Adept Nursing & Rehab of Grand Island

In the surveyor’s words

From the most serious findings on record at Adept Nursing & Rehab of Grand Island, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Feb 1, 2024

  Licensure Reference Number 175 NAC ,d+[DATE].09 Based on record review and interview, the facility failed to request emergency medical services promptly to provide emergency care services for 1 (Resident 1) of 1 sampled resident. This caused the resident to not receive timely emergency care services resulting in the death of the resident. The facility census was 45. Findings are: Record review of the undated facility policy titled Cardiopulmonary Resuscitation (CPR) (a lifesaving attempt combination of rescue breathing and chest compressions when someone's heart has stopped) revealed that it is the policy of the facility to adhere to resident rights to formulate advanced directives. The facility will implement guidelines regarding cardiopulmonary resuscitation. […]

• No harm, potential for more than minimal, widespreadF584Aug 27, 2026

  Licensure Reference Number 175 NAC 12-006.19Licensure Reference Number 175 NAC 12-006.19(A)Based on observation, record review, and interview the facility failed to ensure that common areas were maintained, resident rooms were cleaned and maintained, repairs were identified and completed, lighting was maintained, and noise levels were homelike. This affected all facility residents. The facility census was 54.Findings are:Record review of the undated facility Admissions Agreement revealed that the facility agrees to provide lodging and a clean, healthful, sheltered environment that is properly outfitted. […]

• No harm, potential for more than minimal, widespreadF761Aug 27, 2026

  Licensure Reference Number 175 NAC 12-006.12(D)(i)Licensure Reference Number 175 NAC 12-006.12(D)(v)Based on record review, observations, and interview, the facility failed to ensure that medication refrigerator temperatures were monitored daily and that medications stored in the medication refrigerators were stored at the correct temperatures. This had the potential to affect all residents of the facility. The facility census was 54.Findings were:Record review of the policy Medication Storage reviewed and dated 3/31/26 revealed that it is the facility policy to ensure all medications housed on the premises will be stored in the pharmacy and or medication rooms according to the manufacturers' recommendations and sufficient to ensure proper sanitation, temperature, light, ventilation,… […]

• No harm, potential for more than minimal, widespreadF880Aug 27, 2026

  Licensure Reference Number 175 NAC 1-005.06(D)Licensure Reference Number 175 NAC 1-005.06(E)Licensure Reference Number 175 NAC 12-006.18(B)Based on observation, record review, and interview the facility failed to implement cleaning procedures to prevent the potential for the spread of pathogens during the bathing process. This had the potential to affect all of the residents residing in the facility; failed to utilize hand hygiene (hand washing using soap and water or an alcohol-based hand rub (ABHR) to remove germs for reducing the risk of transmitting infection among patients and health care personnel) during glove changes during wound care for 2 residents (Residents 18 and 8) and during catheter care for 1 resident (Resident 8) to prevent the potential for cross-contamination; and… […]

• No harm, potential for more than minimal, widespreadF881Aug 27, 2026

  Licensure Reference Number 175 NAC 1-005.06(C)Licensure Reference Number 175 NAC 12-006.18Based on record review and interview the facility failed to as part of their infection control program to maintain policies and procedures for antibiotic stewardship. This had the potential to affect all of the residents residing in the facility. The facility census was 54.Findings are:Record review of a facility policy titled Antibiotic Stewardship Program and dated 06/01/2026 revealed it was the policy of the facility to implement an Antibiotic Stewardship Program as part of the facilities overall infection prevention and control program. […]