PlainNursing
CMS Nursing Home Compare · August 2026

Good Shepherd Lutheran Home

2242 Wright Street, Blair, NE 68008

Good Shepherd Lutheran Home, a 84-bed for profit - limited liability company nursing facility in Blair, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #156 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding 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: 4024264663

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1 / 5
Much below average · CMS overall · nat'l 3.0
#156 of 178
In-state rank among rated NE homes
3.50
Below average · nurse hrs/day · nat'l 3.86
34
Inspection findings · 1 serious

The verdict

Good Shepherd Lutheran Home, a 84-bed for profit - limited liability company nursing facility in Blair, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #156 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#156 of 178
In-state rank among rated NE homes
3.50
Nurse hrs/resident-day · national 3.86
34
Inspection findings · 1 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 For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

4/5

Facility Information

Provider Number
285148
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
84
Residents
66
In Hospital
No
County
Washington
Last Inspection
May 1, 2025

Staffing Data

How the 3.50 total nursing hours per resident-day are staffed:

RN Hours
0.51 (nat'l avg: 0.69)
LPN Hours
0.40
CNA Hours
2.58
Total Nursing Hours
3.50 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
70.3%
RN Turnover
88.9%

What the CMS Record Reveals About Good Shepherd Lutheran Home

According to CMS Nursing Home Compare, Good Shepherd Lutheran Home ranks #156 of 178 rated nursing homes in NE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Good Shepherd Lutheran Home operates 84 certified beds in Blair, NE with approximately 66 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 2★ · quality 2★).

The inspection file contains 34 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Per resident day, this facility reports 3.50 total nursing hours (national average 3.86) and 0.51 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Good Shepherd Lutheran Home falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 70.3% (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 (34 most recent)

D - Isolated - Minimal harm May 26, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

D - Isolated - Minimal harm May 26, 2026 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

D - Isolated - Minimal harm May 26, 2026 Tag: 0656

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

D - Isolated - Minimal harm May 26, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

F - Widespread - Minimal harm May 26, 2026 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

F - Widespread - Minimal harm May 26, 2026 Tag: 0812

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

F - Widespread - Minimal harm May 26, 2026 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

G - Isolated - Actual harm May 26, 2026 Tag: 0689

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

D - Isolated - Minimal harm Mar 3, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 25, 2026

D - Isolated - Minimal harm Mar 3, 2026 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 25, 2026

D - Isolated - Minimal harm Mar 3, 2026 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Mar 25, 2026

D - Isolated - Minimal harm May 1, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 22, 2025

D - Isolated - Minimal harm May 1, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: May 22, 2025

D - Isolated - Minimal harm May 1, 2025 Tag: 0657

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: May 22, 2025

D - Isolated - Minimal harm May 1, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: May 22, 2025

D - Isolated - Minimal harm May 1, 2025 Tag: 0609

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: May 22, 2025

D - Isolated - Minimal harm May 1, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 22, 2025

D - Isolated - Minimal harm May 1, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: May 22, 2025

E - Pattern - Minimal harm May 1, 2025 Tag: 0923

Have enough outside ventilation via a window or mechanical ventilation, or both.

Category: Environmental Deficiencies

Corrected: May 22, 2025

F - Widespread - Minimal harm May 1, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: May 22, 2025

F - Widespread - Minimal harm May 1, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 22, 2025

F - Widespread - Minimal harm May 1, 2025 Tag: 0812

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: May 22, 2025

D - Isolated - Minimal harm Apr 23, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 15, 2024

F - Widespread - Minimal harm Apr 23, 2024 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: May 15, 2024

D - Isolated - Minimal harm Apr 4, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Apr 11, 2024

D - Isolated - Minimal harm May 3, 2023 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Jun 16, 2023

D - Isolated - Minimal harm May 3, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 16, 2023

D - Isolated - Minimal harm May 3, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Jun 16, 2023

D - Isolated - Minimal harm May 3, 2023 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jun 16, 2023

D - Isolated - Minimal harm May 3, 2023 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2023

D - Isolated - Minimal harm May 3, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jun 16, 2023

D - Isolated - Minimal harm May 3, 2023 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Jun 16, 2023

E - Pattern - Minimal harm May 3, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2023

E - Pattern - Minimal harm May 3, 2023 Tag: 0606

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 16, 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 7.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 4.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 7.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 6.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 92.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 80.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 47.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Good Shepherd Lutheran Home, both outside NE so the neighborhoods are not the same-state geography list below.

What the CMS records show for Good Shepherd Lutheran Home

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 84 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 Good Shepherd Lutheran Home?
Good Shepherd Lutheran Home has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (2★).
Where does Good Shepherd Lutheran Home rank among nursing homes in NE?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Good Shepherd Lutheran Home ranks 156th among 178 rated nursing homes in NE (#156 of 178). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Good Shepherd Lutheran Home?
Good Shepherd Lutheran Home reports 3.50 total nursing hours per resident day (national average: 3.86). RN hours are 0.51 per resident day (national average: 0.69). Nursing staff turnover is 70.3%.
How many beds does Good Shepherd Lutheran Home have?
Good Shepherd Lutheran Home has 84 certified beds with approximately 66 residents. The facility is located at 2242 Wright Street, Blair, NE 68008.
Does Good Shepherd Lutheran Home have any deficiencies on record?
Yes, Good Shepherd Lutheran Home has 34 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Good Shepherd Lutheran Home received any fines or penalties?
No, Good Shepherd Lutheran Home has no fines or penalties on record.
Who owns Good Shepherd Lutheran Home?
Good Shepherd Lutheran Home is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Good Shepherd Lutheran Home last inspected?
The most recent health inspection for Good Shepherd Lutheran Home was on May 1, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Good Shepherd Lutheran Home?
Good Shepherd Lutheran Home is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
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.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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