Federal inspection record · CMS data as of October 1, 2026
Kimball County Manor
810 East 7th Street, Kimball, NE · (308) 235-4693
- Certified beds
- 49
- Residents per day
- 42
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 2004
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.
-
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 (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Kimball County Manor carries 89.75 inspection points. That is fewer than 21% 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
30 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)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Infection Control6F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
Quality of Life and Care5E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
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 Rights4E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Pharmacy Service4E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure medication error rates are not 5 percent or greater.
Freedom from Abuse, Neglect, and Exploitation3F
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Nursing and Physician Services2F
- F
Observe each nurse aide's job performance and give regular training.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Administration1F
- F
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspection history
2026-06-25
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2025-04-21
12 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-05-07
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 22 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
2 h 22 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% 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
Fines and payment denials
$27,606 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-21 | Fine | $27,606 |
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 days0.2 pts worse | 1.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.4 pts worse | 4.3 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts better | 98.7% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccineAbout the same | 95.6% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.3 pts worse | 8.8% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.9 pts worse | 5.3% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.8 pts worse | 7.9% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.2 pts better | 10.8% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.6 pts worse | 22.3% | 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 worsened6.3 pts better | 10.5% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts better | 11.9% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 1.7% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.6 pts worse | 5.3% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.6 pts better | 16.4% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts worse | 6.7% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.7 pts better | 100.0% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts better | 9.9% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.9 pts worse | 5.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.8 pts better | 17.3% | 21.1% | 23.4% |
·
Who owns and runs it
14 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 |
|---|---|---|---|
| Anderson, Trevor | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Anderson, Trevor | Trustee Of The SNF · Individual | 0% | 2 facilities |
| Autrey, Jordan | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Autrey, Jordan | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Hickman, Dawn | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hickman, Dawn | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Moritz, John | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Moritz, John | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Newell, Sheila | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Newell, Sheila | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Ott, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stull, Sarah | Corporate Director · Individual | 0% | 1 facilities |
| Stull, Sarah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stull, Sarah | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- 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.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure proper usage of power strips and extension cords.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
·
Other homes nearby
-
★★★★★
- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 52 min
- Fines
- $0
-
Chimney Rock Villa
Bayard, NE
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $110,988
-
Heritage Estates
Gering, NE · Vetter Senior Living
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 25 min
- Fines
- $14,070