Federal inspection record · CMS data as of October 1, 2026
Good Shepherd Lutheran Community
2242 Wright Street, Blair, NE · (402) 426-4663
- Certified beds
- 84
- Residents per day
- 63
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1994
1
How this home got 1 star
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Good Shepherd Lutheran Community carries 103 inspection points. That is fewer than 15% 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
27 health citations on record since 2024. 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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Infection Control5F
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
Resident Rights5D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Respond appropriately to all alleged violations.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service3D
- D
Ensure that residents are free from significant medication errors.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Environmental2F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
Nursing and Physician Services1F
- F
Post nurse staffing information every day.
Administration1F
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspection history
2026-05-26
13 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-05-01
11 health deficiencies · 11 fire-safety deficiencies
Top issue: Environmental (2 deficiencies)
2024-04-23
3 health deficiencies · 10 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 38 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 74% of nursing staff and 100% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-26 | Payment Denial · 8 day denial | $0 |
6
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 days0.9 pts worse | 2.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days3.8 pts worse | 5.7 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts worse | 92.4% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.1 pts worse | 94.5% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse | 6.8% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts worse | 5.8% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 4.1% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.8 pts better | 11.2% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.9 pts better | 9.8% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.1 pts better | 4.7% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.5 pts better | 6.5% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 1.1% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 1.5% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts better | 22.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 3.6% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine42.2 pts worse | 39.1% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.1 pts worse | 15.9% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine58.9 pts worse | 15.0% | 73.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission14.8 pts worse | 35.9% | 21.1% | 23.4% |
·
Who owns and runs it
9 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 |
|---|---|---|---|
| Herzka, Matisyohu | 5% Or Greater Direct Ownership Interest · Individual | 50% | 16 facilities |
| Gibson, Candace | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gibson, Candace | Adp Of The SNF · Individual | 0% | 1 facilities |
| Herzka, Matisyohu | Managing Control - Governing Body · Individual | 0% | 16 facilities |
| Herzka, Matisyohu | Adp Of The SNF · Individual | 0% | 16 facilities |
| Schreiber, Abraham | Direct Ownership Interest · Individual | 0% | 16 facilities |
| Schreiber, Abraham | Adp Of The SNF · Individual | 0% | 16 facilities |
| Simonson, Johnnie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Simonson, Johnnie | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- 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.
- E
Install an approved automatic sprinkler system.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Gas, Vacuum, and Electrical Systems7F
- F
Have proper medical gas storage and administration areas.
- E
Meet requirements for the use and maintenance of medical gas equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- E
Meet requirements for the use and maintenance of medical gas equipment.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have proper medical gas storage and administration areas.
Egress5F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have restrictions on the use of portable space heaters.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Crowell Memorial Home
Blair, NE
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- —
- Fines
- $0
-
Azria Health Longview
Missouri Valley, IA · Azria Health
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 52 min
- Fines
- $0
-
Accura HealthCare of Tekamah
Tekamah, NE · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h
- Fines
- $0