Gold Crest Retirement Center

200 Levi Lane, Adams, NE 68301 (opens Google Maps) · Gage County · (402) 988-7115· 52 certified beds · avg 37 residents/day · certified since Jun 7, 1984 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5

Health inspection rating (on-site)

inspected Mar 12, 2025

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.

Mar 12, 2025E · Potential for more than minimal harm, pattern
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. F-0677
Mar 12, 2025E · Potential for more than minimal harm, pattern
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. F-0761
Mar 12, 2025E · Potential for more than minimal harm, pattern
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. F-0880

View all 12 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Mar 12, 2025	E · Potential for more than minimal harm, pattern	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. · F-0677
Mar 12, 2025	E · Potential for more than minimal harm, pattern	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. · F-0761
Mar 12, 2025	E · Potential for more than minimal harm, pattern	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. · F-0880
Apr 2, 2024	E · Potential for more than minimal harm, pattern	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. · F-0657
Apr 2, 2024	D · Potential for more than minimal harm, isolated	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. · F-0580
Apr 2, 2024	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Apr 2, 2024	D · Potential for more than minimal harm, isolated	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. · F-0642
Apr 2, 2024	D · Potential for more than minimal harm, isolated	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. · F-0695
Oct 23, 2023	D · Potential for more than minimal harm, isolated	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 · F-0609
May 25, 2023	E · Potential for more than minimal harm, pattern	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. · F-0623
May 25, 2023	E · Potential for more than minimal harm, pattern	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. · F-0880
May 25, 2023	D · Potential for more than minimal harm, isolated	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. · F-0580

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityNebraska averageU.S. average

Total nurse staffing (hours per resident per day)

0.76

4.33

3.95

Registered Nurse hours

0.00

0.72

0.69

Weekend total nurse staffing

0.80

3.79

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (0.64 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Gold Crest Retirement Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 7 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Nebraska midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 67% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Gold Crest Retirement Center

200 Levi Lane, Adams, NE 68301 · (402) 988-7115

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?"
☐ "Your weekend nurse staffing is reported below the Nebraska midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 67% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)