Nursing home
Christian Homes Health Care Center
1923 West 4Th Avenue, Holdrege, NE 68949 · Map
Non profit - Corporation · 86 certified beds
Christian Homes Health Care Center is a Medicare-certified nursing home in Holdrege, Nebraska. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.82 hours per resident per day, below the Nebraska average of 4.17. Its most recent inspection on Dec 5, 2024 cited 12 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Christian Homes Health Care Center compares
This facility vs. the Nebraska and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Nebraska avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.82 | 4.17 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.64 | 0.71 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.48 | 2.76 | 2.34 | below avg |
| Nursing staff turnover | 61.7% | 49.3% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 6.7 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Christian Homes Health Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 21, 2025 · Full report (PDF) - Potential for harm
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Administration Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 15, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Dec 5, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Dec 5, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1923 West 4Th Avenue
Holdrege, NE 68949 - CMS certification #
- 285246
- Ownership
- Non profit - Corporation
- Certified beds
- 86
- Avg residents/day
- 70.0
- Provider type
- Medicare and Medicaid
- First certified
- 2002-08-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Christian Homes Health Care Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day, works with hospice, 3 meals a day
- Staff pay 1 federal wage case with violations found, since 2003
Full public records, with dates and sources
Care and services
From the community’s website
What Christian Homes Health Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24-hour nursing care and supportive services with Activities of Daily Living.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
In conjunction with area hospice programs, we provide supportive care to individuals who have special needs during the final stages of terminal illness
(page, checked Oct 12, 2026) - 3 meals a day.
CHCC offers nursing care with 24-hour supervision, three meals a day, and assistance with everyday activities following our mission of Neighbors Caring for Neighbors
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Oct 25, 2003 to Oct 24, 2005. Violations found: Child labor. Employer as DOL recorded it: Christian Homes (Christian Homes, Inc.). Case 1422956.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Phelps Memorial Health Center, Holdrege. 1.5 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Holdrege Memorial Homes, Inc, Holdrege. 2.5 miles away, straight line.
- Nearest home health agency office
- Brookestone Home Health & Hospice, Kearney. 25.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pamida Pharmacy. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 68949 as small town (small town core).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 68949.
- Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 176.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire very low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Christian Homes Health Care Center a good nursing home?
CMS gives Christian Homes Health Care Center an overall rating of 1 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Christian Homes Health Care Center staffed?
Christian Homes Health Care Center reports 3.82 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Christian Homes Health Care Center had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Christian Homes Health Care Center have?
Christian Homes Health Care Center is certified for 86 beds.