Holmes Lake Rehabilitation & Care Center

Name: Holmes Lake Rehabilitation & Care Center
Address: 6101 Normal Blvd, Lincoln, NE, 68506, US
Telephone: 4024897175

6101 Normal Blvd, Lincoln, NE 68506 · Lancaster County · 97 certified beds · avg 56 residents/day · certified since Aug 1, 1995

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.24

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

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.

All citations in the current public record (24)

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
Apr 9, 2026	E · Potential for harm, repeated	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 9, 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.
Jun 10, 2025	F · Potential for harm, facility-wide	The facility did not follow the rules about disclosing who owns it, or did not tell the state agency about changes in ownership or key administrative staff. · from a complaint
Jun 10, 2025	E · Potential for harm, repeated	The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. · from a complaint
Jun 10, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jan 13, 2025	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
Jan 13, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jan 13, 2025	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. · from a complaint
Oct 21, 2024	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. · from a complaint
Oct 8, 2024	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.
Oct 8, 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.
Oct 8, 2024	F · Potential for harm, facility-wide	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Oct 8, 2024	E · Potential for harm, repeated	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
Oct 8, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Oct 8, 2024	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.
Oct 8, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint
Mar 13, 2024	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
Nov 30, 2023	F · Potential for harm, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Nov 30, 2023	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.
Nov 30, 2023	F · Potential for harm, facility-wide	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Nov 30, 2023	E · Potential for harm, repeated	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.
Nov 30, 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
Nov 30, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 6, 2023	E · Potential for harm, repeated	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 decreased between the last two inspection cycles (7 → 2).

Year	Citations	Worst severity that year
2023	7	F
2024	9	F
2025	6	F
2026	2	E

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)	3.24	4.33	3.95	bottom 9% in Nebraska; bottom 23% in the U.S.
Registered Nurse hours	0.28	0.72	0.69	bottom 3% in Nebraska; bottom 8% in the U.S.
Weekend total nurse staffing	2.88	3.79	3.50	bottom 9% in Nebraska; bottom 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.47	0.48	bottom 14% in Nebraska; bottom 21% in the U.S.
Total nursing staff turnover (%)	84.0	48.7	45.8	bottom 2% in Nebraska; bottom 2% in the U.S.
RN turnover (%)	60.0	44.1	42.9	bottom 32% in Nebraska; bottom 22% 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 3.24, RN 0.28, weekend 2.88. Staffing rating: 1/5.

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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Holmes Lake Opco Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	08/15/2024
Aic Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Aic65 Family Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Chafetz, Yisroel	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Chafetz, Yisroel	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Ehc Holmes Lake Realty Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Holmes Lake Realty LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Jacob I Walden Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
JRW Family Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Moss, Jacque	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Reisman Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Reisman, Adina	Individual	Trustee of the SNF	NOT APPLICABLE	08/15/2024
Rochel Walden Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Sattar, Arif	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Segal, Caryn	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/24/2025
VNB New York LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	08/15/2024
Walden, Yehudah	Individual	Trustee of the SNF	NOT APPLICABLE	08/15/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who owns this facility, and has ownership or top management changed recently?"
"How do you learn each resident's personal preferences and make sure staff actually follow them?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"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
St. Jane de Chantal	0.6 mi	Lincoln, NE	★★★★☆	3/5
Ambassador Health of Lincoln	1.1 mi	Lincoln, NE	★★☆☆☆	2/5
Eventide Lincoln Care Center	1.6 mi	Lincoln, NE	★☆☆☆☆	1/5
Emerald Nursing & Rehab Brookside LLC	1.6 mi	Lincoln, NE	★☆☆☆☆	1/5
Eastmont	1.8 mi	Lincoln, NE	★★☆☆☆	3/5
Gateway Vista	1.9 mi	Lincoln, NE	★★★☆☆	3/5
Hillcrest Firethorn	2.4 mi	Lincoln, NE	★★★★☆	3/5
Sumner Place	2.9 mi	Lincoln, NE	★★★★☆	4/5
Eventide Williamsburg	3.0 mi	Lincoln, NE	★★★★★	4/5
Emerald Nursing & Rehab Lancaster LLC	3.7 mi	Lincoln, NE	★☆☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

All facilities in Lincoln →

Facility data as of CMS processing date 2026-08-01. CCN 285164.

The Care File

Visit checklist — Holmes Lake Rehabilitation & Care Center

6101 Normal Blvd, Lincoln, NE 68506 · 4024897175

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who owns this facility, and has ownership or top management changed recently?"
☐ "How do you learn each resident's personal preferences and make sure staff actually follow them?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 285164 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)