Adept Nursing & Rehab of Ashland

1700 Furnas Street · Ashland, NE · 68003 · 4029447031

97 certified beds For profit - Limited Liability company Chain: Avid Healthcare Group

Why this verdict

  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 82
Staffing 20% 69
Federal penalties 15% 64
Trend 10% 89
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day4.393.48 min · 4.1 strong
RN hours / resident-day0.400.55–0.75
Weekend hours / resident-day4.08≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)none

Inspection citations (19 in the current record)

  • Potential for harm · D July 22, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected August 28, 2025 · Resident Rights

  • Potential for harm · D July 22, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · D July 22, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · D July 22, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · E July 22, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected August 28, 2025 · Pharmacy Service

  • Actual harm · G May 14, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 31, 2025 · Quality of Life and Care

  • Potential for harm · D April 16, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 9, 2025 · Resident Assessment and Care Planning

  • Actual harm · G March 5, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 31, 2025 · Quality of Life and Care

  • Potential for harm · D March 5, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 31, 2025 · Infection Control

  • Potential for harm · D June 17, 2024

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected July 25, 2024 · Resident Rights

  • Potential for harm · D June 17, 2024

    Ensure each resident receives an accurate assessment.

    Corrected July 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 17, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 25, 2024 · Quality of Life and Care

  • Potential for harm · F June 17, 2024

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected July 25, 2024 · Nursing and Physician Services

  • Potential for harm · E June 17, 2024 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected July 25, 2024 · Environmental

  • Potential for harm · E June 17, 2024 · found via complaint

    Have enough outside ventilation via a window or mechanical ventilation, or both.

    Corrected July 25, 2024 · Environmental

  • Potential for harm · D March 13, 2024 · found via complaint

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected May 1, 2024 · Administration

  • Actual harm · G September 12, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 6, 2023 · Quality of Life and Care

  • Potential for harm · D June 23, 2023

    Keep residents' personal and medical records private and confidential.

    Corrected July 21, 2023 · Resident Rights

  • Potential for harm · D June 23, 2023

    Provide and implement an infection prevention and control program.

    Corrected July 21, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
March 5, 2025Payment Denial64 days
September 12, 2023Payment Denial3 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285140 · certified since June 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.