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
Adept Nursing & Rehab of Gretna
Gretna, NE · Medicare-certified · 63 beds
In good standing
For-profitChain member
2 of 5 overall
Adept Nursing & Rehab of Gretna has a 2-star overall rating, with 2-star health inspection, staffing, and quality ratings. Reported nurse staffing is 3.80 hours per resident per day, below the 4.1 federal benchmark, and there were no fines in the last 24 months; recent inspection issues included pressure ulcer care, food handling, and posting nurse staffing information.
Facility ratings
Health inspections
Staffing
3.8009 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 3.8009.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.70
- Nurse aides
- 2.61
- Weekend nursing
- 3.38
Hours per resident per day.
Total staff turnover: 81%
Registered nurse turnover: 100%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
26%Improving
Residents with a fall causing major injury
0.6%Worsening
Residents with pressure ulcers (bedsores)
7.1%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
7.1%Worsening
Residents who were physically restrained
1.8%Worsening
Residents needing more help with daily activities
12.8%Improving
Residents whose ability to walk got worse
8.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
13.3%Improving
Short-stay residents newly given an antipsychotic
3.6%Steady
Residents with a long-term catheter
3.6%Worsening
Residents with new or worsening incontinence
19.1%Worsening
Residents with depressive symptoms
12.1%Worsening
Long-stay residents given the seasonal flu vaccine
89.8%Steady
Long-stay residents given the pneumonia vaccine
76.1%Improving
Short-stay residents given the seasonal flu vaccine
75%Steady
Short-stay residents given the pneumonia vaccine
76.5%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 nursing home failed to make sure residents and staff were tested for COVID-19. Cited June 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 886 — 42 CFR §483.80 — S/S: F
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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVID HEALTHCARE GROUP · 11 homes · 1.6 stars avg
- Occupancy
- 43.4 residents on an average day (69% 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.