The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Azria Health Gretna
Registered name: Adept Nursing & Rehab of Gretna
Gretna, NE · Medicare-certified · 63 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Azria Health Gretna has a 2 out of 5 star overall rating, with 2-star health inspection, staffing, and quality ratings. It reports 4.04 nurse hours per resident day versus the 4.1 federal benchmark, with $0 in fines over the last 24 months and recent inspection citations related to pressure ulcer care, food handling, and posting nurse staffing information.
Facility ratings
Health inspections
Staffing
4.0443 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0443.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.85
- Weekend nursing
- 3.61
Hours per resident per day.
Total staff turnover: 87%
Registered nurse turnover: 83%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.3%15%Improving
Residents with a fall causing major injury
0%2.4%Worsening
Residents with pressure ulcers (bedsores)
6.4%1.9%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
12.9%10.3%Improving
Residents who were physically restrained
5.4%0%Improving
Residents needing more help with daily activities
11.5%23.3%Worsening
Residents whose ability to walk got worse
—9.5%—
Long-stay residents on antianxiety or sleep medication
12.5%16.1%Worsening
Short-stay residents newly given an antipsychotic
—10%—
Residents with a long-term catheter
0%2.2%Worsening
Residents with new or worsening incontinence
16.4%23.5%Worsening
Residents with depressive symptoms
9.1%11.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89.8%—
Long-stay residents given the pneumonia vaccine
83.8%75.6%Worsening
Short-stay residents given the seasonal flu vaccine
—75%—
Short-stay residents given the pneumonia vaccine
71.9%87.9%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 21 days
Medicare/Medicaid payment denial
May 5, 2025
Operator & ownership
Recent ownership change · Aug 2, 2023
Now operated by The Willows at Gretna, previously Azria Health Gretna.
- Ownership
- For profit - Corporation
- Chain
- Part of AVID HEALTHCARE GROUP · 11 homes · 1.6 stars avg
- Occupancy
- 41.8 residents on an average day (66% of 63 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.