Adept Nursing & Rehab of Grand Island
800 Stoeger Drive, Grand Island, NE 68803 · Hall County · 76 certified beds · avg 63 residents/day · certified since May 21, 1998
Part of chain: AVID HEALTHCARE GROUP (11 facilities, chain avg rating 1.7★)
1/5
Health inspection rating (on-site)
1
Serious findings on record
$16,801
Fines, last 3 years
2.94
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, one-off · Feb 1, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Feb 16, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (32)
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 |
|---|---|---|
| May 21, 2025 | F · Potential for harm, facility-wide | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| May 21, 2025 | F · Potential for harm, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint |
| May 21, 2025 | F · Potential for harm, facility-wide | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| May 21, 2025 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| May 21, 2025 | F · Potential for harm, facility-wide | 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. |
| May 21, 2025 | F · Potential for harm, facility-wide | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. |
| May 21, 2025 | 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. · from a complaint |
| May 21, 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. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| May 21, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 21, 2025 | 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. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| May 21, 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. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Oct 8, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| May 14, 2024 | F · Potential for harm, facility-wide | 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. |
| May 14, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 14, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| May 14, 2024 | E · Potential for harm, repeated | 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 |
| May 14, 2024 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| May 14, 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. |
| May 14, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Feb 1, 2024 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| May 16, 2023 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| May 16, 2023 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| May 16, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 16, 2023 | D · Potential for 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. |
| May 16, 2023 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 18).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 9 | 1 | J ▲ |
| 2025 | 18 | 0 | F |
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)
1 fine totaling $16,801.
| Date | Type | Amount / length |
|---|---|---|
| Feb 1, 2024 | Fine | $16,801 |
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) | 2.94 | 4.33 | 3.95 | bottom 3% in Nebraska; bottom 12% in the U.S. |
| Registered Nurse hours | 0.48 | 0.72 | 0.69 | bottom 21% in Nebraska; bottom 34% in the U.S. |
| Weekend total nurse staffing | 2.75 | 3.79 | 3.50 | bottom 4% in Nebraska; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.47 | 0.48 | top 41% in Nebraska; top 38% in the U.S. |
| Total nursing staff turnover (%) | 76.1 | 48.7 | 45.8 | bottom 6% in Nebraska; bottom 3% in the U.S. |
| RN turnover (%) | 70.0 | 44.1 | 42.9 | bottom 20% in Nebraska; bottom 12% 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 2.86, RN 0.46, weekend 2.68. Staffing rating: 1/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
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 |
| Muir, Danielle | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/02/2023 |
| Silberstein, Ari | Individual | Corporate Officer | NOT APPLICABLE | 08/02/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "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 |
|---|---|---|---|---|---|
| Chi Health St. Francis | 0.1 mi | Grand Island, NE | ★★★☆☆ | 4/5 | |
| Tiffany Square | 0.6 mi | Grand Island, NE | ★★☆☆☆ | 3/5 | |
| Good Samaritan Society - Grand Island Village | 0.7 mi | Grand Island, NE | ★☆☆☆☆ | 2/5 | |
| Emerald Nursing & Rehab Lakeview | 2.8 mi | Grand Island, NE | ★☆☆☆☆ | 1/5 | |
| Eventide Prairie Commons Care Center | 2.9 mi | Grand Island, NE | ★☆☆☆☆ | 1/5 | |
| Westfield Quality Care of Aurora | 18.5 mi | Aurora, NE | ★☆☆☆☆ | 1/5 | |
| Memorial Community Care | 18.9 mi | Aurora, NE | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 285221.