Chimney Rock Villa
106 East 13th Street, Bayard, NE 69334
Chimney Rock Villa, a 49-bed government - city nursing facility in Bayard, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #151 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3085861142
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #151 of 178
- In-state rank among rated NE homes
- 3.47
- Below average · nurse hrs/day · nat'l 3.86
- 30
- Inspection findings · 4 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Chimney Rock Villa, a 49-bed government - city nursing facility in Bayard, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #151 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #151 of 178
- In-state rank among rated NE homes
- 3.47
- Nurse hrs/resident-day · national 3.86
- 30
- Inspection findings · 4 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 180 NE nursing homes split by ownership sector
This facility is recorded as Government - City. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 285260
- Ownership
- Government - City
- Provider Type
- Medicare and Medicaid
- Beds
- 49
- Residents
- 32
- In Hospital
- No
- County
- Morrill
- Last Inspection
- Jul 30, 2025
Staffing Data
How the 3.47 total nursing hours per resident-day are staffed:
- RN Hours
- 0.83 (nat'l avg: 0.69)
- LPN Hours
- 0.18
- CNA Hours
- 2.46
- Total Nursing Hours
- 3.47 (nat'l avg: 3.86)
- PT Hours
- 0.01
- Nursing Turnover
- 50.0%
- RN Turnover
- 42.9%
What the CMS Record Reveals About Chimney Rock Villa
According to CMS Nursing Home Compare, Chimney Rock Villa ranks #151 of 178 rated nursing homes in NE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Chimney Rock Villa operates 49 certified beds in Bayard, NE with approximately 32 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 4★ · quality 1★).
The inspection file contains 30 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 2 penalties totaling $111K levied against this facility. Staffing is reported at 3.47 total nursing hours per resident day (national average 3.86), with RN coverage at 0.83 per resident day.
Classified as "Government - City" ownership and operating as a "Medicare and Medicaid" provider, Chimney Rock Villa falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 50.0% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (30 most recent)
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category: Resident Rights Deficiencies
Corrected: Dec 16, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 13, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 13, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 13, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Category: Infection Control Deficiencies
Corrected: Aug 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Aug 13, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Category: Nursing and Physician Services Deficiencies
Corrected: Aug 13, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 9, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Apr 9, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 9, 2025
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Jul 24, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Jul 24, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 24, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 24, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 24, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 24, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 24, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Jul 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 24, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 20, 2024
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: May 20, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Category: Nutrition and Dietary Deficiencies
Corrected: May 20, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Feb 19, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 19, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Sep 2, 2023
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 2, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 2, 2023
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 2, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 2, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 30.3% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 5.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 10.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.9% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 42.0% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 34.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 5.5% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 2.6% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 10.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 32.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 88.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 2 penalties totaling $111K
| Date | Type | Amount |
|---|---|---|
| Mar 25, 2025 | Fine | $31K |
| Feb 5, 2024 | Fine | $80K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Chimney Rock Villa, both outside NE so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NE (49 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NE (3.94 here).
Nearby Nursing Homes in NE
179 other nursing homes are on record in NE; 6 are shown here.
Accura Healthcare of Franklin
Franklin, NE
Accura Healthcare of Fullerton
Fullerton, NE
Accura HealthCare of Hartington
Hartington, NE
Accura HealthCare of Kenesaw
Kenesaw, NE
Accura Healthcare of Neligh
Neligh, NE
Accura HealthCare of North Platte
North Platte, NE
Understanding Nursing Home Data
What the CMS records show for Chimney Rock Villa
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NE registry aggregates state averages and the highest-rated homes in this cohort. View NE registry
- Peer homes near 49 beds show how CMS stars vary at a similar scale in NE. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Chimney Rock Villa?
Where does Chimney Rock Villa rank among nursing homes in NE?
What are the staffing levels at Chimney Rock Villa?
How many beds does Chimney Rock Villa have?
Does Chimney Rock Villa have any deficiencies on record?
Has Chimney Rock Villa received any fines or penalties?
Who owns Chimney Rock Villa?
When was Chimney Rock Villa last inspected?
What quality measures are tracked for Chimney Rock Villa?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
