County Manor?

Kimball County Manor is located at 810 East 7Th Street, Kimball, NE 69145.

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