PlainNursing
CMS Nursing Home Compare · August 2026

Indian Hills Manor

1720 North Spruce, Ogallala, NE 69153

Indian Hills Manor, a 82-bed for profit - limited liability company nursing facility in Ogallala, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #167 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: 3082844068

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1 / 5
Much below average · CMS overall · nat'l 3.0
#167 of 178
In-state rank among rated NE homes
2.56
Well below average · nurse hrs/day · nat'l 3.86
35
Inspection findings · 1 serious

The verdict

Indian Hills Manor, a 82-bed for profit - limited liability company nursing facility in Ogallala, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #167 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
#167 of 178
In-state rank among rated NE homes
2.56
Nurse hrs/resident-day · national 3.86
35
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

2/5

Staffing

1/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
285091
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
82
Residents
37
In Hospital
No
County
Keith
Last Inspection
May 21, 2026

Staffing Data

How the 2.56 total nursing hours per resident-day are staffed:

RN Hours
0.50 (nat'l avg: 0.69)
LPN Hours
0.36
CNA Hours
1.71
Total Nursing Hours
2.56 (nat'l avg: 3.86)
PT Hours
0.09
Nursing Turnover
55.6%
RN Turnover
50.0%

What the CMS Record Reveals About Indian Hills Manor

According to CMS Nursing Home Compare, Indian Hills Manor ranks #167 of 178 rated nursing homes in NE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Indian Hills Manor operates 82 certified beds in Ogallala, NE with approximately 37 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 1★ · quality 1★).

The inspection file contains 35 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 2.56 total hours per resident day (national average 3.86); RN hours specifically are 0.50 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Indian Hills Manor falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 55.6% (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 (35 most recent)

D - Isolated - Minimal harm May 21, 2026 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Jun 26, 2026

D - Isolated - Minimal harm May 21, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 26, 2026

D - Isolated - Minimal harm May 21, 2026 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2026

D - Isolated - Minimal harm May 21, 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

Corrected: Jun 26, 2026

D - Isolated - Minimal harm May 21, 2026 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: Jun 26, 2026

E - Pattern - Minimal harm May 21, 2026 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Jun 26, 2026

E - Pattern - Minimal harm May 21, 2026 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jun 26, 2026

E - Pattern - Minimal harm May 21, 2026 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jun 26, 2026

F - Widespread - Minimal harm May 21, 2026 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 26, 2026

F - Widespread - Minimal harm May 21, 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

Corrected: Jun 26, 2026

D - Isolated - Minimal harm Mar 11, 2026 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: Mar 27, 2026

D - Isolated - Minimal harm Mar 4, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2025

D - Isolated - Minimal harm Mar 4, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2025

E - Pattern - Minimal harm Mar 4, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2025

E - Pattern - Minimal harm Mar 4, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2025

E - Pattern - Minimal harm Mar 4, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Mar 11, 2025

F - Widespread - Minimal harm Mar 4, 2025 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 11, 2025

F - Widespread - Minimal harm Mar 4, 2025 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Mar 11, 2025

F - Widespread - Minimal harm Mar 4, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 11, 2025

F - Widespread - Minimal harm Mar 4, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 11, 2025

D - Isolated - Minimal harm Apr 15, 2024 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: May 15, 2024

D - Isolated - Minimal harm Apr 15, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: May 15, 2024

D - Isolated - Minimal harm Apr 15, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: May 15, 2024

D - Isolated - Minimal harm Apr 15, 2024 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 15, 2024

D - Isolated - Minimal harm Apr 15, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 15, 2024

D - Isolated - Minimal harm Apr 15, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: May 15, 2024

E - Pattern - Minimal harm Apr 15, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: May 15, 2024

E - Pattern - Minimal harm Apr 15, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: May 15, 2024

F - Widespread - Minimal harm Apr 15, 2024 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: May 15, 2024

F - Widespread - Minimal harm Apr 15, 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 15, 2024 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: May 15, 2024

F - Widespread - Minimal harm Apr 15, 2024 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 15, 2024

F - Widespread - Minimal harm Apr 15, 2024 Tag: 0801

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 15, 2024

F - Widespread - Minimal harm Apr 15, 2024 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: May 15, 2024

H - Pattern - Actual harm Apr 15, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: May 15, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 39.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 30.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 18.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 40.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 6.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 16.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.6% 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 50.8% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.1% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 26.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 39.3% No

Penalty History

Date Type Amount
Apr 15, 2024 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Indian Hills Manor, both outside NE so the neighborhoods are not the same-state geography list below.

What the CMS records show for Indian Hills Manor

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 82 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 Indian Hills Manor?
Indian Hills Manor has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (1★).
Where does Indian Hills Manor rank among nursing homes in NE?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Indian Hills Manor ranks 167th among 178 rated nursing homes in NE (#167 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 Indian Hills Manor?
Indian Hills Manor reports 2.56 total nursing hours per resident day (national average: 3.86). RN hours are 0.50 per resident day (national average: 0.69). Nursing staff turnover is 55.6%.
How many beds does Indian Hills Manor have?
Indian Hills Manor has 82 certified beds with approximately 37 residents. The facility is located at 1720 North Spruce, Ogallala, NE 69153.
Does Indian Hills Manor have any deficiencies on record?
Yes, Indian Hills Manor has 35 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Indian Hills Manor received any fines or penalties?
No, Indian Hills Manor has no fines or penalties on record.
Who owns Indian Hills Manor?
Indian Hills Manor is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Indian Hills Manor last inspected?
The most recent health inspection for Indian Hills Manor was on May 21, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Indian Hills Manor?
Indian Hills Manor 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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