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Holdrege Memorial Homes, Inc Inspection Report, Violations & Safety Grade (Holdrege, Nebraska)

1320 11th Avenue, Holdrege, Nebraska 68949

Phone: 3089958631

CMS Overall:2/5

Overview & Bed Count

Certified Beds
94
Avg Residents/Day
76.3
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Phelps
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing2/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityNebraska AvgDifference
RN Hours per Resident per Day0.680.69-0.01
Total Nurse Hours per Resident per Day3.684.12-0.44
CMS Staffing Rating2/53.3/5-
Nursing Staff TurnoverN/A48.5%-

Health Citation History

14 health citations on record

DateCategoryDescriptionSeverity
2026-07-07Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2025-08-05Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.F – Moderate Harm Potential
2025-08-05Nursing and Physician Services DeficienciesPost nurse staffing information every day.F – Moderate Harm Potential
2025-08-05Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2025-08-05Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.E – Moderate Harm Potential
2025-08-05Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2025-08-05Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2025-08-05Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-08-05Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-08-05Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2024-12-16Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-07-11Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-07-11Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E – Moderate Harm Potential
2024-07-11Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential

Fire Safety Citation History

8 fire safety citations on record

DateCategoryDescriptionSeverity
2025-08-05Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2025-08-05Services DeficienciesMeet other general requirements that are deficient.E – Moderate Harm Potential
2024-07-11Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2024-07-11Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2023-07-24Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2023-07-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-07-24Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2023-07-24Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-08-05Payment Denial-18 days starting 2025-08-29

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