Federal inspection record · CMS data as of October 1, 2026
Adept Nursing & Rehab of Ashland
1700 Furnas Street, Ashland, NE · (402) 944-7031
- Certified beds
- 97
- Residents per day
- 76
- Ownership
- For-Profit
- Chain
- Avid Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1994
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Adept Nursing & Rehab of Ashland carries 42 inspection points. That is fewer than 52% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights3D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning2D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
Pharmacy Service1E
- E
Ensure medication error rates are not 5 percent or greater.
Nursing and Physician Services1F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Administration1D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspection history
2025-07-22
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-06-17
10 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-06-23
3 health deficiencies · 13 fire-safety deficiencies
Top issue: Administration (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 26 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
4 h 26 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 77% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-05 | Payment Denial · 64 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse | 3.2 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts worse | 84.8% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11.6 pts worse | 84.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 4.5% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.3 pts better | 1.1% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts worse | 5.9% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.6 pts worse | 30.6% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication22.8 pts worse | 43.5% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.1 pts better | 12.7% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.2 pts worse | 22.2% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 2.0% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 1.5% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts worse | 27.2% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts worse | 6.2% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.5 pts worse | 57.8% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts worse | 13.2% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts worse | 3.7% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts better | 17.2% | 21.1% | 23.4% |
·
Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ne 11 Holdings Opco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Baker, Jeffrey | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Baker, Jeffrey | Adp Of The SNF · Individual | 0% | 4 facilities |
| Brass Ne Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Bsd Beis Health Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Copper Ne Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Darnell, Pattie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Darnell, Pattie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Douro Valley Investment, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Ehrenfeld, Eugene | Adp Of The SNF · Individual | 0% | 2 facilities |
| Gold Ne Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Holley, Vicki | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Holley, Vicki | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kirschner, Devora | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Mazzochi, Anabelle | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Morner, Ashley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ne SNF Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Sf 4140 Olde Washington Boulevard Real Property LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Silberstein, Ari | Corporate Officer · Individual | 0% | 26 facilities |
| Silver Ne Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Tulip Investments Ne LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
·
Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems9F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- E
Meet requirements for the use and maintenance of medical gas equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Meet requirements for the use and maintenance of medical gas equipment.
- E
Have proper medical gas storage and administration areas.
Smoke8F
- E
Install an approved automatic sprinkler system.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Properly provide smoke detection systems in areas open to corridors.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress4F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness2F
- F
Implement emergency and standby power systems.
- F
Implement emergency and standby power systems.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Adept Nursing & Rehab of Gretna
Gretna, NE · Avid Healthcare Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 18 min
- Fines
- $0
-
Nye Summit
Louisville, NE
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 52 min
- Fines
- $23,595
-
Adept Nursing & Rehab of Waverly
Waverly, NE · Avid Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 52 min
- Fines
- $25,642