Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Blue Valley Lutheran Nursing Home

Hebron, NE · 64 certified beds · Last Life Safety survey July 10, 2025

CMS Certification Number 285259 · first certified July 2004

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

No change of ownership on CMS record since January 1, 2016, when the records begin.

27
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within NE

27 citations — more than 86% of the 180 certified nursing homes in NE. Compared within NE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 19 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (July 2026 to September 2026). Most NE facilities have been surveyed by October 2026. This facility’s last Life Safety survey was July 2025. Facilities in NE are typically surveyed 12–14 months after the last one (median 13), measured over 271 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 27 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 27 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in NE, and nationally. Surveyors differ markedly between states, so the NE figure is the meaningful one.

This facility27NE median15National median11
Citations on file over three years, compared
MeasureCitations
This facility27
Median facility in NE15
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0552024-06192025-07
Citations at each Life Safety survey
Survey dateCitations
May 25, 20233
June 27, 20245
July 10, 202519

Most-cited tags

Most-cited tags at this facility
K-03533K-03242K-05001K-03311K-02221K-09191K-09221K-03451
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-07-10
K-0324Provide properly protected cooking facilities.22025-07-10
K-0500Meet other general requirements that are deficient.12025-07-10
K-0331Construct fire resistant interior walls.12025-07-10
K-0222Add 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.12025-07-10
K-0919Meet requirements for the use of electrical equipment.12025-07-10
K-0922Meet requirements for the use and maintenance of medical gas equipment.12025-07-10
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-07-10

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Miscellaneous Deficiencies 4
  • Egress Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies6
Miscellaneous Deficiencies4
Egress Deficiencies3
Emergency Preparedness Deficiencies2
Services Deficiencies1
Electrical Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 10, 2025 — 19 citations

Citations issued on July 10, 2025
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 26, 2025)
K-0222Add 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.Deficient, Provider has date of correction (August 26, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 26, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (August 26, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 26, 2025)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (August 26, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 26, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 26, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 26, 2025)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (August 26, 2025)
K-0700Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.Deficient, Provider has date of correction (August 26, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 26, 2025)
K-0900Meet Health Care Facilities Code mechanical requirements.Deficient, Provider has date of correction (August 26, 2025)
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.Deficient, Provider has date of correction (August 26, 2025)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (August 26, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 26, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (August 26, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 26, 2025)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (August 26, 2025)

June 27, 2024 — 5 citations

Citations issued on June 27, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 9, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 31, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 31, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 31, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 31, 2024)

May 25, 2023 — 3 citations

Citations issued on May 25, 2023
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 12, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 12, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 12, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.