Oglala Sioux Lakota Nursing Home
7835 Elders Drive, State Highway 87 · Rushville, NE · 69360 · 3088624020
72 certified beds Non profit - Corporation
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 6.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.74 | 0.55–0.75 |
| Weekend hours / resident-day | 6.07 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (20 in the current record)
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Potential for harm · D December 17, 2025
Ensure each resident receives an accurate assessment.
Corrected January 7, 2026 · Resident Assessment and Care Planning
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Potential for harm · F December 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 8, 2026 · Nutrition and Dietary
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Potential for harm · D December 17, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 19, 2025 · Quality of Life and Care
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Actual harm · G September 12, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · D September 12, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 3, 2024 · Resident Rights
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Potential for harm · D September 12, 2024
Assess the resident when there is a significant change in condition
Corrected October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2024
Ensure each resident receives an accurate assessment.
Corrected October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 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 October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · D September 12, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · D September 12, 2024
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 October 3, 2024 · Pharmacy Service
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Potential for harm · E September 12, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected October 3, 2024 · Pharmacy Service
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Potential for harm · F September 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 3, 2024 · Nutrition and Dietary
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Potential for harm · E September 12, 2024
Provide and implement an infection prevention and control program.
Corrected October 3, 2024 · Infection Control
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Potential for harm · D September 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2023
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 September 16, 2023 · Resident Rights
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Potential for harm · F August 29, 2023
Provide and implement an infection prevention and control program.
Corrected September 16, 2023 · Infection Control
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 28E300 · certified since November 11, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.