Nursing home
Kimball County Manor
810 East 7Th Street, Kimball, NE 69145 · Map
Government - County · 49 certified beds
Kimball County Manor is a Medicare-certified nursing home in Kimball, Nebraska. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.73 hours per resident per day, below the Nebraska average of 4.17. Its most recent inspection on Apr 21, 2025 cited 12 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 1 fine totaling $27,606In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Kimball County Manor 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) | 3.73 | 4.17 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.43 | 0.71 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.83 | 2.76 | 2.34 | above avg |
| Nursing staff turnover | 60.0% | 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.
Penalties in CMS records: 1 fine totaling $27,606, 1 total penalty.
What inspectors found at Kimball County Manor
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 27, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 21, 2025 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Apr 21, 2025 · Full report (PDF) - Potential for harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Apr 21, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 21, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Apr 21, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 21, 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 · Apr 21, 2025 · Full report (PDF) - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Apr 21, 2025 · Full report (PDF) - Potential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Apr 21, 2025 · 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 · Apr 21, 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 · Apr 21, 2025 · 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
- 810 East 7Th Street
Kimball, NE 69145 - CMS certification #
- 285256
- Ownership
- Government - County
- Certified beds
- 49
- Avg residents/day
- 39.5
- Provider type
- Medicare and Medicaid
- First certified
- 2004-07-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Kimball County Manor using Google Maps.
Other public records
- Website says Nurse 24 hours a day, works with hospice, transportation, 3 meals a day
- Staff pay 1 federal wage case with violations found, since 2002
Full public records, with dates and sources
Care and services
From the community’s website
What Kimball County Manor 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
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Services
(page, checked Oct 15, 2026) - Provides transportation.
Transportation
(page, checked Oct 15, 2026) - 3 meals a day.
Dining services – 3 meals daily with alternative Entrees.
(page, checked Oct 15, 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 Dec 15, 2002 to Dec 14, 2004. Violations found: Overtime. Back wages: $38,091 owed to 90 employees. Employer as DOL recorded it: Kimball County Manor. Case 1384375.
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
- Kimball Health Services, Kimball. 0.8 miles away, straight line.
- Nearest Medicare nursing home
- SRMC Long Term Care, LLC dba Pole Creek Estates, Sidney. 37.0 miles away, straight line.
- Nearest home health agency office
- Brookestone Home Health & Hospice, Gering. 40.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Safeway. 34.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 69145 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 69145.
- Nearest geriatric medicine practice
- Ivinson Memorial Hospital, Laramie. 99.2 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
- Area not mapped by FEMA. (FEMA flood map)
- Wildfire risk to homes
- In Kimball, NE, risk to homes is greater than 71% of communities in Nebraska and 71% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado relatively high, heat wave very low, earthquake relatively 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 | See above |
| 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 Kimball County Manor a good nursing home?
CMS gives Kimball County Manor an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Kimball County Manor staffed?
Kimball County Manor reports 3.73 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Kimball County Manor had inspection problems?
Its most recent CMS inspection cited 12 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Kimball County Manor have?
Kimball County Manor is certified for 49 beds.