Holmes Lake Rehabilitation & Care Center
Holmes Lake Rehabilitation & Care Center is a 1-star rated nursing home in Lincoln, NE with 97 beds. CMS sub-ratings: health inspections 1/5, staffing 1/5, quality measures 2/5.
The facility has 49 health violations on record. Federal fines total $71,271 across 5 enforcement actions. Most recent inspection: January 13, 2025.
Staff turnover rate: 92.8% — significantly above the national average.
Data synthesized from CMS.gov and Nebraska public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
Inspection History Overview
Data current as of May 6, 2026 · Source: CMS Provider Data
Detailed Inspection Reports
No detailed inspection reports available yet. Check back soon as we're processing new reports daily.
Fines and Penalties by Year
2022 1 penalties totaling $20,000
Fine
2021 2 penalties totaling $40,562
Fine
Fine
2020 1 penalties totaling $10,709
Fine
2019 1 penalties totaling $0
Payment Denial
Health Violations by Year
2025 3 violations
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
2024 1 violations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023 7 violations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe and appropriate respiratory care for a resident when needed.
Post nurse staffing information every day.
Provide and implement an infection prevention and control program.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022 10 violations
Allow residents to self-administer drugs if determined clinically appropriate.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
2021 10 violations
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Keep residents' personal and medical records private and confidential.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Provide and implement an infection prevention and control program.
2020 3 violations
Provide and implement an infection prevention and control program.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Provide and implement an infection prevention and control program.
2019 12 violations
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Observe each nurse aide's job performance and give regular training.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2018 2 violations
Honor 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.
Provide and implement an infection prevention and control program.
2017 1 violations
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Frequently Asked Questions About Holmes Lake Rehabilitation & Care Center
- What violations has Holmes Lake Rehabilitation & Care Center received?
- Holmes Lake Rehabilitation & Care Center has 49 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
- What is the quality rating of Holmes Lake Rehabilitation & Care Center?
- Holmes Lake Rehabilitation & Care Center has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
- When was Holmes Lake Rehabilitation & Care Center last inspected?
- Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
- Is Holmes Lake Rehabilitation & Care Center safe?
- Safety at Holmes Lake Rehabilitation & Care Center should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
- How do I contact Holmes Lake Rehabilitation & Care Center?
- Phone: (402) 489-7175. Address: 6101 Normal Blvd, Lincoln, NE. For visiting hours and admission information, call the facility directly.
- What services does Holmes Lake Rehabilitation & Care Center offer?
- Holmes Lake Rehabilitation & Care Center is a skilled nursing facility with 97 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
- What are better facilities near Lincoln, NE?
- Compare Holmes Lake Rehabilitation & Care Center with other nursing homes in Lincoln, NE on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.
Compare Nursing Homes in Lincoln, NE
| Facility | Rating | Violations | Beds |
|---|---|---|---|
| Holmes Lake Rehabilitation & Care Center (this facility) | ★☆☆☆☆ | 49 | 97 |
| Southlake Village Rehabilitation & Care Center | ★★★★★ | 33 | 126 |
| St. Jane De Chantal | ★★★★★ | 18 | 103 |
| Sumner Place | ★★★★★ | 17 | 104 |
| Tabitha At The Landing | ★★★★★ | 21 | 50 |
| Hillcrest Firethorn | ★★★★☆ | 52 | 72 |
| Ambassador Health Of Lincoln | ★★★☆☆ | 32 | 122 |
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.
This page is maintained by NursingHomeNews.org and is not affiliated with Holmes Lake Rehabilitation & Care Center.