Mid-Nebraska Lutheran Home

109 North 2nd Street, Newman Grove, NE 68758 (opens Google Maps) · Madison County · (402) 447-6203· 45 certified beds · avg 33 residents/day · certified since May 5, 1997 · 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 →

3/5

Health inspection rating (on-site)

inspected Nov 17, 2025

Serious findings on record

most recent Sep 12, 2024

$45,162

Fines, last 3 years

5.31

Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 1/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Sep 12, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 9, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Aug 24, 2023 · F-0580

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.

Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.

Corrected: Oct 6, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.

May 13, 2026D · Potential for more than minimal harm, isolated
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 F-0610
Nov 17, 2025E · Potential for more than minimal harm, pattern
The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. F-0552
Nov 17, 2025E · Potential for more than minimal harm, pattern
The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. F-0883

View all 23 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
May 13, 2026	D · Potential for more than minimal harm, isolated	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 · F-0610
Nov 17, 2025	E · Potential for more than minimal harm, pattern	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Nov 17, 2025	E · Potential for more than minimal harm, pattern	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Nov 17, 2025	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Nov 17, 2025	D · Potential for more than minimal harm, isolated	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 · F-0610
Nov 17, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Nov 17, 2025	D · Potential for more than minimal harm, isolated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Nov 17, 2025	D · Potential for more than minimal harm, isolated	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. · F-0880
Nov 17, 2025	D · Potential for more than minimal harm, isolated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887
Apr 24, 2025	D · Potential for more than minimal harm, isolated	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. · from a complaint · F-0580
Apr 24, 2025	D · Potential for more than minimal harm, isolated	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 · F-0684
Sep 12, 2024	▲ G · Actual harm, isolated	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 · F-0689
Sep 12, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757
Sep 12, 2024	D · Potential for more than minimal harm, isolated	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. · F-0761
Sep 12, 2024	C · Potential for minimal harm, widespread	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851
Aug 24, 2023	▲ G · Actual harm, isolated	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. · F-0580
Aug 24, 2023	F · Potential for more than minimal harm, widespread	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
Aug 24, 2023	E · Potential for more than minimal harm, pattern	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726
Aug 24, 2023	D · Potential for more than minimal harm, isolated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Aug 24, 2023	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Aug 24, 2023	D · Potential for more than minimal harm, isolated	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. · F-0758
Aug 24, 2023	D · Potential for more than minimal harm, isolated	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. · F-0880
Aug 24, 2023	C · Potential for minimal harm, widespread	The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. · F-0606

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 8).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	1	G ▲
2024	4	1	G ▲
2025	10	0	E
2026	1	0	D

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)

How to file a complaint about care →

1 fine totaling $45,162, plus 2 Medicare payment denial periods.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

Date	Type	Amount / length
Sep 12, 2024	Fine	$45,162
Sep 12, 2024	Payment Denial	62 days from Oct 8, 2024
Aug 24, 2023	Payment Denial	14 days from Sep 22, 2023

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityNebraska averageU.S. average

Total nurse staffing (hours per resident per day)

5.31

4.33

3.95

Registered Nurse hours

0.30

0.72

0.69

Weekend total nurse staffing

4.86

3.79

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Nebraska avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.31	4.33	3.95	top 12% in Nebraska; top 9% in the U.S.
Registered Nurse hours	0.30	0.72	0.69	bottom 4% in Nebraska; bottom 9% in the U.S.
Weekend total nurse staffing	4.86	3.79	3.50	top 8% in Nebraska; top 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.24	0.47	0.48	bottom 14% in Nebraska; bottom 20% in the U.S.
Total nursing staff turnover (%)	42.2	48.7	45.8	top 39% in Nebraska; top 42% 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.60, RN 0.26, weekend 4.22.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.60 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Mid-Nebraska Lutheran Home. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Church related

Owner / manager	Type	Role	Stake	Since
Mid Nebraska Lutheran Home Assn	Organization	5% or Greater Direct Ownership Interest	100%	08/01/1966
Caubarrus, Angela	Individual	Corporate Director	NOT APPLICABLE	01/01/2019
Lapka, David	Individual	Corporate Officer	NOT APPLICABLE	10/01/2007
Lueken, Lindsi	Individual	W-2 Managing Employee	NOT APPLICABLE	11/01/2013
Mid Nebraska Lutheran Home Assn	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/1966

All 5 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you explain health changes and treatment options to residents and their families?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 42% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Good Samaritan Society - Albion	12.4 mi	Albion, NE	★★★★★	5/5
Cloverlodge Care Center	12.7 mi	St Edward, NE	★★★★☆	4/5
Arbor Care Centers-Countryside LLC	18.0 mi	Madison, NE	★★☆☆☆	2/5
Community Pride Care Center	19.3 mi	Battle Creek, NE	★★★★☆	4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Madison, NE — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

St. Joseph's Rehabilitation and Care Center — Norfolk, NE · overall 1/5
Heritage of Bel Air — Norfolk, NE · overall 5/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Newman Grove →

Facility data as of CMS processing date 2026-08-01. CCN 285213.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Mid-Nebraska Lutheran Home

109 North 2nd Street, Newman Grove, NE 68758 · (402) 447-6203

Health inspection rating 3/5 · CMS overall 1/5· Fines (3y): $45,162

Most serious findings on record:

▲ Sep 12, 2024 (F-0689, Actual harm, isolated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Aug 24, 2023 (F-0580, Actual harm, isolated): 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 42% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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 285213 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)