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Nursing homeFAID #7650

Christian Homes Health Care, Chrisoma West

1923 WEST 4TH AVENUE, HOLDREGE, NE, 68949
(308) 995-4493
86 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections2/5 staffing1/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
86
CMS facility ID
285246
Care type
Nursing home
County
Phelps
Facility name
Christian Homes Health Care, Chrisoma West
Legal entity
Christian Homes Health Care Center
Street address
1923 WEST 4TH AVENUE
City / state / ZIP
Holdrege, NE 68949
Phone
(308) 995-4493

Christian Homes Health Care, Chrisoma West is a Medicare/Medicaid-certified skilled nursing facility in Holdrege, Nebraska. It is licensed for 86 beds — above the median for skilled nursing facilities in Nebraska (64 beds).

It is one of 3 senior care facilities in Holdrege and 180 skilled nursing facilities across Nebraska. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Christian Homes Health Care, Chrisoma West 38 times across 10 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
Donald Bakke
Parent company
Midwest District of the Evangelical Free Church of America
Ownership type
Non profit - Corporation

Registered owners & officers

Midwest District of the Evangelical Free Church of America
Direct owner — 100% stake — since 1987
Anderson, Marlys
Director — since 2009
Bergstrom, Janet
Managing employee — since 2003

Regulatory standing

Licensed / certified since
2002-08-01
CMS overall rating
1 of 5 stars
Health deficiencies
10 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-03-11
Nurse staffing
3.7 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$419 per day (≈ $12,740/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
49% Medicaid · 10% Medicare · 41% private/other
Occupancy
60% (fiscal year 2024)
Vs. state median
24% above the NE median of $338/day — full state cost breakdown

Services & coverage

Licensed beds
86
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-11Health inspection10 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-04-25
F-0552
E · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-04-25
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-04-25
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-04-25
F-0655
E · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-04-25
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-04-25
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-04-25
F-0790
D · No harm found
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2026-04-25
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-25
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-25
2025-07-21Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-09-04
7 earlier / fire-safety inspections (27 citations)
2025-04-08Health inspectionComplaint-triggered2 citations
F-0802
F · No harm foundFood safetyFrom a complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-04-30
F-0844
F · No harm foundFrom a complaint
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Corrected 2025-04-30
2025-01-15Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-19
2024-12-05Health inspectionComplaint-triggered9 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-01-19
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-19
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-01-19
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-01-19
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-19
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-01-19
F-0727
C · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-01-19
F-0758
E · No harm found
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.
Corrected 2025-01-19
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-19
2024-02-01Health inspection2 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-17
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-03-17
2026-03-11Fire-safety inspection3 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-04-25
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-04-25
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-04-25
2024-12-05Fire-safety inspection2 citations
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-19
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-01-19
2024-02-01Fire-safety inspection8 citations
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-03-17
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-03-17
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-03-17
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-03-17
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-17
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-17
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-03-17
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-03-17
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 285246.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 38 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Federal NPI Registry (NPPES)
NPI 1912901505
Monthly federal file
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered