Federal inspection record · CMS data as of October 1, 2026
Blue Valley Lutheran Nursing Home
220 Park Avenue, Hebron, NE · (402) 768-3900
- Certified beds
- 64
- Residents per day
- 27
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 2004
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Blue Valley Lutheran Nursing Home carries 3 inspection points. That is fewer than 98% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
10 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning1E
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspection history
2025-07-10
0 health deficiencies · 19 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-06-27
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-05-25
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 2 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
4 h 2 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.6 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.1 pts better | 99.1% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts better | 96.8% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts worse | 7.1% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.6 pts better | 3.8% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.1 pts worse | 9.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.3 pts worse | 21.3% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication20.7 pts worse | 41.4% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained12.2 pts worse | 12.5% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.9 pts worse | 22.7% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.4 pts worse | 30.4% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.1 pts worse | 3.4% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 2.7% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.1 pts better | 19.9% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts better | 1.3% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 92.6% | 81.3% | 82.3% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Chos, Doug | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Chos, Doug | Corporate Officer · Individual | 0% | 1 facilities |
| Chos, Doug | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wittler, Lori | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Construct fire resistant interior walls.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems6F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Meet requirements for the use of electrical equipment.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Meet requirements for the use and maintenance of medical gas equipment.
- D
Have proper medical gas storage and administration areas.
Miscellaneous4F
- F
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Meet Health Care Facilities Code mechanical requirements.
- F
Have simulated fire drills held at unexpected times.
Egress3F
- F
Add 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.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
Emergency Preparedness2F
- F
Implement emergency and standby power systems.
- F
Conduct testing and exercise requirements.
Services1F
- F
Meet other general requirements that are deficient.
Electrical1F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
·
Other homes nearby
-
Parkview Haven Nursing Home
Deshler, NE
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- —
- Fines
- $0
-
Jefferson Community Health & Life Gardenside
Fairbury, NE
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 49 min
- Fines
- $0
-
Heritage Care Center
Fairbury, NE · Vetter Senior Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 27 min
- Fines
- $0