Public Record
Holmes Lake Rehabilitation & Care Center
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 97
- Avg. residents per day
- 52.5
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 32
- Fire safety findings
- 39
- Inspections on file
- 11
- Last inspection
- 2025-06-10
*CMS
*CMS
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*CMS
Citations
32 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0844Generalpotential for harm
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
- 0675Generalpotential for harm
Honor each resident's preferences, choices, values and beliefs.
- 0657Generalpotential 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.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0758Generalpotential 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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0947Generalpotential 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.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0732Generalpotential for harm
Post nurse staffing information every day.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0947Generalpotential 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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0803Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection3 deficiencies
- View inspection reportInspection3 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety13 deficiencies
- View inspection reportInspection7 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection6 deficiencies
- View inspection reportInspectionFire Safety12 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection10 deficiencies
Showing the 10 most recent inspections. 1 earlier inspection is also on record.
FAQ
Questions and answers
- What is Holmes Lake Rehabilitation & Care Center?
- Holmes Lake Rehabilitation & Care Center is a Medicare- and Medicaid-certified nursing home in Lincoln, NE, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 285164.
- What is the CMS rating for Holmes Lake Rehabilitation & Care Center?
- Holmes Lake Rehabilitation & Care Center has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Holmes Lake Rehabilitation & Care Center have?
- Holmes Lake Rehabilitation & Care Center is certified for 97 beds. It serves an average of 52.5 residents per day.
- How many citations does Holmes Lake Rehabilitation & Care Center have?
- Holmes Lake Rehabilitation & Care Center has 32 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Holmes Lake Rehabilitation & Care Center last inspected?
- Holmes Lake Rehabilitation & Care Center was last inspected on June 10, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/285164-holmes-lake-rehabilitation-care-center