Federal inspection record · CMS data as of October 1, 2026

Adept Nursing & Rehab of Sutherland

333 Maple Street, Sutherland, NE · (308) 386-4393

CMS overall rating

1 of 5

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Certified beds
60
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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Nebraska homes

Adept Nursing & Rehab of Sutherland carries 165.75 inspection points. That is fewer than 4% of Nebraska's 178 rated homes.

5★4★3★2★1★+6 homes above 174.505102550100inspection points → fewer is better on the leftThis home · 165.75 pts · 1★

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

37 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 24 4 pts
E 1 8 pts
F 8 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

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 (3)

  1. K

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 5, 2026 · Standard inspection · Quality of Life and Care · F689 · Corrected April 1, 2026

  2. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 24, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected October 22, 2025

  3. G

    Provide safe, appropriate pain management for a resident who requires such services.

    April 9, 2025 · Complaint inspection · Quality of Life and Care · F697 · Corrected June 16, 2025

Everything else, by area of care

Quality of Life and Care9E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 5, 2026 · Standard · F684 · Corrected April 1, 2026

  2. B

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    March 5, 2026 · Standard · F745 · Corrected April 1, 2026

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    December 19, 2024 · Complaint · F684 · Corrected February 15, 2025

  4. D

    Provide safe and appropriate respiratory care for a resident when needed.

    December 19, 2024 · Standard · F695 · Corrected February 15, 2025

  5. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 26, 2024 · Complaint · F689 · Corrected November 10, 2024

  6. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    February 14, 2024 · Complaint · F677 · Corrected March 29, 2024

  7. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    February 14, 2024 · Complaint · F698 · Corrected March 29, 2024

  8. 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.

    November 16, 2023 · Standard · F688 · Corrected December 31, 2023

  9. D

    Provide safe, appropriate pain management for a resident who requires such services.

    November 16, 2023 · Standard · F697 · Corrected December 31, 2023

Resident Assessment and Care Planning7D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 9, 2025 · Complaint · F656 · Corrected May 15, 2025

  2. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    December 19, 2024 · Standard · F636 · Corrected February 15, 2025

  3. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    December 19, 2024 · Complaint · F655 · Corrected February 15, 2025

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 19, 2024 · Standard · F656 · Corrected February 15, 2025

  5. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    December 19, 2024 · Complaint · F657 · Corrected February 15, 2025

  6. D

    Ensure each resident receives an accurate assessment.

    February 14, 2024 · Complaint · F641 · Corrected March 29, 2024

  7. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    February 14, 2024 · Complaint · F657 · Corrected March 29, 2024

Nutrition and Dietary5F
  1. F

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    March 5, 2026 · Standard · F804 · Corrected April 1, 2026

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 5, 2026 · Standard · F812 · Corrected April 1, 2026

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 19, 2024 · Standard · F812 · Corrected February 15, 2025

  4. F

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    November 16, 2023 · Standard · F801 · Corrected December 31, 2023

  5. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 16, 2023 · Standard · F812 · Corrected December 31, 2023

Infection Control4F
  1. D

    Provide and implement an infection prevention and control program.

    December 19, 2024 · Standard · F880 · Corrected February 15, 2025

  2. D

    Provide and implement an infection prevention and control program.

    February 14, 2024 · Complaint · F880 · Corrected March 29, 2024

  3. F

    Provide and implement an infection prevention and control program.

    November 16, 2023 · Complaint · F880 · Corrected December 31, 2023

  4. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    November 16, 2023 · Standard · F882 · Corrected December 31, 2023

Resident Rights3D
  1. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    March 5, 2026 · Standard · F552 · Corrected April 1, 2026

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    April 9, 2025 · Complaint · F580 · Corrected May 15, 2025

  3. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    November 16, 2023 · Complaint · F550 · Corrected December 31, 2023

Pharmacy Service3D
  1. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    March 5, 2026 · Standard · F756 · Corrected April 1, 2026

  2. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    April 9, 2025 · Complaint · F758 · Corrected May 15, 2025

  3. D

    Ensure medication error rates are not 5 percent or greater.

    December 19, 2024 · Complaint · F759 · Corrected February 15, 2025

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    March 5, 2026 · Standard · F605 · Corrected April 1, 2026

  2. D

    Respond appropriately to all alleged violations.

    September 24, 2025 · Complaint · F610 · Corrected October 22, 2025

Nursing and Physician Services1F
  1. F

    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.

    September 24, 2025 · Complaint · F726 · Corrected October 22, 2025

Inspection history

  1. 2026-03-05

    8 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2024-12-19

    16 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (5 deficiencies)

  3. 2023-11-16

    13 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 54 min of nursing staff time a day, 26 min of it from a registered nurse.

This home

3 h 54 min

Nebraska average

4 h 7 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 73% of nursing staff and 60% of registered nurses left in the past year, along with 1 administrator.

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

$51,637 in federal fines on record over the past three years.

DatePenaltyAmount
2026-03-05Fine$19,120
2025-09-24Fine$32,517
2025-04-09Payment Denial · 45 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1.4 pts worse3.11.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better1.81.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better96.2%93.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts worse95.5%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury8.1 pts worse12.6%4.5%3.2%
Percentage of long-stay residents who have depressive symptoms0.4 pts worse4.8%4.4%13.5%
Percentage of long-stay residents who lose too much weight4.8 pts worse9.9%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.9 pts better14.1%19.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication19.8 pts worse40.5%20.7%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.4 pts better9.4%16.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.6 pts worse27.6%19.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder5.3 pts worse6.6%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts worse2.8%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.6 pts worse27.6%25.0%18.3%
Percentage of long-stay residents with pressure ulcers0.2 pts better3.8%4.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15 pts worse66.3%81.3%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit9.9 pts worse20.7%10.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better0.0%2.1%1.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts worse23.1%21.1%23.4%

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4F
  1. F

    Provide properly protected cooking facilities.

    March 5, 2026 · K324 · Corrected April 1, 2026

  2. F

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    December 19, 2024 · K374 · Corrected January 15, 2025

  3. D

    Install an approved automatic sprinkler system.

    December 19, 2024 · K351 · Corrected January 15, 2025

  4. D

    Install an approved automatic sprinkler system.

    November 16, 2023 · K351 · Corrected December 31, 2023

Gas, Vacuum, and Electrical Systems3F
  1. D

    Have power receptacles that are properly grounded.

    March 5, 2026 · K912 · Corrected April 1, 2026

  2. F

    Ensure proper usage of power strips and extension cords.

    December 19, 2024 · K920 · Corrected January 15, 2025

  3. D

    Have power receptacles that are properly grounded.

    December 19, 2024 · K912 · Corrected January 15, 2025

Egress1F
  1. F

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    December 19, 2024 · K211 · Corrected January 15, 2025

·

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