Nursing homeActive

Blue Valley Lutheran Nursing Home

220 Park Avenue, Hebron, NE 68370402768390064 certified beds · 28 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
10
0100
Penalties · 3 yrs
none on file
Last survey
2025-07-10
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 5
Staffing 1
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Nebraska DHHS · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-07-10Standard000CMS-2567 (Care Compare)
2024-10-08Complaint010CMS-2567 (Care Compare)
2024-06-27Standard020CMS-2567 (Care Compare)
2023-05-25Standard070CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Nebraska DHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2024-10-08Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-17Record 285259-20241008-F684
2024-06-27Standard survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 285259-20240627-F684
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 285259-20240627-F880
2023-05-25Standard survey · 7 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285259-20230525-F550
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285259-20230525-F584
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285259-20230525-F655
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285259-20230525-F677
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285259-20230525-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285259-20230525-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285259-20230525-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
Total nursing staff turnover40%
Facility
Nebraska
National
Nebraska 49% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNebraskaNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.3%4.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
8.7%4.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
37.3%20.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.5%2.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
12.2%0.3%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
38.3%19.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.5%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
15.4%19.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Chos, Doug
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Chos, Doug
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Chos, Doug
Individual
CORPORATE OFFICERNOT APPLICABLE
Wittler, Lori
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Nebraska.

No county cost figures on file for Thayer.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Parkview Haven Nursing Home
Deshler
7.1 mi2025-05-22151
Belleville Healthcare And Rehabilitation Center
Belleville
23.9 mi2025-09-160212
Heritage Crossings
Geneva
25.6 mi2026-04-01030
Jefferson Community Health & Life Gardenside
Fairbury
22.0 mi2026-04-08050
Heritage Care Center
Fairbury
22.1 mi2025-08-05090
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01