Nebraska › Keith County › Ogallala
Indian Hills Manor
1720 North Spruce, Ogallala, NE 69153
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Indian Hills Manor is a For-profit, limited liability company nursing home in Ogallala, Nebraska, certified for 82 beds and caring for about 37 residents a day.
CMS gives it 1 of 5 stars overall, below the Nebraska median of 3; the health inspection rating is 2, staffing 1 and quality measures 1.
Inspectors recorded 35 health deficiencies across the three most recent survey cycles (11, 9, 15 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 42.7 per 100 beds, more than the state median of 23.7.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 2.6 hours per resident per day (0.5 RN), below the Nebraska median of 3.9; nursing staff turnover is 55.6%.
Compared with county, state and nation
| Measure | This facility | Keith Co. median | Nebraska median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 35 | 35 | 15 | 28.7 |
| Citations per 100 beds | 42.7 | 42.7 | 23.7 | 26.8 |
| Total nurse hours per resident day | 2.6 | 2.6 | 3.9 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 55.6% | 55.6% | 47.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (1 in the county, 180 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 May 2026, 4 Mar 2025.
Severity mix: H ×1 D ×14 E ×8 F ×12
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Jun 2026 |
| 21 May 2026 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 26 Jun 2026 |
| 21 May 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 26 Jun 2026 |
| 21 May 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 26 Jun 2026 |
| 21 May 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 26 Jun 2026 |
| 21 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 26 Jun 2026 |
| 21 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 Jun 2026 |
| 21 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 26 Jun 2026 |
| 21 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Jun 2026 |
| 21 May 2026 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 26 Jun 2026 |
| 11 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Mar 2026 |
| 4 Mar 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 11 Mar 2025 |
| 4 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 11 Mar 2025 |
| 4 Mar 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Standard survey | 11 Mar 2025 |
| 4 Mar 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 11 Mar 2025 |
| 4 Mar 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Complaint investigation | 11 Mar 2025 |
| 4 Mar 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 11 Mar 2025 |
| 4 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 11 Mar 2025 |
| 4 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 11 Mar 2025 |
| 4 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 11 Mar 2025 |
| 15 Apr 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | H | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | F | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 15 May 2024 |
| 15 Apr 2024 | F0758 | 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. | D | Standard survey | 15 May 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Apr 2024 | Payment denial | — | 15 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 55.6%, RNs 50.0%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Nebraska median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 39.8% | 18.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.5% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 4.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.8% | 17.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 18.5% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 40.4% | 19.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Kismet Oga Llc. Chain: Lantis Enterprises (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Kismet Hd LLC | Direct ownership interest | NOT APPLICABLE | 09/01/2018 |
| Kismet Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 09/01/2018 |
| Lantis Enterprises Inc | Operational/managerial control | NOT APPLICABLE | 09/01/2018 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Indian Hills Manor been cited for?
35 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.
Has Indian Hills Manor been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Indian Hills Manor compare?
Reported total nurse staffing is 2.6 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.
Who operates Indian Hills Manor?
It is part of the Lantis Enterprises chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Kismet Hd LLC, Kismet Holdings LLC and Lantis Enterprises Inc. Individual owners and managers are not listed on this site.
When was Indian Hills Manor last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 21 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.