Good Shepherd Lutheran Home
2242 Wright Street · Blair, NE · 68008 · 4024264663
84 certified beds For profit - Limited Liability company Part of a CCRC
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
Total nurse staffing below 3.0 hours per resident-day
2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.97 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 2.66 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · D March 3, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected March 25, 2026 · Resident Rights
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Potential for harm · D March 3, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D March 3, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 25, 2026 · Infection Control
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Potential for harm · D May 1, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected May 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 22, 2025 · Resident Rights
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Potential for harm · D May 1, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 22, 2025 · Pharmacy Service
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Potential for harm · D May 1, 2025
Ensure that residents are free from significant medication errors.
Corrected May 22, 2025 · Pharmacy Service
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Potential for harm · F May 1, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 22, 2025 · Nutrition and Dietary
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Potential for harm · F May 1, 2025
Provide and implement an infection prevention and control program.
Corrected May 22, 2025 · Infection Control
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Potential for harm · D May 1, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 22, 2025 · Resident Rights
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Potential for harm · D May 1, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · F May 1, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 22, 2025 · Environmental
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Potential for harm · E May 1, 2025 · found via complaint
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected May 22, 2025 · Environmental
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Potential for harm · D April 23, 2024
Provide and implement an infection prevention and control program.
Corrected May 15, 2024 · Infection Control
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Potential for harm · F April 23, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected May 15, 2024 · Infection Control
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Potential for harm · D April 4, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 11, 2024 · Resident Rights
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Potential for harm · D May 3, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 16, 2023 · Resident Rights
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Potential for harm · E May 3, 2023
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected June 16, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 3, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 16, 2023 · Resident Rights
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Potential for harm · E May 3, 2023
Ensure each resident receives an accurate assessment.
Corrected June 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 3, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 3, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 16, 2023 · Pharmacy Service
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Potential for harm · D May 3, 2023
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 June 16, 2023 · Pharmacy Service
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Potential for harm · D May 3, 2023
Provide and implement an infection prevention and control program.
Corrected June 16, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285148 · certified since June 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.