The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Adept Nursing & Rehab of Ashland
Ashland, NE · Medicare-certified · 97 beds
Needs attention
For-profitChain member
1 of 5 overall
Adept Nursing & Rehab of Ashland in Ashland, NE has a 1 out of 5 overall rating, with low health inspection (2 stars) and quality measures (1 star) ratings, while staffing is 3 stars. Reported nurse staffing is 4.39 hours per resident per day, slightly above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.391 hrs/resident/day
Quality measures
Last inspection: July 22, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.391.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.72
- Nurse aides
- 3.27
- Weekend nursing
- 4.08
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 88%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
33.9%Worsening
Residents with a fall causing major injury
4%Improving
Residents with pressure ulcers (bedsores)
5.7%Worsening
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
5.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
24.7%Improving
Residents whose ability to walk got worse
12%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
26.4%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.9%Steady
Residents with new or worsening incontinence
33.6%Worsening
Residents with depressive symptoms
1.5%Improving
Long-stay residents given the seasonal flu vaccine
89.9%Steady
Long-stay residents given the pneumonia vaccine
89.3%Improving
Short-stay residents given the seasonal flu vaccine
14.8%Steady
Short-stay residents given the pneumonia vaccine
44.3%Steady
What the inspectors found
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 947 — 42 CFR §483.95 — S/S: F
The nursing home failed to keep medication mistakes below the allowed level. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: E
The home failed to ensure there was enough outside ventilation in the area, through windows, mechanical systems, or both. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 923 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 2 payment denials.
- 64 days
Medicare/Medicaid payment denial
Mar 5, 2025
- 3 days
Medicare/Medicaid payment denial
Sep 12, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVID HEALTHCARE GROUP · 11 homes · 1.6 stars avg
- Occupancy
- 72.7 residents on an average day (75% of 97 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.