Lilisity

Nursing home

Christian Homes Health Care Center

1923 West 4Th Avenue, Holdrege, NE 68949 · Map
Non profit - Corporation · 86 certified beds

Medicare and Medicaid certified
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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.

1 out of 5Overall CMS rating
2 out of 5Health inspections
3 out of 5Staffing
86 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections2/5
Staffing3/5
Quality measures1/5
Long-stay quality2/5
Short-stay quality1/5

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.

MetricThis facilityNebraska avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.824.173.89below avg
RN staffing (hrs/resident/day)0.640.710.68below avg
Aide staffing (hrs/resident/day)2.482.762.34below avg
Nursing staff turnover61.7%49.3%46.4%above avg
Deficiencies cited, last inspection12.06.79.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.82Total nurse hrs/resident/day
0.64RN hrs/resident/day
0.70LPN hrs/resident/day
2.48Aide hrs/resident/day
3.42Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff61.7%
Registered nurses66.7%
Administrator changes—

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Dec 5, 2024Most recent inspection
12Deficiencies found
72Health inspection score
0Fines

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 →

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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.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026See above
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee 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.