Hearth Record

Chi Health at Home - Grand Island

A home health agency in Grand Island, Nebraska 68803

603 South Webb Rd., Suite D, Grand Island, Nebraska 68803. (308) 398-2600.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 21, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Sep 2026. Most serious: Element-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

The last inspection on record was on Sep 17, 2026: a recertification inspection.

1 deficiency cited in the last three years.

Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Sep 2026. Most serious: Element-level. The last 3 years, to Oct 24, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Sep 17, 2026: recertification inspection1 deficiency

  • A Review Of All Current Medications

    The inspectors’ words, 518 words

    “A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This Element is not met as evidenced by: Based on review of records, policies, and procedures, observation of care, and staff interview, agency staff failed to follow the agency’s policies and procedures to obtain medication orders when a medication was identified as being used by a patient and failed to ensure the patient’s medication profile (a real-time document used by the agency, as part of the plan of care, that lists the patient’s medications, including new and updated orders received between the certification periods) was accurate for 3 of 13 patient records (Patient 3, 7, and 12) reviewed. The census was 101. Findings are: A. Review of the agency’s policy and procedure titled Medication Profile, revised 1/21/25, revealed: 1. The medication profile was to be updated with any medication changes. 2. Any medication discrepancies will be clarified with the provider and documented in the patient’s medical record. B. Review of the agency’s policy and procedure titled Medication Administration and Management, revised 9/4/25, revealed medication changes and/or updates during an episode of care are recorded on the patient’s medication profile through a provider’s order. C. Review of Patient 3’s clinical record revealed: 1. The Start of Care (SOC) was 7/16/26. 2. Client Coordination Note Reports, dated 7/30/26, 8/26/26, and 9/3/26, revealed Patient 3 takes Ibuprofen (medication to treat mild pain) for pain. 3. The Client Medication Report (medication profile) failed to include the Ibuprofen. 4. There was no documentation in Patient 3’s clinical record that agency staff clarified Patient 3’s use of Ibuprofen with the provider. D. During the observation of care by Staff E during a home visit on 9/16/26 at 8:55 AM, Patient 3 reported taking Ibuprofen for pain. E. Review of Patient 7’s clinical record revealed: 1. The SOC was 3/26/26, 2. A progress note from CHI Health Urology Clinic Grand Island, dated 7/27/26, included an order for Cephalexin (antibiotic) 500 mg (milligrams) daily with a discontinuation date of 8/26/26. 3. A Client Coordination Note Report, dated 9/1/26, revealed Patient 7 is completing the final week of Cephalexin. 4. The medication profile, dated 9/17/26, revealed Cephalexin 500 mg daily was started on 7/28/26. The medication profile failed to have a discontinued date for the Cephalexin. F. Review of Patient 12’s clinical record revealed: 1. The SOC was 3/5/26. 2. A physician’s order dated 4/7/26, revealed Zinc Oxide Ointment (medication ointment) was to be applied to the wound bed. 3. Zinc Oxide Ointment failed to be included on the medication profile. G. During an interview on 9/17/26 at 11:00 AM, the RN Manager of Clinical Services (Staff B) confirmed agency staff failed to follow the agency’s policies and procedures to obtain medication orders when a medication was identified as being used by the patient and failed to ensure the patient’s medication profile was accurate for Patient 3, 7, and 12.”

    Rule G0536. Element-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Sep 17, 2026Recertification inspection1 deficiency cited

Is it certified?

  • Medicare-certified home health agency since Apr 13, 1967.
  • Ownership: non-profit.
  • No deficiency on record in the last three years.
Source:

CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Has anything been proven against it?

  • CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
  • 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Who does the caring?

  • Offers nursing care, physical therapy, occupational therapy, speech pathology, medical social services and home health aide services.
  • CMS doesn’t publish staffing levels for home health agencies.
Source:

CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

Who owns it?

  • CMS’s ownership file has no owners listed for this agency.
Source:

CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.

How do patients fare?

  • CMS rates its quality of patient care 4.5 of 5.
  • Patients rate it 4 of 5 in CMS’s patient survey (182 surveys completed): 83% rated it 9 or 10 out of 10, and 76% would definitely recommend it.
  • CMS compares it with the national rate: discharged to the community, the same; potentially preventable hospital stays, the same; potentially preventable readmissions after discharge, the same.
Source:

CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Quality of patient care ratingCMS star rating, 1 to 5 in half stars4.5 of 5
Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 54 of 5
Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate77.41% (same as the national rate)
Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate9.65% (same as the national rate)
Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate3.87% (same as the national rate)

How does it compare nearby?

  • Of the 6 agencies CMS’s data show serving patients in ZIP code 68803, where this agency’s office is, 5 have a quality of patient care rating; the middle one is 4.5 of 5, and this one is rated 4.5 of 5.
Source:

CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

The 6 agencies CMS lists serving ZIP code 68803
PlaceQuality rating
Chi Health at Home - Grand Island This home health agency4.5
Pediatric Home ServiceNot given
Angels Care Progressive Home Health4
Eventide Home Health Care4.5
Brookestone Home Health & Hospice3
Good Samaritan Society Home Health5

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
  • Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Oct 24, 2026.

From the agency

The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the agency will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the agency”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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