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C
Below Standard

Good Shepherd Lutheran Home

2242 Wright Street · Blair, NE 68008

4024264663 · For profit - Limited Liability company

84 beds70.3 residents144 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Good Shepherd Lutheran Home receives an overall staffing grade of C (Below Standard). With 3.1142 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4229 HPRD, below the recommended 0.75. It is 0.78 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.15% compared to weekdays. The facility relies heavily on temporary agency staff (29.39% of hours), suggesting potential workforce instability.

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

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1142 HPRD — needs 0.37 more hours per resident per day.
⚠️RN staffing (0.4229 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️29.39% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.1142hrs/resident/day▼ 0.78
CMS benchmark: 3.48
RN HPRD
0.4229hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
18.15%
3.2826 weekday → 2.6868 weekend
Agency Staff
29.39%
58.96% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.2741hrs/resident/day
Direct care aides
LPN HPRD
0.694hrs/resident/day
Licensed practical nurses
Consistency
0.438std 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. Washington County Average-0.72 HPRD
3.83
03.11 HPRD
vs. Nebraska State Average-1.02 HPRD
4.14
03.11 HPRD
vs. National Average-0.78 HPRD
3.90
03.11 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Good Shepherd Lutheran Home ★
Blair · This facility
—
C
3.11420.4229★☆☆☆☆
Crowell Memorial Home
Blair
0.5 mi
B
4.55110.5595★☆☆☆☆
Accura HealthCare of Tekamah
Tekamah
16.1 mi
C
3.4980.4533★★★☆☆
Quality Living, Inc.
Omaha
17.4 mi
—
00★★★☆☆
Life Care Center of Omaha
Omaha
17.8 mi
C
3.88220.5155★☆☆☆☆
Florence Home
OMAHA
17.9 mi
B
4.4010.6943★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
23
Total Deficiencies
$0
Fines Assessed
May 1, 2025Health
11 deficiencies cited
▼
Apr 23, 2024Health
2 deficiencies cited
▼
Apr 4, 2024Health
1 deficiency cited
▼
May 3, 2023Health
9 deficiencies cited
▼
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.