Federal inspection record · CMS data as of October 1, 2026
Adept Nursing & Rehab of Gretna
700 Highway 6, Gretna, NE · (402) 332-3446
- Certified beds
- 63
- Residents per day
- 40
- Ownership
- For-Profit
- Chain
- Avid Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1994
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.
-
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
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
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Adept Nursing & Rehab of Gretna carries 55 inspection points. That is fewer than 39% 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
24 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 (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care8E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- 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.
Resident Rights5E
- 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
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service4E
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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 medication error rates are not 5 percent or greater.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1F
- F
Post nurse staffing information every day.
Inspection history
2026-03-05
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-10-16
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-08-15
7 health deficiencies · 17 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 18 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
4 h 18 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 88% of nursing staff and 75% 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 |
|---|---|---|
| 2025-05-05 | Payment Denial · 21 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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine19.7 pts worse | 73.3% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts better | 97.9% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.3 pts better | 1.2% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.1 pts worse | 14.5% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 5.1% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts better | 14.3% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.5 pts worse | 23.2% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts worse | 0.6% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.9 pts better | 9.9% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.7 pts better | 15.3% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.4 pts worse | 3.7% | 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 incontinence2.2 pts better | 22.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts worse | 5.7% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 84.6% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit10.3 pts worse | 21.1% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.2 pts worse | 5.3% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.4 pts better | 85.3% | 73.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.9 pts worse | 26.0% | 21.1% | 23.4% |
·
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 |
|---|---|---|---|
| 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 |
| Hohensee, Kent | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Ne 11 Holdings Opco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 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
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- 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
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems7F
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Meet requirements for the use of electrical equipment.
- F
Ensure proper usage of power strips and extension cords.
- E
Ensure that testing and maintenance of electrical equipment is performed.
- E
Meet requirements for the use and maintenance of medical gas equipment.
Miscellaneous6F
- F
Have simulated fire drills held at unexpected times.
- F
Have restrictions on the use of highly flammable decorations.
- F
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services2F
- F
Meet other general requirements that are deficient.
- F
Have properly installed electrical wiring and gas equipment.
Egress2E
- 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.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
·
Other homes nearby
-
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 3 min
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-
The Lighthouse at Lakeside Village
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 5 h 23 min
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-
Brookestone Village
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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