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Good

Christian Homes Health Care Center

1923 West 4th Avenue · Holdrege, NE 68949

3089954493 · Non profit - Corporation

86 beds70 residents116 staff

CMS Five-Star Ratings

Overall

★★★★★

Staffing

★★★★★

Quality

★★★★★

Inspections

★★★★★

Staffing Grades

Good

Total Staff

Good

RN Staff

Good

Overall

✓CMS Benchmark(≥ 3.48 HPRD)

✗RN Recommendation(≥ 0.75 HPRD)

✗Research Standard(≥ 4.10 HPRD)

📋

What This Means in Plain English

Christian Homes Health Care Center receives an overall staffing grade of B (Good). With 3.8247 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6406 HPRD, below the recommended 0.75. It is 0.07 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.91% compared to weekdays. The facility uses a moderate level of agency staff (13.3% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6406 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)

✅No days with zero registered nurse hours this quarter

Total Nurse HPRD

3.8247hrs/resident/day▼ 0.07

CMS benchmark: 3.48

RN HPRD

0.6406hrs/resident/day▼ 0.04

Recommended: 0.75

Weekend Drop-off

13.91%

3.9812 weekday → 3.4275 weekend

Agency Staff

13.3%

11.38% of RN hours from contractors

Days with Zero RN

0days this quarter

4+ days = auto 1-star

CNA HPRD

1.2929hrs/resident/day

Direct care aides

LPN HPRD

0.6998hrs/resident/day

Licensed practical nurses

Consistency

0.4031std dev

Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Phelps County Average+0.11 HPRD

3.71

03.82 HPRD

vs. Nebraska State Average-0.31 HPRD

4.14

03.82 HPRD

vs. National Average-0.07 HPRD

3.90

03.82 HPRD

■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

Facility	Distance	Grade	Total HPRD	RN HPRD	CMS Rating
Christian Homes Health Care Center ★ Holdrege · This facility	—	B	3.8247	0.6406	★☆☆☆☆
Holdrege Memorial Homes, Inc Holdrege	2.5 mi	B	3.6139	0.7873	★★☆☆☆
Bertrand Nursing Home Bertrand	13.2 mi	B	3.7044	1.102	★★★★★
Brookestone Gardens Kearney	22.9 mi	A	4.9871	1.2479	★★★★☆
Good Samaritan Society - Colonial Villa Alma	23 mi	B	3.7275	0.6541	★★★★☆
Bethany Home, Inc Minden	24 mi	A	4.3721	0.8289	★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

Inspections

Total Deficiencies

Fines Assessed

Jul 21, 2025Health

1 deficiency cited

▼

Apr 8, 2025Health

2 deficiencies cited

▼

Jan 15, 2025Health

1 deficiency cited

▼

Dec 5, 2024Health

9 deficiencies cited

▼

Feb 1, 2024Health

2 deficiencies cited

▼

Mar 2, 2023Health

4 deficiencies cited

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CMS Severity Scale

A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.