D65

Holmes Lake Rehabilitation & Care Center

Grade D 65/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
3/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

97

Ownership

For profit - Corporation

Total Fines

$3,174

Last Survey

N/A

6101 Normal Blvd, Lincoln, NE 68506
4024897175

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.28h
LPN
0.59h
CNA
2.44h
Total
3.31h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

HOLMES LAKE OPCO HOLDINGS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2024

100%

CHAFETZ, YISROEL

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2024

99%

CHAFETZ, YISROEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2024

MOSS, JACQUE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2024

SATTAR, ARIF

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2024

VNB NEW YORK LLC

Organization5% OR GREATER SECURITY INTERESTSince Aug 2024

Penalties & Fines (1)

$3,174total fines
DateTypeDescriptionAmount
May 15, 2023Fine$3,174

Health Inspection Deficiencies (32)

June 10, 2025Health3 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 18, 2025
0675EMinimal harm, Pattern

Honor each resident's preferences, choices, values and beliefs.

Quality of Life and Care Deficiencies

Corrected Jul 18, 2025
0844FMinimal harm, Widespread

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Administration Deficiencies

Corrected Jul 18, 2025
January 13, 2025Health3 deficiencies
0657DMinimal harm, Isolated

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

Corrected Feb 24, 2025
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Feb 24, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 24, 2025
October 21, 2024Health1 deficiency
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 20, 2024
October 8, 2024Health7 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Nov 20, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Nov 20, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Nov 20, 2024
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 20, 2024
0947FMinimal harm, Widespread

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

Corrected Nov 20, 2024
0684EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Nov 20, 2024
0758DMinimal harm, Isolated

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

Corrected Nov 20, 2024
March 13, 2024Health1 deficiency
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 20, 2024
November 30, 2023Health6 deficiencies
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jan 10, 2024
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jan 10, 2024
0732FMinimal harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jan 10, 2024
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 10, 2024
0947FMinimal harm, Widespread

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

Corrected Jan 10, 2024
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 10, 2024
September 6, 2023Health1 deficiency
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Oct 10, 2023
November 8, 2022Health10 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Dec 31, 2022
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Dec 31, 2022
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 31, 2022
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 31, 2022
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Dec 31, 2022
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Dec 31, 2022
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Dec 31, 2022
0803FMinimal harm, Widespread

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Dec 31, 2022
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Dec 31, 2022
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 31, 2022

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Frequently Asked Questions

What is the CareGrader rating for Holmes Lake Rehabilitation & Care Center?

Holmes Lake Rehabilitation & Care Center in Lincoln, Nebraska has a CareGrader grade of D (Below Average), with a composite score of 65.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Holmes Lake Rehabilitation & Care Center?

Holmes Lake Rehabilitation & Care Center has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Holmes Lake Rehabilitation & Care Center have?

Holmes Lake Rehabilitation & Care Center has 32 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Holmes Lake Rehabilitation & Care Center been fined?

Yes. Holmes Lake Rehabilitation & Care Center has $3,174 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Holmes Lake Rehabilitation & Care Center have?

Holmes Lake Rehabilitation & Care Center has 97 certified beds with approximately 54 current residents (56% occupancy). The facility is located at 6101 Normal Blvd, Lincoln, Nebraska 68506. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.