Cycle 1
Health 2025-03-04 · Fire 2025-03-04
9 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Ogallala, NE
Indian Hills Manor
1-star overall rating with 1-star inspections with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1720 North Spruce, Ogallala, NE
(308) 284-4068
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
82
Certified beds
Average residents
33
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lantis Enterprises
Operator or chain grouping
Approved since
1989-10-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 2 overall / 2 health / 3 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.64
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.43
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.76 · national 2.35
Total nurse hours
3.14
All reported nurse hours · state 4.17 · national 3.89
Licensed hours
1.07
RN + LPN hours · state 1.41 · national 1.54
Weekend hours
2.74
Weekend nurse staffing · state 3.61 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
3.62
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,686
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9830
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
5.04
Baseline 6.55% · Performance 6.33% · Measure score 5.04 · Achievement 5.04 · Improvement 0.93
Total nurse turnover
1.83
Baseline 71.80% · Performance 60.87% · Measure score 1.83 · Achievement 0.69 · Improvement 1.83
Adjusted total nurse staffing
0
Baseline 3.86 hours · Performance 3.20 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.84% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 32 · Observed rate 3.13% · Lower 95% interval 5.54% |
| Discharge to community | 36.17% |
50.57%
14.4 pts worse
|
Worse than the National Rate · Eligible stays 33 · Observed rate 24.24% · Lower 95% interval 24.75% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 88.24% |
95.27%
7 pts worse
|
Numerator 30 · Denominator 34 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 34 |
| Discharge self-care score | 25% |
53.69%
28.7 pts worse
|
Numerator 6 · Denominator 24 |
| Discharge mobility score | 25% |
50.94%
25.9 pts worse
|
Numerator 6 · Denominator 24 |
| Pressure ulcers or injuries, new or worsened | 2.94% |
2.29%
0.6 pts worse
|
Numerator 1 · Denominator 34 · Adjusted rate 4% |
| Healthcare-associated infections requiring hospitalization | 6.33% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 27 · Observed rate 0% · Lower 95% interval 3.17% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 32 |
| Staff flu vaccination coverage | 47.27% |
42%
5.3 pts better
|
Numerator 26 · Denominator 55 |
| Discharge function score | 20.83% |
56.45%
35.6 pts worse
|
Numerator 5 · Denominator 24 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 4% |
25.2%
21.2 pts worse
|
Numerator 1 · Denominator 25 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.8
0.5 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.9 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.3 |
2.0
2.3 pts worse
|
1.8
2.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.3 · Observed 4.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 69.8% |
92.8%
23 pts worse
|
93.4%
23.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 80.0% · Q3 53.6% · Q4 48.1% · 4Q avg 69.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.1% |
96.1%
2 pts worse
|
95.5%
1.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.9% |
4.5%
2.4 pts worse
|
3.3%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 10.0% · Q3 3.6% · Q4 3.7% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.2% |
4.4%
2.8 pts worse
|
11.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 6.9% · Q3 7.4% · Q4 3.8% · 4Q avg 7.2% |
| Percentage of long-stay residents who lose too much weight | 12.7% |
5.3%
7.4 pts worse
|
5.4%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.4% · Q3 21.4% · Q4 23.1% · 4Q avg 12.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.9% |
19.5%
6.6 pts better
|
19.6%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 13.3% · Q3 10.7% · Q4 11.1% · 4Q avg 12.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 39.6% |
21.6%
18 pts worse
|
16.7%
22.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 37.5% · Q3 44.0% · Q4 44.0% · 4Q avg 39.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.3%
0.3 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.2% |
20.4%
4.8 pts worse
|
16.3%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.1% |
19.9%
12.2 pts worse
|
14.9%
17.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 33.3% · Q3 37.0% · Q4 45.8% · 4Q avg 32.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.6%
0.8 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.3% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
2.9%
1.1 pts better
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 3.6% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.4% |
26.6%
5.2 pts better
|
19.8%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 25.0% · Q3 13.7% · Q4 18.7% · 4Q avg 21.4% |
| Percentage of long-stay residents with pressure ulcers | 14.8% |
4.3%
10.5 pts worse
|
5.1%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 10.5% · Q3 18.9% · Q4 17.0% · 4Q avg 14.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 30.1% |
80.5%
50.4 pts worse
|
81.7%
51.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 28.6% · Q3 26.1% · Q4 27.3% · 4Q avg 30.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% |
11.6%
4.2 pts better
|
12.0%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.4% · Observed 7.4% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.8% |
2.4%
1.4 pts worse
|
1.6%
2.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 39.3% |
75.9%
36.6 pts worse
|
79.7%
40.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 39.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.4% |
20.9%
3.5 pts worse
|
23.9%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.4% · Observed 25.9% · Expected 25.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-15 · Fire 2024-04-15
15 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2023-04-06 · Fire 2023-04-06
4 health deficiencies
Top issue: Environmental (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-04
