Nursing home report
Adams, NE · Medicare-certified · 52 beds
Gold Crest Retirement Center (Adams, NE) has an overall rating of 3 out of 5 stars. Its staffing is a major concern, with a 1-star staffing rating and reported nurse staffing of 0.64 hours per resident per day versus the 4.1-hour federal benchmark; there were no fines in the last 24 months, and recent inspection citations included care for activities of daily living, medication storage/labeling, and infection prevention and control.
Health inspections
Staffing
0.6419 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 0.6419.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited March 2025 — limited pattern, potential for harm.
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited March 2025 — limited pattern, potential for harm.
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited April 2024 — limited pattern, potential for harm.
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited May 2023 — limited pattern, potential for harm.
F-Tag 623 — 42 CFR §483.15 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 3 health deficiencies.
Health inspection found 5 health deficiencies.
Health inspection found 1 health deficiency.
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.
