F

Chimney Rock Villa

106 East 13th Street, Bayard, NE 69334
Score: 8 / 100

Chimney Rock Villa has received an F grade based on CMS data, with a score of 8/100 — placing it among the lowest-rated nursing facilities in Nebraska. Families considering this Bayard facility should carefully review its inspection history and quality metrics.

Staffing levels are a potential concern at Chimney Rock Villa, with 3.23 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 30 deficiencies at Chimney Rock Villa, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.23 3.8 Below Average
Registered Nurses (RN) 0.82 0.7 Above Average
Licensed Practical Nurses (LPN) 0.16 0.7 Below Average
Certified Nursing Assistants (CNA) 2.25 2.4 Average
Weekend Total Nursing 3.09 3.8 Below Average
Weekend RN Hours 0.43 0.7 Below Average

🔍 Inspection & Deficiency History

30
Total Deficiencies
Nov 23, 2025
Most Recent Inspection
🟠 29 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Nov 23, 2025 · Resident Rights Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jul 29, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0882 Severity F
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    Jul 29, 2025 · Infection Control Deficiencies
  • Tag 0727 Severity F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    Jul 29, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0684 Severity E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jul 29, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 0.0% 4.5% Better
Falls with major injury 10.7% 3.0% Worse
On antipsychotic medication 51.2% 14.5% Worse
Urinary tract infections 6.3% 2.5% Worse
ADL decline (daily activities) 31.7% 14.0% Worse
Excessive weight loss 27.4% 7.5% Worse
New/worsened incontinence 23.2% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $110,988

How This Grade Was Calculated

This facility's grade of F is based on a score of 8 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - City
Certified Beds
49
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 29, 2025
Deficiencies (Cycle 1)
11