Federal inspection record · CMS data as of October 1, 2026
Sarah Ann Hester Memorial Home
407 Dakota Street, Benkelman, NE · (308) 423-2179
- Certified beds
- 56
- Residents per day
- 31
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 2001
1
How this home got 2 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.
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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.
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Quality measures
★★★★★−1 star
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Sarah Ann Hester Memorial Home carries 41 inspection points. That is fewer than 54% 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
17 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
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- C
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Nutrition and Dietary3F
- 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.
Resident Rights2E
- E
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.
Resident Assessment and Care Planning2E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service2E
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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.
Nursing and Physician Services2E
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- C
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Quality of Life and Care1E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspection history
2026-04-02
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2025-01-15
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2023-11-30
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 24 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
4 h 24 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 60% 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 days2.1 pts worse | 3.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts worse | 3.4 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 100.0% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.2 pts worse | 9.7% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.4 pts better | 0.0% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 5.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.8 pts worse | 26.8% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.9 pts worse | 21.6% | 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 worsened2.1 pts worse | 18.9% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts better | 18.8% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts worse | 2.7% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.1 pts worse | 6.8% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts better | 22.1% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 3.7% | 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% |
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Who owns and runs it
18 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 |
|---|---|---|---|
| Amx Holdings, LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Amx Holdings, LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Bartholomew, Richard | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Bartholomew, Richard | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Brunswig, Michael | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Brunswig, Michael | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Crouse, Jared | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Crouse, Jared | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Denny, Penny | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Denny, Penny | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Edwards, Janice | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Edwards, Janice | Adp Of The SNF · Individual | 0% | 1 facilities |
| Haines, Amy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Haines, Amy | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Hudson, Sara | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hudson, Sara | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Stonehocker, Lori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stonehocker, Lori | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous4F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- 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
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Smoke2F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Emergency Preparedness1F
- F
Address patient/client population and determine types of services needed.
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Other homes nearby
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Cheyenne County Village Inc
St Francis, KS · Grace Team Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 5 min
- Fines
- $13,287
-
Wauneta Care and Therapy Center
Wauneta, NE
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0
-
Good Samaritan - Atwood
Atwood, KS · Good Samaritan Society
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 45 min
- Fines
- $68,956