Adept Nursing & Rehab of Gretna
Gretna, Nebraska · CCN 285146
22 surveys since 2010, 5 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 100
- Surveys
- 22
- Harm or worse
- 5
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 63
- Ownership
- For profit - Corporation
- Chain
- AVID HEALTHCARE GROUP
- County
- Sarpy
- Medicare-certified since
- 1994
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 2
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 25 for-profit facilities with fewer than 66 beds in Nebraska.
Last survey on record
Mar 5, 2026
249 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.04 | 3.71 |
| Registered-nurse hours per resident day | 0.44 | — |
| Annual nurse turnover | 87.1% | 64.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G14.2% | H— | I— |
| No harm, potential for more than minimal | D1562.5% | E625.0% | F28.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6864×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F7592×
Ensure medication error rates are not 5 percent or greater.
- F8802×
Provide and implement an infection prevention and control program.
- F5611×
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- F5781×
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
In the surveyor’s words
From the most serious findings on record at Adept Nursing & Rehab of Gretna, in the surveyor’s own words.
- Actual harm, isolatedF686Aug 21, 2025
LICENSURE REFERENCE NUMBER 175 NAC 12-006.09(H)(iii)(1 & 2)Based on observations, interviews, and record review, the facility failed to evaluate causal factors and failed to implement interventions to prevent pressure wounds for 1 (Resident 3) of 4 sampled residents. The facility staff identified a census of 44.The findings are:Record review of Resident 3's Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and help nursing home staff identify health problems) dated 7/1/2025 revealed the facility staff identified the following about the resident: -Resident 3 was rarely or never understood and had short and long-term memory problems. -Resident 3 did not exhibit behaviors. […]
- Actual harm, isolatedF686May 5, 2025
Licensure Reference Number 175 NAC 12-006.09(H)(iii)(1) and 12-006.09(H)(iii)(2) Based on observation, interview and record review the facility failed to evaluate, monitor and implement interventions for pressure ulcer prevention and to promote wound healing for 2 (Resident 2 and 3) of 3 residents sampled. The facility census was 43. The findings are: A.Record review of Resident 2' Minimum Data Set (MDS: a federally mandated assessment tool used for care planning) dated 03-27-2025 revealed the facility staff assessed the following about the resident: -an admitted [DATE] -had a right hip fracture. -Brief Interview of Mental Status (BIMS) was scored as a 15. According to the MDS Manual a score of 13-15 indicates a person is cognitively intact. […]
- No harm, potential for more than minimal, widespreadF812Aug 21, 2025
Licensure Reference Number 175 NAC 12.006.11(E) Based on observation, interview, and record review, the facility failed to ensure the chemical low-temperature (temp) dish machine reached a minimum temp of 120 degrees Fahrenheit (F)(a temperature scale) during all wash and rinse cycles. This had the potential to affect 43 residents that consumed food from the kitchen. The total facility census was 44. Findings are:A record review of the facility's Dishwasher Temperature policy dated 8/2023 revealed all items cleaned in the dishwasher would be washed in water that is sufficient to sanitize any and all items. Manufacturer's instructions shall be followed for washing and sanitizing. The wash temp shall be 120 degrees F. […]
- No harm, potential for more than minimal, widespreadF732Oct 16, 2024
Based on observation, record review and interview; the facility failed to ensure nurse staffing information was posted daily at the beginning of the shift and included the facility name, date, census, and the total number and actual hours worked per shift for Registered Nurses, Licensed Practical Nurses, and Nurses Aides who were responsible for resident care. This had the potential to affect all residents that resided in the facility. The facility census was 44. Findings are: Record review of a policy entitled Nurse Staffing Posting Information, dated 8-2023, revealed the following information: It is the policy of this facility to make nurse staffing information readily available in a readable format to residents and visitors at any given time policy explanation and compliance… […]
- No harm, potential for more than minimal, widespreadF880Dec 15, 2022
Licensure Reference Number 175 NAC 12-006.17A Licensure Reference Number 175 NAC 12-006.17B Licensure Reference Number 175 NAC 12-006.17D Based on observation, interview, and record review, the facility failed to prevent the spread of COVID-19 as evidenced by the following: 1) Improper usage of PPE (Personal Protective Equipment) by facility staff. 2) Failure to perform hand hygiene to prevent cross-contamination. These failures had the potential to affect all residents residing in the facility. At the time of the survey, a total of 22 residents and 4 staff members had tested positive for COVID-19 since the start of the outbreak. The facility had a total census of 42 residents. The findings are: A. […]
Read 23 findings in full →The most serious and the most recent: 23 of 100 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 5, 2026Standard and complaint8 findings
- Aug 21, 2025Complaint4 findings · 1 harm
- May 5, 2025Complaint3 findings · 1 harm
- Oct 16, 2024Standard and complaint2 findings
- May 2, 2024Complaint2 findings
- Jan 29, 2024Complaint1 finding
- Aug 15, 2023Standard4 findings
- Dec 28, 2022Complaint1 finding
Show the 14 earlier surveys
- Dec 15, 2022Infection control5 findings
- Jun 2, 2022Standard4 findings
- Sep 30, 2020Standard1 finding
- Apr 6, 2020Complaint1 finding
- Jul 11, 2019Standard3 findings
- Apr 3, 2018Standard6 findings
- May 30, 2017Complaint1 finding
- Jan 30, 2017Standard9 findings
- Dec 17, 2015Standard11 findings
- Feb 3, 2015Standard2 findings
- Dec 4, 2013—6 findings · 3 harm
- Oct 4, 2012—13 findings
- May 12, 2011—7 findings
- Jan 28, 2010—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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