Federal inspection record · CMS data as of October 1, 2026
Adept Nursing & Rehab of Grand Island
800 Stoeger Drive, Grand Island, NE · (308) 382-5440
- Special Focus Facility
- Certified beds
- 76
- Residents per day
- 57
- Ownership
- For-Profit
- Chain
- Avid Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 21, 1998
1
How this home got 1 star
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.
-
Staffing
★★★★★no change (already 1)
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Adept Nursing & Rehab of Grand Island carries 185.75 inspection points. That is fewer than 1% 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
48 health citations on record since 2024. 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 (1)
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning9E
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care9D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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 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 appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide or obtain dental services for each resident.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights7F
- F
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.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- 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.
- 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.
Freedom from Abuse, Neglect, and Exploitation6F
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- C
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service4F
- F
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- F
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure that residents are free from significant medication errors.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Nursing and Physician Services4F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- F
Post nurse staffing information every day.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Administration2F
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspection history
2026-08-27
21 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2025-05-21
19 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-05-14
8 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
3 h 35 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 79% of nursing staff and 89% 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
$16,801 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-01 | Fine | $16,801 |
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 days0.2 pts worse | 1.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.9 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine25 pts worse | 68.0% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine14.2 pts worse | 81.4% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 4.1% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 1.0% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts better | 3.5% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.4 pts worse | 30.4% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication15.6 pts worse | 36.3% | 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 worsened7.2 pts worse | 24.0% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.8 pts worse | 23.8% | 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 infection2.2 pts better | 0.5% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.7 pts better | 24.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 2.6% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine34.2 pts worse | 47.1% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit14.5 pts worse | 25.3% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts worse | 3.6% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine29.5 pts worse | 44.4% | 73.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts worse | 25.7% | 21.1% | 23.4% |
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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 |
| Gold Ne Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Muir, Danielle | W-2 Managing Employee · Individual | 0% | 2 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
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
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.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness3F
- F
Provide family notifications of emergency plan.
- F
Implement emergency and standby power systems.
- F
Implement emergency and standby power systems.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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Other homes nearby
-
CHI Health St. Francis
Grand Island, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
-
Tiffany Square
Grand Island, NE · Vetter Senior Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0
-
Good Samaritan Society - Grand Island Village
Grand Island, NE · Good Samaritan Society
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 3 min
- Fines
- $10,033