Eventide Lincoln Care Center
4720 Randolph Street, Lincoln, NE 68510 · Lancaster County · 197 certified beds · avg 135 residents/day · certified since Apr 1, 1981 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 25, 2026 · F-0803 · triggered by a complaint
The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Why it matters: When menus aren't planned and followed properly, residents may not get the nutrition their health depends on.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
All citations in the current public record (27)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 25, 2026 | ▲ G · Actual harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Jun 25, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Apr 30, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 30, 2026 | F · Potential for harm, facility-wide | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Apr 30, 2026 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Apr 30, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 31, 2025 | D · Potential for harm, one-off | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. · from a complaint |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Dec 17, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 17, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Dec 17, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 17, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Dec 17, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Dec 17, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 17, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Sep 27, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 27, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 10 | 0 | F |
| 2025 | 3 | 0 | D |
| 2026 | 12 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Nebraska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.74 | 4.33 | 3.95 | top 7% in Nebraska; top 5% in the U.S. |
| Registered Nurse hours | 1.02 | 0.72 | 0.69 | top 15% in Nebraska; top 15% in the U.S. |
| Weekend total nurse staffing | 5.03 | 3.79 | 3.50 | top 7% in Nebraska; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.59 | 0.47 | 0.48 | top 25% in Nebraska; top 24% in the U.S. |
| Total nursing staff turnover (%) | 49.6 | 48.7 | 45.8 | bottom 46% in Nebraska; bottom 38% in the U.S. |
| RN turnover (%) | 48.6 | 44.1 | 42.9 | bottom 43% in Nebraska; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.11, RN 0.91, weekend 4.47. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Eventide Nebraska Senior Living LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 10/10/2024 |
| Bock, Jodee | Individual | Corporate Director | NOT APPLICABLE | 10/10/2024 |
| Brandt, Terry | Individual | Corporate Director | NOT APPLICABLE | 10/10/2024 |
| Bye, Robert | Individual | Corporate Director | NOT APPLICABLE | 10/10/2024 |
| Bye, Robert | Individual | Corporate Officer | NOT APPLICABLE | 10/10/2024 |
| Eventide | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/20/2024 |
| Feis, Bethany | Individual | ADP of the SNF | NOT APPLICABLE | 04/10/2026 |
| Fischbach, Tyler | Individual | Corporate Director | NOT APPLICABLE | 10/10/2024 |
| Guerrero, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2026 |
| Guerrero, Jessica | Individual | ADP of the SNF | NOT APPLICABLE | 04/10/2026 |
| Gulbranson, Patrick | Individual | Corporate Director | NOT APPLICABLE | 10/10/2024 |
| Johnson, Vikki | Individual | Corporate Director | NOT APPLICABLE | 10/10/2024 |
| Johnson, Vikki | Individual | Corporate Officer | NOT APPLICABLE | 10/10/2024 |
| Larson-Casselton, Cindy | Individual | Corporate Director | NOT APPLICABLE | 10/10/2024 |
| Lee, Judith | Individual | Corporate Director | NOT APPLICABLE | 10/10/2024 |
| Lunak, Brandon | Individual | Corporate Director | NOT APPLICABLE | 10/10/2024 |
| Ohe, Darin | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/20/2024 |
| Riewer, Jon | Individual | Corporate Officer | NOT APPLICABLE | 10/10/2024 |
| Schafer, Eric | Individual | Corporate Director | NOT APPLICABLE | 01/01/2013 |
| Seljevold, Peter | Individual | Corporate Director | NOT APPLICABLE | 10/10/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Gateway Vista | 0.8 mi | Lincoln, NE | ★★★☆☆ | 3/5 | |
| St. Jane de Chantal | 1.1 mi | Lincoln, NE | ★★★★☆ | 3/5 | |
| Ambassador Health of Lincoln | 1.2 mi | Lincoln, NE | ★★☆☆☆ | 2/5 | |
| Eastmont | 1.4 mi | Lincoln, NE | ★★☆☆☆ | 3/5 | |
| Holmes Lake Rehabilitation & Care Center | 1.6 mi | Lincoln, NE | ★★☆☆☆ | 3/5 | |
| Sumner Place | 2.1 mi | Lincoln, NE | ★★★★☆ | 4/5 | |
| Emerald Nursing & Rehab Brookside LLC | 2.8 mi | Lincoln, NE | ★☆☆☆☆ | 1/5 | |
| Emerald Nursing & Rehab Lancaster LLC | 2.9 mi | Lincoln, NE | ★☆☆☆☆ | 1/5 | SFF |
| Hillcrest Firethorn | 3.8 mi | Lincoln, NE | ★★★★☆ | 3/5 | |
| Eventide Williamsburg | 3.8 mi | Lincoln, NE | ★★★★★ | 4/5 | |
| Heartland Ridge Care Center | 4.0 mi | Lincoln, NE | ★★☆☆☆ | 2/5 | |
| Southlake Village Rehabilitation & Care Center | 6.1 mi | Lincoln, NE | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285057.