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-03-11
F · Potential for more than minimal harm
2025-03-04
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-31
F · Potential for more than minimal harm
2025-03-04
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-31
E · Potential for more than minimal harm
2025-03-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-31
F · Potential for more than minimal harm
2024-04-15
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-30
F · Potential for more than minimal harm
2024-04-15
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-05-30
F · Potential for more than minimal harm
2024-04-15
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-05-30
E · Potential for more than minimal harm
2023-04-06
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-05-21
E · Potential for more than minimal harm
2023-04-06
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-05-21
E · Potential for more than minimal harm
2023-04-06
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-05-21
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-03-04
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-03-11
F · Potential for more than minimal harm
2025-03-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-11
F · Potential for more than minimal harm
2025-03-04
F940 · Administration Deficiencies
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-03-11
F · Potential for more than minimal harm
2025-03-04
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-03-11
E · Potential for more than minimal harm
2025-03-04
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-03-11
E · Potential for more than minimal harm
2025-03-04
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-03-11
E · Potential for more than minimal harm
2025-03-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-11
D · Potential for more than minimal harm
2025-03-04
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-11
D · Potential for more than minimal harm
2025-03-04
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-11
H · Actual harm
2024-04-15
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-15
F · Potential for more than minimal harm
2024-04-15
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-05-15
F · Potential for more than minimal harm
2024-04-15
F801 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2024-05-15
F · Potential for more than minimal harm
2024-04-15
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-15
F · Potential for more than minimal harm
2024-04-15
F865 · Administration Deficiencies
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-05-15
F · Potential for more than minimal harm
2024-04-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-15
F · Potential for more than minimal harm
2024-04-15
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-05-15
E · Potential for more than minimal harm
2024-04-15
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-15
E · Potential for more than minimal harm
2024-04-15
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-05-15
D · Potential for more than minimal harm
2024-04-15
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-15
D · Potential for more than minimal harm
2024-04-15
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-05-15
D · Potential for more than minimal harm
2024-04-15
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-15
D · Potential for more than minimal harm
2024-04-15
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-15
D · Potential for more than minimal harm
2024-04-15
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-05-15
D · Potential for more than minimal harm
2024-04-15
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-05-15
F · Potential for more than minimal harm
2023-04-06
F801 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2023-05-21
E · Potential for more than minimal harm
2023-04-06
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2023-05-21
E · Potential for more than minimal harm
2023-04-06
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-05-21
D · Potential for more than minimal harm
2023-04-06
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-05-21
Penalties and ownership
What sits behind the stars
$0
2024-04-15
Payment Denial
Payment Denial · denial start 2024-05-15 · 15 days
15 day denial
Ownership
Kismet Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Bos, Chad
W-2 Managing Employee · Individual
Kismet Hd LLC
5% Or Greater Direct Ownership Interest · Organization
Lantis Enterprises, Inc
Operational/Managerial Control · Organization
Lantis, Cammy
5% Or Greater Direct Ownership Interest · Individual
Lantis, Cammy
Operational/Managerial Control · Individual
Lantis, Cammy
Contracted Managing Employee · Individual
Lantis, Mary
5% Or Greater Direct Ownership Interest · Individual
Lantis, Mary
Operational/Managerial Control · Individual
Lantis, Mary
Contracted Managing Employee · Individual
Lantis, Travis
5% Or Greater Direct Ownership Interest · Individual
Lantis, Travis
Operational/Managerial Control · Individual
Lantis, Travis
Contracted Managing Employee · Individual
Moore, Michael
Operational/Managerial Control · Individual
Moore, Michael
Contracted Managing Employee · Individual
Rinard, Sandra
5% Or Greater Direct Ownership Interest · Individual
Rinard, Sandra
Operational/Managerial Control · Individual
Rinard, Sandra
Contracted Managing Employee · Individual
Soulek, Wendy
5% Or Greater Direct Ownership Interest · Individual
Soulek, Wendy
Operational/Managerial Control · Individual
Soulek, Wendy
Contracted Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Sedgwick County Memorial Nursing Home
Julesburg, CO
1-star overall rating with 3-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
The Birch at Sutherland
Sutherland, NE
1-star overall rating with 1-star inspections with $50,025 in total fines with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Garden County Health Services
Oshkosh, NE
3-star overall rating with 2-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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