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 (52% of admissions), and a typical Medicare stay runs around 27 days.
The Pines at Blue Hill is a 62-bed facility in rural Blue Hill, Nebraska, providing skilled nursing, memory care, and rehabilitation. Opened in May 2023 under private operation, the home accommodates a mix of residents funded by Medicaid (49%), private pay (33%), and Medicare (18%), with an average stay of 159 days. Financial records indicate ongoing operational challenges, highlighted by a low 50% occupancy rate and an overall operating loss.
State health department archives point to a notable shift toward regulatory compliance, though everyday staffing levels and short-term recovery metrics remain weak. The home’s February 2025 license renewal survey came back with zero deficiencies, mirroring recent progress under the current operational structure. This stands in contrast to a heavy historical record from 16 years of prior operations on the property, which accumulated 101 citations, 91% above the state average, along with $23,000 in federal fines in 2024 and older license probations in 2013 and 2017 tied to resident falls.
Daily care lines show total nursing hours average 3 hours and 32 minutes per resident, running 19% below the Nebraska baseline, while registered nurse hours sit 49% below the state average. This leaner clinical coverage matches weaker post-acute outcomes, where short-stay charts show re-hospitalization rates 38% above the state mean and emergency room visits tracking 98% higher than average.
Prospective residents looking into area skilled care or short-term rehab can use these public monitoring files to assess the provider’s current performance. Since the official tracking documentation records low building utilization, thin daily nurse coverage, and high post-acute hospital return rates alongside a completely clean recent inspection and a history of past safety probations, the paperwork shows a facility trying to correct long-standing operational issues.
The Pines at Blue Hill is administered 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.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
| 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
| 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 |
Nebraska 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).
Nebraska average: 0.2
Nebraska average: 0.5
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
4,047 contractor hours this quarter
| Certified Nursing Assistant | 22 | 13 | 35 | 5,839 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 2 | 5 | 7 | 2,202 | 92 | 100% | 9.8 |
| Medication Aide/Technician | 7 | 3 | 10 | 1,524 | 92 | 100% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 530 | 61 | 66% | 8.7 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 465 | 64 | 70% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 443 | 58 | 63% | 7.6 |
| RN Director of Nursing | 1 | 0 | 1 | 441 | 56 | 61% | 7.9 |
| Physical Therapist | 1 | 0 | 1 | 437 | 61 | 66% | 7.2 |
| Registered Nurse | 2 | 0 | 2 | 259 | 33 | 36% | 7.4 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 163 | 33 | 36% | 4.9 |
| Physical Therapy Assistant | 1 | 0 | 1 | 56 | 12 | 13% | 4.7 |
| Occupational Therapy Aide | 0 | 3 | 3 | 38 | 13 | 14% | 2.7 |
| Speech Language Pathologist | 1 | 1 | 2 | 37 | 11 | 12% | 3.3 |
| Respiratory Therapist | 1 | 0 | 1 | 22 | 5 | 5% | 4.4 |
| Qualified Social Worker | 1 | 0 | 1 | 18 | 19 | 21% | 1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 4 | 1 | 1% | 4.1 |
Includes penalties issued in 2024
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 13, 2024 · $14K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
Historical financial and operational data for The Pines at Blue Hill from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 08/2023.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (52% of admissions), and a typical Medicare stay runs around 27 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
Add your location
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| 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 | 1 | 72 | - |
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 | ||||
| Emerald Columbus | NH AL HC MC PC | Columbus (40Th Avenue) | 145
Facility
145
NE AVG
82
Rank
#25 / 228 |
56.6%
Facility
56.6%
NE AVG
70.3%
Rank
#163 / 196 | -20% | 3.78
Facility
3.78
NE AVG
4.45
Rank
#87 / 130 | -37% | -15% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 20
Facility
20
NE AVG
18.2
Rank
#82 / 135 | 3.3
Facility
3.3
NE AVG
4.2
Rank
#37 / 135 | - | 72 | A+ |
57
Facility
57
NE AVG
46
Rank
#101 / 298 | Columbus Operations LLC | $10.4M
Facility
$10.4M
NE AVG
$7.6M
Rank
#27 / 133 | $5.0M
Facility
$5.0M
NE AVG
$3.5M
Rank
#27 / 133 | 48%
Facility
48%
NE AVG
49.4%
Rank
#88 / 133 | 285092 | ||||
| Keystone Villas | NH AL IL | Omaha (Keystone) | 68
Facility
68
NE AVG
82
Rank
#111 / 228 |
79.5%
Facility
79.5%
NE AVG
70.3%
Rank
#92 / 196 | +13% | 3.35
Facility
3.35
NE AVG
4.45
Rank
#114 / 130 | -56% | -25% | $70.1k
Facility
$70.1k
NE AVG
$38.1k
Rank
#128 / 135 | 24
Facility
24
NE AVG
18.2
Rank
#100 / 135 | 4.0
Facility
4.0
NE AVG
4.2
Rank
#55 / 135 | 2 | 70 | - |
55
Facility
55
NE AVG
46
Rank
#113 / 298 | Sandra Leimer | $9.0M
Facility
$9.0M
NE AVG
$7.6M
Rank
#37 / 133 | $5.4M
Facility
$5.4M
NE AVG
$3.5M
Rank
#29 / 133 | 60.6%
Facility
60.6%
NE AVG
49.4%
Rank
#73 / 133 | 285238 | ||||
| Bethany Home | NH AL MC NC | Minden | 64
Facility
64
NE AVG
82
Rank
#123 / 228 |
79.7%
Facility
79.7%
NE AVG
70.3%
Rank
#90 / 196 | +13% | 4.75
Facility
4.75
NE AVG
4.45
Rank
#39 / 130 | +53% | +7% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 19
Facility
19
NE AVG
18.2
Rank
#77 / 135 | 6.3
Facility
6.3
NE AVG
4.2
Rank
#120 / 135 | - | 59 | - |
47
Facility
47
NE AVG
46
Rank
#155 / 298 | Bethany Home Inc | $8.2M
Facility
$8.2M
NE AVG
$7.6M
Rank
#48 / 133 | $5.0M
Facility
$5.0M
NE AVG
$3.5M
Rank
#40 / 133 | 60.9%
Facility
60.9%
NE AVG
49.4%
Rank
#61 / 133 | 285270 | ||||
| The Pines at Blue Hill | NH AL | Blue Hill | 62
Facility
62
NE AVG
82
Rank
#130 / 228 |
50.0%
Facility
50.0%
NE AVG
70.3%
Rank
#171 / 196 | -29% | 3.54
Facility
3.54
NE AVG
4.45
Rank
#110 / 130 | -71% | -21% | $13.6k
Facility
$13.6k
NE AVG
$38.1k
Rank
#105 / 135 | 39
Facility
39
NE AVG
18.2
Rank
#122 / 135 | 6.5
Facility
6.5
NE AVG
4.2
Rank
#124 / 135 | 1 | 34 | A+ |
41
Facility
41
NE AVG
46
Rank
#183 / 298 | Dixie Jackson | $2.4M
Facility
$2.4M
NE AVG
$7.6M
Rank
#130 / 133 | $1.2M
Facility
$1.2M
NE AVG
$3.5M
Rank
#132 / 133 | 50.9%
Facility
50.9%
NE AVG
49.4%
Rank
#103 / 133 | 285144 |
The Pines at Blue Hill is located in BLUE HILL, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
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, Blue Hill, NE 68930.
(402) 756-2080 will put you in contact with the team at The Pines at Blue Hill.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance