ElderGrade
C

62.2/100

Average

Christian Homes Health Care Center

1923 West 4Th Avenue, Holdrege, NE 68949

CMS 1/5 stars #3 of 3 in Phelps County (308) 995-4493
Certified beds
86
Occupancy
82%
Ownership
Non-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

27.2/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -2.8 for 25 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.04 total nurse hours per resident per day (national median 3.77)
  • 0.53 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 58% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.72 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.53 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.35 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 58.30%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 25 citations

Last standard health inspection: March 11, 2026 (5 months ago).

F Mar 11, 2026 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Mar 11, 2026 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

E Mar 11, 2026 F0552

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

E Mar 11, 2026 F0655

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 11, 2026 F0628

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 11, 2026 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Mar 11, 2026 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Mar 11, 2026 F0658

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
BERGSTROM, JANET Individual W-2 MANAGING EMPLOYEE
ANDERSON, MARLYS Individual CORPORATE DIRECTOR
MIDWEST DISTRICT OF THE EVANGELICAL FREE CHURCH OF AMERICA Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Christian Homes Health Care Center

What is the ElderGrade for Christian Homes Health Care Center? +

Christian Homes Health Care Center holds an ElderGrade of C (62.2 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Christian Homes Health Care Center? +

Residents receive an average of 3.72 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Christian Homes Health Care Center been cited for harming residents? +

No. None of the 25 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Christian Homes Health Care Center accept Medicaid? +

Yes, Christian Homes Health Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.