What is Blue Valley Lutheran Nursing Home's Medicare star rating?

CMS rates Blue Valley Lutheran Nursing Home 4 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Blue Valley Lutheran Nursing Home get at its last inspection?

0 health deficiencies at the standard inspection on July 10, 2025. The Nebraska average is 7.4.

Has Blue Valley Lutheran Nursing Home been fined?

CMS lists no fines in the last three years.

Does Blue Valley Lutheran Nursing Home accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Blue Valley Lutheran Nursing Home?

CMS lists 4 owners and managers. Legal business name: BLUE VALLEY LUTHERAN HOMES SOCIETY, INC.

Blue Valley Lutheran Nursing Home: Inspections & Ratings

The record in brief

At its most recent standard inspection, on July 10, 2025, inspectors cited 0 health deficiencies (the Nebraska average is 7.4, the national average 9.2).

None of its 10 health citations since May 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.99 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.

40.0% of nursing staff left within the year CMS measured (Nebraska average 48.7%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

705/23

206/24

110/24

007/25

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

July 10, 2025Standard inspection · 0 citations

October 8, 2024Complaint inspection · 1 citation

D

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 17, 2024

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 Based on record review and interview, the facility failed to ensure that neurological checks (a series of physical tests that assess the nervous system to monitor for brain injury after a fall) were completed to monitor 1 of 3 residents reviewed (Resident 2) after an unwitnessed fall. This had the potential for resident change in condition to not be identified. The facility census was 32.

June 27, 2024Standard inspection · 2 citations

D

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2024

Inspectors wroteLicensure Reference NUmber 175 NAC 12-006.09D3 Based on Interview and record review the facility failed to ensure the facility bowel management program was followed for 1 (Resident 30) of 1 sampled residents. This affected 1 resident (Resident 30). The facility census was 31.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2024

Inspectors wroteLicensure Reference Number 175NAC 1-005.06(A) Licensure Reference Number 175NAC 1-005.06(D) Licensure Reference Number 175NAC 1-005.06(F) Based on record review and interview the facility failed to ensure that the policy for infection control was reviewed and updated annually. This had the potential for the policy to not include current and up to date recommendations for infection control. This had the potential to affect all facility residents. The facility failed to complete catheter and wound cares cares for Resident 26 in a manner to prevent cross contamination. The facility census was 31.

May 25, 2023Standard inspection · 7 citations

F

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.

F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 30, 2023

Inspectors wroteLicensure Reference Number 175NAC 12-006.04D2 Based on record review and interview the facility failed to ensure that it had a Dietary Manager (DM) that held the required credentials for the position. This affected 29 residents that received meals from the facility kitchen. The facility census was 31.
E

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.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2023

Inspectors wroteLicensure Reference Number 175NAC 12-006.18B Based on observation, record review, and interview the facility failed to ensure that it maintained the cleanliness of facility lighting fixtures. This affected 24 residents that resided on the 200 hallway. The facility census was 31.
E

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

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2023

Inspectors wroteB. Record review of the facility Resident Rights dated 2016 revealed the section titled Planning and Implementing Care. The policy revealed that the resident has the right to be informed of and participate in his or her treatment, including the right to be fully informed in a language that he or she can understand of his or her total health status, including but not limited to his or her medical condition. The resident has the right to participate in the development and implementation of his or her person-centered plan of care. The resident has the right to participate in the planning process, including the right to identify individuals or roles to be included in the planning process, the right to request meetings, and the right to request revisions to the person-centered plan of care. [...]
E

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2023

Inspectors wroteLicensure Reference Number 175NAC 12-006.11E Based on observation, record review, and interview; the facility failed to ensure that staff did not handle foods with the bare hands to prevent the potential for cross contamination and foodborne illness. This affected 14 residents (Residents 8, 19, 13, 23, 17, 28, 20, 12, 30, 14, 24, 2, 4, and 10). The facility census was 31.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2023

Inspectors wroteLicensure Reference Number 175NAC 12-006.17D Licensure Reference Number 175NAC 12-006.17 Based on observation, record review, and interview; the facility staff failed to perform hand hygiene (hand washing using soap and water or an alcohol-based hand rub (ABHR) to remove germs for reducing the risk of transmitting infection and food-borne illness among patients and health care personnel) during dining which affected 6 of 6 residents who were served food on the east unit, (Residents 10, 2, 24, 30, 4, 14); and the facility failed to maintain urinary catheters (a flexible plastic hollow tube inserted into the bladder to continuously drain urine into a drainage collection bag) to prevent the potential for cross contamination for 1 of 1 sampled residents (Resident 27). The facility census was 31.
D

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

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2023

Inspectors wroteLicensure Reference Number 175NAC 12-006.05(21) Based on observation, record review, and interview the facility failed to ensure that staff served meals in a manner to maintain resident dignity for 1 resident (Resident 8). The facility census was 31.
D

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

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2023

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D1c Based on observations, interviews, and record review; the facility failed to ensure 1 (Resident 5) of 2 sampled residents was assisted with ADLs (Activities of Daily Living-dressing, grooming, toileting, bathing) and had the means to obtain assistance if needed. The facility identified a census of 31.

