Federal inspection record · CMS data as of October 1, 2026
Adept Nursing & Rehab of Central City
2720 South 17th Avenue, Central City, NE · (308) 946-3088
- Certified beds
- 63
- Residents per day
- 58
- 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.
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Quality measures
★★★★★+1 star
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 Central City carries 51 inspection points. That is fewer than 41% 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
19 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights7E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Quality of Life and Care5D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Assessment and Care Planning2D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nursing and Physician Services1E
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-07-31
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-08-01
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-09-14
3 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 16 min of it from a registered nurse.
This home
3 h 21 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 60% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days0.2 pts worse | 1.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.4 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1 pts better | 94.0% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts better | 96.8% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts better | 1.3% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts better | 0.9% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts worse | 6.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication23.3 pts worse | 42.3% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication36.2 pts worse | 56.9% | 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 worsened8.4 pts better | 8.4% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.3 pts better | 12.7% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.4% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.7 pts better | 0.0% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7 pts better | 18.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts better | 1.1% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.4 pts worse | 60.9% | 81.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication5.9 pts worse | 8.0% | 2.1% | 1.5% |
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Who owns and runs it
12 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 |
| 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 |
| Douro Valley Investment, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Fowler, Andrea | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Gold Ne Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 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
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness2F
- F
Implement emergency and standby power systems.
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of flammable curtains.
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Other homes nearby
-
Litzenberg Memorial County Hospital
Central City, NE · Good Samaritan Society
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0
-
Memorial Community Care
Aurora, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 18 min
- Fines
- $0
-
Westfield Quality Care of Aurora
Aurora, NE
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 39 min
- Fines
- $41,980