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Nursing home report

The Palm at Regency Square

Registered name: Adept Nursing & Rehab of South Sioux City

South Sioux City, NE · Medicare-certified · 72 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

The Palm at Regency Square has a 1-star overall rating, with 2 stars for health inspections and 1 star for quality measures, while staffing is rated 4 stars and reported nurse staffing is 4.63 hours per resident per day versus the 4.1 federal benchmark. It has no fines in the last 24 months but is flagged for the lowest overall rating, and recent inspection issues involved pharmacy services, bathroom call systems, and food handling.

Facility ratings

Health inspections

Staffing

4.628 hrs/resident/day

Quality measures

Last inspection: March 18, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.628.

Staffing detail

Registered nurses
0.80
Licensed practical nurses
1.02
Nurse aides
2.82
Weekend nursing
3.94

Hours per resident per day.

Total staff turnover: 39%
Registered nurse turnover: 25%

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

24%29.6%Worsening

Residents with a fall causing major injury

10.5%6.1%Improving

Residents with pressure ulcers (bedsores)

2.4%0%Improving

Residents with a urinary tract infection

0%6.2%Worsening

Residents who lost too much weight

9.7%13.3%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

34.3%10%Improving

Residents whose ability to walk got worse

19.4%

Long-stay residents on antianxiety or sleep medication

8.6%19.4%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

28.4%15.3%Improving

Residents with depressive symptoms

0%3.4%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

92%

Long-stay residents given the pneumonia vaccine

97.4%100%Improving

Short-stay residents given the seasonal flu vaccine

62.8%

Short-stay residents given the pneumonia vaccine

71.1%74.4%Improving

What the inspectors found

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited November 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: J

The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited September 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 919 — 42 CFR §483.90 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: E

The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 756 — 42 CFR §483.45(c) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $33,784 in total fines.

  • Federal fine

    Nov 1, 2023

    $33,784

Operator & ownership

Recent ownership change · Aug 2, 2023

Now operated by The Palm at Regency Square, previously Azria Health Regency Square.

Ownership
For profit - Limited Liability company
Chain
Part of AVID HEALTHCARE GROUP · 11 homes · 1.6 stars avg
Occupancy
37.2 residents on an average day (52% of 72 beds)
Resident voice
Resident council
Medicare history
Certified for 40 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.