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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.
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.
| 22m per day | ▼ 49% 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.
| 50m per day | ▲ 16% 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 26m per day | ▼ 12% 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 3m per day | ▼ 16% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 33% 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 |
Most residents typically stay for a few weeks or months before returning home or moving on.
52% of new residents, usually for short-term rehab.
29% of new residents, often for short stays.
19% 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 #119 / 120Payroll — state benchmarkedThis home is ranked 119th 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%The Pines at Blue Hill is administrated by Administrator Dixie Jackson.
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 101 | 52 | This facility has 94% more total deficiencies than a typical Nebraska nursing home (101 vs. NE avg 52).↑ 94% worse |
|
Deficiencies per year
Average deficiencies per year since 2010.
| 6.3 | 3.3 | This facility has 91% more deficiencies per year than a typical Nebraska nursing home (6.3 vs. NE avg 3.3).↑ 91% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection-related documents from February 10, 2025, confirm the renewal of The Pines at Blue Hill’s nursing home license without any reported deficiencies. Earlier inspections showed a mixed history, with several complaint investigations and annual surveys identifying deficiencies primarily related to care planning, infection control, medication management, and staff training. Notable substantiated complaints included failures in timely abuse reporting, bathing assistance, and fall prevention interventions, but many complaint investigations found the facility in compliance or issues were addressed through re-education. Enforcement actions included license probations in 2013 and 2017 related to falls and resident safety, with no fines or suspensions listed in the available reports. The inspection record suggests improvement over time, with recent reports showing compliance and no new deficiencies noted.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Apr 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.
21 of 39 citations resulted from standard inspections; 6 of 39 resulted from complaint investigations; and 12 of 39 came from combined inspections (standard and complaint).
400% worse 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.
Apr 17, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 17, 2025
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Apr 17, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 17, 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.
The Pines at Blue Hill is located in BLUE HILL, Nebraska.
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171.8 miles from city center
Estimated distance in miles from Blue Hill's city center to The Pines at Blue Hill's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
13% better than Nebraska averageNebraska average ratio: 2.15:1
0% compared with 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.
7.9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 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.
7.7 hoursThis role is partially covered by contractors.
Total hours from contractors
4,698 contractor hours this quarter
| Certified Nursing Assistant | 23 | 20 | 43 | 6,472 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 2 | 10 | 12 | 1,678 | 89 | 98% | 8.3 |
| Medication Aide/Technician | 9 | 8 | 17 | 1,559 | 91 | 100% | 7.1 |
| Registered Nurse | 4 | 0 | 4 | 803 | 77 | 85% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 525 | 63 | 69% | 8.3 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 391 | 56 | 62% | 7 |
| Physical Therapist | 1 | 0 | 1 | 352 | 44 | 48% | 8 |
| Nurse Practitioner | 4 | 0 | 4 | 336 | 42 | 46% | 7.1 |
| Dietitian | 2 | 0 | 2 | 264 | 45 | 49% | 5.9 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 183 | 35 | 38% | 5.2 |
| Clinical Nurse Specialist | 2 | 1 | 3 | 117 | 14 | 15% | 7.8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 56 | 12 | 13% | 4.6 |
| Occupational Therapy Aide | 0 | 3 | 3 | 38 | 14 | 15% | 2.6 |
| Speech Language Pathologist | 1 | 0 | 1 | 33 | 11 | 12% | 3 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
39Residents 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.
12.1
7% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.0
6% better 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
22.7%
9% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
17.1%
23% better than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.2%
In line with Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
83% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
7.6%
78% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.8%
75% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
12.3%
126% worse than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
19.2%
In line with Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
6% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
1.17
35% better than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.94
In line with 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
90.0%
12% better than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.0%
19% better than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.8%
38% worse than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
23.0%
98% worse 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.
36.7%
32% worse than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
37.4%
26% 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)
28% lower than Nebraska averageNebraska average: $33K
38% more 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
Feb 13, 2024 · $14K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 13, 2024Last updated: Jan 2026
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
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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).
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| Accura HealthCare of Tekamah |
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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. | Tekamah | 46 | 72.0% | +2% | 3.83 | +19% | -14% | 0 | 12 | 4.0 | - | 30 | - | 59 | Heather Geis | $3.1M | $2.1M | 66.3% | 285118 | ||||
| Arbor Care Center-Valhaven, LLC |
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).
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. | Valley (Platte Valley Precinct) | 66 | 72.4% | +3% | 4.08 | -2% | -8% | 0 | 18 | 4.5 | 1 | 50 | A+ | 43 | - | $5.0M | $3.2M | 63.9% | 285117 | ||||
| Arbor Care Centers – Ord, LLC |
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| The Pines at Blue Hill |
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).
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. | Blue Hill | 62 | 60.1% | -15% | 3.54 | -57% | -21% | 2 | 39 | 6.5 | 1 | 37 | A | 41 | Dixie Jackson | $2.5M | $1.0M | 38.7% | 285144 |
Historical financial and operational data for The Pines at Blue Hill based on CMS SNF Cost Reports.
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The Pines at Blue Hill has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
The Pines at Blue Hill's occupancy is 50%.
Administrator Dixie Jackson is the administrator of The Pines at Blue Hill.
The Pines at Blue Hill has 62 beds.
Yes — there are 6 photos of The Pines at Blue Hill in the photo gallery on this page.
The Pines at Blue Hill is located at 414 North Willson Street.
(402) 756-2080 will put you in contact with the team at The Pines at Blue Hill.
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