Fire safety inspections

27 fire safety citations on file: 19 on July 10, 2025, 5 on June 27, 2024, 3 on May 25, 2023.

Every fire safety citation27 citations

F
Implement emergency and standby power systems.

E 41 · July 10, 2025 · Corrected (the home has a date of correction)
F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · July 10, 2025 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · July 10, 2025 · Corrected (the home has a date of correction)
F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · July 10, 2025 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · July 10, 2025 · Corrected (the home has a date of correction)
F
Construct fire resistant interior walls.

K 331 · July 10, 2025 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · July 10, 2025 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · July 10, 2025 · Corrected (the home has a date of correction)
F
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · July 10, 2025 · Corrected (the home has a date of correction)
F
Meet other general requirements that are deficient.

K 500 · July 10, 2025 · Corrected (the home has a date of correction)
F
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

K 700 · July 10, 2025 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · July 10, 2025 · Corrected (the home has a date of correction)
F
Meet Health Care Facilities Code mechanical requirements.

K 900 · July 10, 2025 · Corrected (the home has a date of correction)
F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

K 901 · July 10, 2025 · Corrected (the home has a date of correction)
F
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · July 10, 2025 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · July 10, 2025 · Corrected (the home has a date of correction)
F
Meet requirements for the use of electrical equipment.

K 919 · July 10, 2025 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · July 10, 2025 · Corrected (the home has a date of correction)
F
Meet requirements for the use and maintenance of medical gas equipment.

K 922 · July 10, 2025 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · June 27, 2024 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · June 27, 2024 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · June 27, 2024 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · June 27, 2024 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · June 27, 2024 · Corrected (the home has a date of correction)
F
Have properly located and lighted "Exit" signs.

K 293 · May 25, 2023 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · May 25, 2023 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · May 25, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Nebraska	United States
All nursing staff (RN, LPN and aides)	3.99	3.98	3.86
Registered nurses	0.66	0.67	0.69
All nursing staff on weekends	3.24	3.48	3.42
Nurse aides	2.39
Licensed practical nurses	0.95
Nursing staff turnover (share who left in a year)	40.0%	48.7%	45.8%
Registered nurse turnover	not reported	44.1%	42.9%
Administrators who left	not reported

CMS expects 3.33 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.30 on weekdays and 3.24 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 25.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 3.99 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.99	0.66	4.30	3.24	25.7%	0 of 90	28
Oct to Dec 2025	3.80	0.61	4.08	3.08	21.4%	0 of 92	29
Jul to Sep 2025	3.99	0.67	4.36	3.04	14.4%	0 of 92	29
Apr to Jun 2025	3.99	0.69	4.35	3.08	15.6%	0 of 91	29
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Nebraska, Jan to Mar 2026	4.01	0.66	4.21	3.53	7.1%	1.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Nebraska	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	38.3	19.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	2.7	1.4	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	3.5	2.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	8.7	4.5	3.2
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	22.5	18.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.3	4.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	37.3	20.7	15.4
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.9	1.8	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.6	1.9	1.8

Owners and operators

Legal business name: BLUE VALLEY LUTHERAN HOMES SOCIETY, INC.

Name	Role	Type	Since
Chos, Doug	W-2 managing employee	Individual	09/01/2021
Wittler, Lori	W-2 managing employee	Individual	12/08/2008
Chos, Doug	Corporate officer	Individual	09/01/2021
Chos, Doug	Operational/managerial control	Individual	09/01/2021

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on October 8, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 27, 2024: "Provide and implement an infection prevention and control program."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 25, 2023: "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."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 25, 2023: "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."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the Nebraska average of 3.48.

Other nursing homes nearby

Parkview Haven Nursing Home
Deshler, 7.1 mi · 3 of 5 stars · 9 citations
Jefferson Community Health & Life Gardenside
Fairbury, 22 mi · 4 of 5 stars · 5 citations
Heritage Care Center
Fairbury, 22.1 mi · 3 of 5 stars · 11 citations
Belleville Healthcare and Rehabilitation Center
Belleville, 23.9 mi · 2 of 5 stars · 29 citations

Nebraska contacts for a concern about a nursing home

These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Nebraska Department of Health and Human Services, Licensure Unit, Long Term Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Nebraska Long-Term Care Ombudsman Program, (800) 942-7830. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is Blue Valley Lutheran Nursing Home's Medicare star rating?: CMS rates Blue Valley Lutheran Nursing Home 4 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Blue Valley Lutheran Nursing Home get at its last inspection?: 0 health deficiencies at the standard inspection on July 10, 2025. The Nebraska average is 7.4.
Has Blue Valley Lutheran Nursing Home been fined?: CMS lists no fines in the last three years.
Does Blue Valley Lutheran Nursing Home accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Blue Valley Lutheran Nursing Home?: CMS lists 4 owners and managers. Legal business name: BLUE VALLEY LUTHERAN HOMES SOCIETY, INC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.