Gold Crest Retirement Center in Adams, NE has an overall 5-star rating, with 5 stars for staffing, 4 stars for health inspections, and 3 stars for quality measures. It reports nurse staffing above the federal benchmark (4.51 vs. 4.1 hours per resident day), no fines in the last 24 months, and recent inspection citations related to daily care, medication storage, and infection prevention.
Last inspection: March 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5103.
Staffing detail
Registered nurses
1.03
Licensed practical nurses
0.31
Nurse aides
3.17
Weekend nursing
3.98
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 13%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—5%—
Residents with a fall causing major injury
7.7%6.7%Improving
Residents with pressure ulcers (bedsores)
5.4%8%Worsening
Residents with a urinary tract infection
8.1%6.9%Improving
Residents who lost too much weight
4.3%4.8%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.7%9.5%Improving
Residents whose ability to walk got worse
—31.2%—
Long-stay residents on antianxiety or sleep medication
20%9.1%Improving
Short-stay residents newly given an antipsychotic
—2.5%—
Residents with a long-term catheter
2.4%2.6%No change
Residents with new or worsening incontinence
35.4%30.9%Improving
Residents with depressive symptoms
11.1%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—95%—
Long-stay residents given the pneumonia vaccine
71.8%100%Improving
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
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.
View the original federal record
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.
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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.
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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.
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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.
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F-Tag 623 — 42 CFR §483.15 — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
Ownership
Non profit - Other
Occupancy
32.6 residents on an average day (63% of 52 beds)
Resident voice
Resident council
Medicare history
Certified for 42 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.