Federal inspection record · CMS data as of October 1, 2026
Imperial Manor Nursing Home
933 Grant Street, Imperial, NE · (308) 882-5333
- Certified beds
- 58
- Residents per day
- 27
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 2003
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
★★★★★−1 star
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
Imperial Manor Nursing Home carries 67 inspection points. That is fewer than 31% 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
23 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
Resident Assessment and Care Planning5E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident when there is a significant change in condition
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary4F
- 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.
- 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.
Infection Control4F
- 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.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service4D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
Quality of Life and Care2E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Nursing and Physician Services1F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1C
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspection history
2025-11-20
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2024-10-10
13 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-10-05
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
5
Fines and payment denials
$7,903 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-30 | Fine | $7,903 |
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 days0.1 pts worse | 1.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts worse | 3.3 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine23.9 pts worse | 69.1% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine13.5 pts worse | 82.1% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.6 pts better | 0.9% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.8 pts worse | 6.2% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts worse | 8.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.7 pts better | 13.3% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.7 pts better | 12.0% | 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 worsened2.5 pts worse | 19.3% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.7 pts worse | 27.7% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts worse | 2.9% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.1 pts worse | 5.8% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence26 pts worse | 51.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 4.7% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine39.8 pts worse | 41.5% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.8 pts better | 5.0% | 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 rehospitalized after a nursing home admission10 pts better | 11.1% | 21.1% | 23.4% |
·
Who owns and runs it
12 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 |
|---|---|---|---|
| City Of Imperial | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Belau, Cathy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Belau, Cathy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Colton, Nick | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Colton, Nick | Adp Of The SNF · Individual | 0% | 1 facilities |
| Davidson, Roxie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Davidson, Roxie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hayes, Sabrina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hayes, Sabrina | Adp Of The SNF · Individual | 0% | 1 facilities |
| Salmon, Heather | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Salmon, Heather | Adp Of The SNF · Individual | 0% | 1 facilities |
| Younger, David | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems2F
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
·
Other homes nearby
-
Wauneta Care and Therapy Center
Wauneta, NE
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0
-
Western Sky Community Care Center Inc
Grant, NE
Not rated- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 7 h
- Fines
- $0
-
Sarah Ann Hester Memorial Home
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 24 min
- Fines
- $0