Adept Nursing & Rehab of Ashland
1700 Furnas Street, Ashland, NE 68003 · Saunders County · 97 certified beds · avg 75 residents/day · certified since Jun 1, 1994
Part of chain: AVID HEALTHCARE GROUP (11 facilities, chain avg rating 1.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 14, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 31, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 5, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 31, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 12, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 6, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 22, 2025 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jul 22, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Jul 22, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 22, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 22, 2025 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| May 14, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 16, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Mar 5, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 5, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jun 17, 2024 | F · Potential for harm, facility-wide | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Jun 17, 2024 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Jun 17, 2024 | E · Potential for harm, repeated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · from a complaint |
| Jun 17, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Jun 17, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 17, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint |
| Sep 12, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 23, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jun 23, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 1 | G ▲ |
| 2024 | 7 | 0 | F |
| 2025 | 9 | 2 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
0 fines totaling $0, plus 2 Medicare payment denial periods.
| Date | Type | Amount / length |
|---|---|---|
| Mar 5, 2025 | Payment Denial | 64 days from Mar 28, 2025 |
| Sep 12, 2023 | Payment Denial | 3 days from Oct 3, 2023 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Nebraska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.79 | 4.33 | 3.95 | top 30% in Nebraska; top 17% in the U.S. |
| Registered Nurse hours | 0.59 | 0.72 | 0.69 | bottom 36% in Nebraska; top 49% in the U.S. |
| Weekend total nurse staffing | 4.32 | 3.79 | 3.50 | top 21% in Nebraska; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.47 | 0.48 | bottom 32% in Nebraska; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 64.7 | 48.7 | 45.8 | bottom 19% in Nebraska; bottom 10% in the U.S. |
| RN turnover (%) | 84.6 | 44.1 | 42.9 | bottom 8% in Nebraska; bottom 3% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.25, RN 0.52, weekend 3.82. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Brass NE Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 08/02/2023 |
| BSD Beis Health Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 08/02/2023 |
| Copper NE Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 08/02/2023 |
| Douro Valley Investment, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 08/02/2023 |
| Gold NE Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 08/02/2023 |
| NE 11 Holdings Opco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/02/2023 |
| NE SNF Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 08/02/2023 |
| SF 4140 Olde Washington Boulevard Real Property LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 08/01/2023 |
| Silver NE Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 08/02/2023 |
| Tulip Investments NE LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 08/02/2023 |
| Baker, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Baker, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 02/26/2026 |
| Darnell, Pattie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Darnell, Pattie | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Ehrenfeld, Eugene | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Holley, Vicki | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Holley, Vicki | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Kirschner, Devora | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Mazzochi, Anabelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Morner, Ashley | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How do you explain health changes and treatment options to residents and their families?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Adept Nursing & Rehab of Gretna | 9.1 mi | Gretna, NE | ★★☆☆☆ | 2/5 | |
| Nye Summit | 11.4 mi | Louisville, NE | ★★☆☆☆ | 3/5 | |
| Adept Nursing & Rehab of Waverly | 12.1 mi | Waverly, NE | ★★☆☆☆ | 2/5 | |
| Newport House | 16.0 mi | Omaha, NE | ★★★★★ | 3/5 | |
| Brookestone Meadows Rehabilitation and Care Center | 16.1 mi | Elkhorn, NE | ★★★★★ | 5/5 | |
| The Lighthouse at Lakeside Village | 16.3 mi | Omaha, NE | ★★★★☆ | 3/5 | |
| South Haven Living Center | 16.3 mi | Wahoo, NE | ★★★★☆ | 4/5 | |
| Brookestone Village | 17.0 mi | Omaha, NE | ★★★★★ | 4/5 | |
| Good Samaritan Society - Millard | 17.3 mi | Omaha, NE | ★★★★☆ | 4/5 | |
| Arbor Care Center-Valhaven, LLC | 18.1 mi | Valley, NE | ★★★☆☆ | 3/5 | |
| Hillcrest Millard LLC | 18.2 mi | Omaha, NE | ★☆☆☆☆ | 2/5 | |
| Life Care Center of Elkhorn | 18.4 mi | Elkhorn, NE | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285140.