Sarah Ann Hester Memorial Home

Name: Sarah Ann Hester Memorial Home
Address: 407 Dakota Street, Benkelman, NE, 69021, US
Telephone: 3084232179

407 Dakota Street, Benkelman, NE 69021 · Dundy County · 56 certified beds · avg 32 residents/day · certified since Nov 1, 2001

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.75

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 (17)

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 30, 2026	D · Potential for harm, one-off	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. · from a complaint
Apr 2, 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 2, 2026	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 2, 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 2, 2026	C · Minimal risk, facility-wide	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Apr 3, 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 15, 2025	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.
Jan 15, 2025	E · Potential for harm, repeated	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.
Jan 15, 2025	E · Potential for harm, repeated	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. · from a complaint
Jan 15, 2025	E · Potential for harm, repeated	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
Jan 15, 2025	E · Potential for harm, repeated	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.
Jan 15, 2025	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Jan 15, 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.
Jan 15, 2025	C · Minimal risk, facility-wide	The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years.
Nov 30, 2023	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.
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	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 (8 → 4).

Year	Citations	Worst severity that year
2023	3	F
2025	9	F
2026	5	F

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)	4.75	4.33	3.95	top 32% in Nebraska; top 17% in the U.S.
Registered Nurse hours	0.55	0.72	0.69	bottom 28% in Nebraska; bottom 45% in the U.S.
Weekend total nurse staffing	4.15	3.79	3.50	top 29% in Nebraska; top 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.47	0.48	top 39% in Nebraska; top 38% in the U.S.
Total nursing staff turnover (%)	54.2	48.7	45.8	bottom 36% in Nebraska; bottom 27% in the U.S.
RN turnover (%)	40.0	44.1	42.9	top 46% in Nebraska; top 46% 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 4.20, RN 0.49, weekend 3.67. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Amx Holdings, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2005
Amx Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/30/2025
Bartholomew, Richard	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/15/2018
Bartholomew, Richard	Individual	Trustee of the SNF	NOT APPLICABLE	02/15/2018
Brunswig, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/20/2025
Brunswig, Michael	Individual	Trustee of the SNF	NOT APPLICABLE	02/20/2025
Crouse, Jared	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/15/2025
Crouse, Jared	Individual	Trustee of the SNF	NOT APPLICABLE	05/15/2025
Denny, Penny	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/20/2025
Denny, Penny	Individual	Trustee of the SNF	NOT APPLICABLE	02/20/2025
Edwards, Janice	Individual	Operational/Managerial Control	NOT APPLICABLE	07/15/2005
Edwards, Janice	Individual	ADP of the SNF	NOT APPLICABLE	07/15/2005
Haines, Amy	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/20/2013
Haines, Amy	Individual	Trustee of the SNF	NOT APPLICABLE	06/20/2013
Hudson, Sara	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/15/2018
Hudson, Sara	Individual	Trustee of the SNF	NOT APPLICABLE	02/15/2018
Stonehocker, Lori	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2011
Stonehocker, Lori	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2011

Questions to ask on your visit

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

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"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
Cheyenne County Village INC	23.8 mi	St Francis, KS	★★☆☆☆	2/5
Wauneta Care and Therapy Center	26.6 mi	Wauneta, NE	★☆☆☆☆	3/5
Good Samaritan - Atwood	31.0 mi	Atwood, KS	★★☆☆☆	1/5
Imperial Manor Nursing Home	33.1 mi	Imperial, NE	★☆☆☆☆	2/5
Hillcrest Care Center	36.0 mi	Wray, CO	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Benkelman →

Facility data as of CMS processing date 2026-08-01. CCN 285241.

The Care File

Visit checklist — Sarah Ann Hester Memorial Home

407 Dakota Street, Benkelman, NE 69021 · 3084232179

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

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "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 285241 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)