Average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Blue Valley Lutheran Nursing Home during CMS and state inspections, most recent first.
A resident with a history of a major fall injury experienced an unwitnessed fall in their room. Despite the facility's policy requiring neurological checks at specific intervals after such incidents, no checks were documented. This lapse was confirmed by interviews with the facility's RN, MDS Coordinator, and DON, who acknowledged the oversight.
A facility failed to follow its bowel management protocol for a cognitively impaired resident, leading to multiple instances of prolonged constipation. Despite having physician orders for constipation management, the facility did not consistently administer medications as per the protocol. This deficiency was confirmed through staff interviews and record reviews, highlighting a lapse in adhering to the facility's care procedures.
The facility failed to update its infection control policy annually and did not follow proper catheter and wound care procedures, risking cross-contamination. A medication aide improperly reused a wipe during catheter care, and the Infection Control Coordinator did not maintain a clean field or sanitize equipment during wound care, also failing to perform adequate hand hygiene.
Failure to Conduct Neurological Checks After Unwitnessed Fall
Penalty
Summary
The facility failed to ensure that neurological checks were completed for a resident after an unwitnessed fall, as required by their policy. The policy mandates neurological checks at specific intervals following an unwitnessed fall to monitor for potential brain injury. However, a review of the medical records for the resident revealed that no neurological checks were conducted after the resident experienced an unwitnessed fall. This oversight was confirmed through interviews with the facility's Registered Nurse, Minimum Data Set Coordinator, and Director of Nursing, all of whom acknowledged that neurological checks should have been performed. The resident involved had a history of a fall with a major injury, as indicated in the Minimum Data Set assessment. On the day of the incident, a neighbor alerted staff after hearing a loud noise from the resident's room. The resident was found sitting on the floor in front of the bathroom sink, having slid down from the toilet. Despite this incident, the required neurological assessments were not documented, indicating a lapse in following the facility's established procedures for monitoring residents after falls.
Failure to Follow Bowel Management Protocol for Cognitively Impaired Resident
Penalty
Summary
The facility failed to adhere to its bowel management program for a resident with severe cognitive impairment, identified as Resident 30. The resident, who was on antipsychotic and antianxiety medications, had a care plan that included a diagnosis of constipation but lacked specific interventions, treatments, and expected outcomes for managing this condition. Despite having physician orders for Senna-S, Milk of Magnesia (MOM), and Bisacolax suppositories to address constipation, the facility did not consistently follow the bowel management protocol, resulting in multiple instances where the resident did not have a bowel movement for several days. The facility's bowel management protocol outlined specific steps to be taken if a resident did not have a bowel movement over a series of days, including the administration of prune juice, MOM, and suppositories. However, record reviews revealed that Resident 30 did not receive the prescribed medications according to the protocol on several occasions in April, May, and June 2024. For instance, there were instances where MOM was not administered on the second day without a bowel movement, and suppositories were not given when required by the protocol. This lack of adherence to the protocol was confirmed through interviews with facility staff, including a registered nurse and the assistant director of nursing. The assistant director of nursing confirmed that the facility staff did not follow the bowel management program as directed by the facility's policy and procedure. The interdisciplinary team reviewed the resident's bowel habits weekly, but the issues were not addressed in the comprehensive patient-centered care plans. The failure to follow the bowel management protocol resulted in the resident experiencing prolonged periods without bowel movements, indicating a deficiency in the facility's care practices.
Infection Control Policy and Procedure Deficiencies
Penalty
Summary
The facility failed to ensure that its infection control policy was reviewed and updated annually, as required to maintain current infection control standards. The facility's Social Services Director confirmed that the infection policy, dated July 2007, lacked documentation of an annual review. This oversight had the potential to affect all residents by not incorporating up-to-date recommendations for infection control. Additionally, the facility did not adhere to its own catheter and wound care procedures, leading to potential cross-contamination risks. During catheter care for a resident, a medication aide used the same section of a disposable wipe multiple times instead of using a different section for each wipe, contrary to the facility's policy. Furthermore, the Infection Control Coordinator failed to establish a clean field during wound care, did not sanitize the bedside table, and used contaminated scissors to cut new dressing material. The coordinator also did not perform adequate hand hygiene, washing hands for only 5 to 7 seconds instead of the required 20 seconds.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 28 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hebron
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parkview Haven Nursing Home | 7.1 mi | ★★★★★ | 0 | 0 |
| Jefferson Community Health & Life Gardenside | 22 mi | ★★★★★ | 11 | 0 |
| Heritage Care Center | 22.1 mi | ★★★★★ | 0 | 0 |
| Belleville Healthcare And Rehabilitation Center | 23.9 mi | ★★★★★ | 17 | 0 |
| Heritage Crossings | 25.6 mi | ★★★★★ | 9 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Blue Valley Lutheran Nursing Home.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.