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C
Below Standard

Sarah Ann Hester Memorial Home

407 Dakota Street · Benkelman, NE 69021

3084232179 · Non profit - Corporation

56 beds31.5 residents75 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
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

Sarah Ann Hester Memorial Home receives an overall staffing grade of C (Below Standard). With 4.3583 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4278 HPRD, below the recommended 0.75. It is 0.46 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 18.13% compared to weekdays. The facility relies heavily on temporary agency staff (20.07% of hours), suggesting potential workforce instability.

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

🔍 Areas of Concern (2)

⚠️RN staffing (0.4278 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️20.07% 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 (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.3583hrs/resident/day▲ 0.46
CMS benchmark: 3.48
RN HPRD
0.4278hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
18.13%
4.5937 weekday → 3.7607 weekend
Agency Staff
20.07%
41.7% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.767hrs/resident/day
Direct care aides
LPN HPRD
1.1261hrs/resident/day
Licensed practical nurses
Consistency
0.5429std 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. Dundy County Average+0.00 HPRD
4.36
04.36 HPRD
vs. Nebraska State Average+0.22 HPRD
4.14
04.36 HPRD
vs. National Average+0.46 HPRD
3.90
04.36 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
Sarah Ann Hester Memorial Home ★
Benkelman · This facility
—
C
4.35830.4278★☆☆☆☆
Wauneta Care and Therapy Center
Wauneta
26.6 mi
B
4.11440.5964★☆☆☆☆
Imperial Manor Nursing Home
Imperial
33 mi
B
4.01320.7257★★☆☆☆
Hillcrest Nursing Home
McCook
48.7 mi
C
4.55910.4582★★★★☆
Indian Hills Manor
Ogallala
76.1 mi
C
3.14210.6402★☆☆☆☆
The Birch at Sutherland
Sutherland
79.7 mi
B
4.08120.6195★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
20
Total Deficiencies
$0
Fines Assessed
Apr 3, 2025Health
1 deficiency cited
▼
Jan 15, 2025Health
8 deficiencies cited
▼
Nov 30, 2023Health
3 deficiencies cited
▼
Nov 17, 2022Health
8 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.