Home›Nebraska›Sheridan County›Oglala Sioux Lakota Nursing Home
A+
Excellent

Oglala Sioux Lakota Nursing Home

7835 Elders Drive, State Highway 87 · Rushville, NE 69360

3088624020 · Non profit - Corporation

72 beds44.2 residents79 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Oglala Sioux Lakota Nursing Home receives an overall staffing grade of A+ (Excellent). With 5.8106 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.91 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 15.17% compared to weekdays. The facility relies heavily on temporary agency staff (24.74% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️24.74% 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 (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
5.8106hrs/resident/day▲ 1.91
CMS benchmark: 3.48
RN HPRD
1.4008hrs/resident/day▲ 0.72
Recommended: 0.75
Weekend Drop-off
15.17%
6.0708 weekday → 5.1499 weekend
Agency Staff
24.74%
16.73% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.6516hrs/resident/day
Direct care aides
LPN HPRD
0.5744hrs/resident/day
Licensed practical nurses
Consistency
0.6556std 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. Sheridan County Average+1.32 HPRD
4.49
05.81 HPRD
vs. Nebraska State Average+1.68 HPRD
4.14
05.81 HPRD
vs. National Average+1.91 HPRD
3.90
05.81 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
Oglala Sioux Lakota Nursing Home ★
Rushville · This facility
—
A+
5.81061.4008★★★★☆
Pioneer Manor Nursing Home
Hay Springs
11.9 mi
B
3.89820.7726★★★★☆
Gordon Countryside Care
Gordon
14.7 mi
B
3.75331.1311★★★★★
Crest View Care Center
Chadron
28.7 mi
B
3.93281.0805★☆☆☆☆
Hemingford Care Center
Hemingford
41.8 mi
A
4.68530.8347★☆☆☆☆
Highland Park Care Center
Alliance
46.8 mi
C
4.76110.4666★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
20
Total Deficiencies
$0
Fines Assessed
Dec 17, 2025Health
3 deficiencies cited
▼
Feb 4, 2025Health
1 deficiency cited
▼
Sep 12, 2024Health
14 deficiencies cited· Includes actual harm
▼
Aug 29, 2023Health
2 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.