Chimney Rock Villa
106 East 13th Street · Bayard, NE · 69334 · 3085861142
49 certified beds Government - City
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $31,135 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 2 · $110,988 |
Inspection citations (30 in the current record)
-
Potential for harm · E November 24, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 16, 2025 · Resident Rights
-
Potential for harm · D July 30, 2025
Ensure each resident receives an accurate assessment.
Corrected August 13, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E July 30, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 13, 2025 · Quality of Life and Care
-
Potential for harm · D July 30, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected August 13, 2025 · Quality of Life and Care
-
Potential for harm · F July 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 13, 2025 · Nutrition and Dietary
-
Potential for harm · F July 30, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected August 13, 2025 · Infection Control
-
Potential for harm · F July 30, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected August 13, 2025 · Nursing and Physician Services
-
Actual harm · G March 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 9, 2025 · Quality of Life and Care
-
Actual harm · H March 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 9, 2025 · Quality of Life and Care
-
Potential for harm · D March 25, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F March 25, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 9, 2025 · Administration
-
Potential for harm · E July 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 24, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
Ensure each resident receives an accurate assessment.
Corrected July 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 11, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 24, 2024 · Pharmacy Service
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Potential for harm · D July 11, 2024
Ensure that residents are free from significant medication errors.
Corrected July 24, 2024 · Pharmacy Service
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Potential for harm · F July 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 24, 2024 · Nutrition and Dietary
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Potential for harm · D May 9, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 20, 2024 · Pharmacy Service
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Potential for harm · F May 9, 2024 · found via complaint
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 May 20, 2024 · Nutrition and Dietary
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Potential for harm · D May 9, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 20, 2024 · Infection Control
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Immediate jeopardy · J February 5, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 19, 2024 · Quality of Life and Care
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Actual harm · G February 5, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected February 19, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 25, 2025 | Fine | $31,135 |
| February 5, 2024 | Fine | $79,853 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285260 · certified since June 1, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.