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C
Below Standard

Indian Hills Manor

1720 North Spruce · Ogallala, NE 69153

3082844068 · For profit - Limited Liability company

82 beds33.3 residents47 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
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

Indian Hills Manor receives an overall staffing grade of C (Below Standard). With 3.1421 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6402 HPRD, below the recommended 0.75. It is 0.75 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.96% compared to weekdays. The facility has low agency staff usage (0.43% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1421 HPRD — needs 0.34 more hours per resident per day.
⚠️RN staffing (0.6402 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.43%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1421hrs/resident/day▼ 0.75
CMS benchmark: 3.48
RN HPRD
0.6402hrs/resident/day▼ 0.04
Recommended: 0.75
Weekend Drop-off
16.96%
3.3003 weekday → 2.7405 weekend
Agency Staff
0.43%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5324hrs/resident/day
Direct care aides
LPN HPRD
0.4291hrs/resident/day
Licensed practical nurses
Consistency
0.4441std 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. Keith County Average+0.00 HPRD
3.14
03.14 HPRD
vs. Nebraska State Average-0.99 HPRD
4.14
03.14 HPRD
vs. National Average-0.75 HPRD
3.90
03.14 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
Indian Hills Manor ★
Ogallala · This facility
—
C
3.14210.6402★☆☆☆☆
The Birch at Sutherland
Sutherland
30.7 mi
B
4.08120.6195★☆☆☆☆
Garden County Health Services
Oshkosh
37.6 mi
A
4.31510.9065★★★☆☆
Imperial Manor Nursing Home
Imperial
43.1 mi
B
4.01320.7257★★☆☆☆
Linden Court
North Platte
47.3 mi
A
4.26340.8456★☆☆☆☆
Accura HealthCare of North Platte
North Platte
47.8 mi
B
3.66550.559★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
28
Total Deficiencies
$0
Fines Assessed
Mar 4, 2025Health
9 deficiencies cited
▼
Apr 15, 2024Health
15 deficiencies cited· Includes actual harm
▼
Apr 6, 2023Health
4 deficiencies cited
▼

Penalty History

Apr 15, 2024Payment Denial
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.