Nebraska ›Adams

Gold Crest Retirement Center

Name: Gold Crest Retirement Center
Address: 200 Levi Lane, Adams, NE, 68301, US
Telephone: 4029887115

200 Levi Lane, Adams, NE 68301 · Gage County · 52 certified beds · avg 37 residents/day · certified since Jun 7, 1984

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

0.76

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

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.

All citations in the current public record (12)

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
Mar 12, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 12, 2025	E · Potential for harm, repeated	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.
Mar 12, 2025	E · Potential for harm, repeated	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.
Apr 2, 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.
Apr 2, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Apr 2, 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.
Apr 2, 2024	D · Potential for harm, one-off	The facility did not make sure resident assessments were done by a qualified health professional. Assessments guide all of a resident's care, so the person doing them must be properly trained.
Apr 2, 2024	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.
Oct 23, 2023	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 25, 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 25, 2023	E · Potential for harm, repeated	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 25, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 3).

Year	Citations	Worst severity that year
2023	4	E
2024	5	E
2025	3	E

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)

No fines or payment denials in the published 3-year window.

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)	0.76	4.33	3.95	bottom 1% in Nebraska; bottom 1% in the U.S.
Registered Nurse hours	0.00	0.72	0.69	bottom 1% in Nebraska; bottom 1% in the U.S.
Weekend total nurse staffing	0.80	3.79	3.50	bottom 1% in Nebraska; bottom 1% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.00	0.47	0.48	bottom 1% in Nebraska; bottom 1% in the U.S.
Total nursing staff turnover (%)	66.7	48.7	45.8	bottom 15% in Nebraska; bottom 8% in the U.S.
RN turnover (%)	50.0	44.1	42.9	bottom 43% in Nebraska; bottom 39% 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 0.64, RN 0.00, weekend 0.68. 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: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Other

Owner / manager	Type	Role	Stake	Since
Fritzen, Jeffrey	Individual	W-2 Managing Employee	NOT APPLICABLE	03/06/2010
Fritzen, Jeffrey	Individual	Corporate Director	NOT APPLICABLE	03/06/2010
Gramann, Henry	Individual	Corporate Director	NOT APPLICABLE	10/30/2009
Gramann, Henry	Individual	Corporate Officer	NOT APPLICABLE	01/01/1996
Hershberger, Susan	Individual	Corporate Officer	NOT APPLICABLE	01/01/2007
Siefkes, Wes	Individual	Corporate Officer	NOT APPLICABLE	02/04/2013
Sutter, Ronald	Individual	Corporate Officer	NOT APPLICABLE	05/07/1984

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 many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who conducts resident assessments here, and what are their qualifications?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
Beatrice Health and Rehabilitation	16.3 mi	Beatrice, NE	★★★★☆	4/5
Good Samaritan Society - Beatrice	16.9 mi	Beatrice, NE	★★★☆☆	3/5
Southlake Village Rehabilitation & Care Center	19.6 mi	Lincoln, NE	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Adams →

Facility data as of CMS processing date 2026-08-01. CCN 285065.

The Care File

Visit checklist — Gold Crest Retirement Center

200 Levi Lane, Adams, NE 68301 · 4029887115

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who conducts resident assessments here, and what are their qualifications?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 285065 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)