Adept Nursing & Rehab of Grand Island

800 Stoeger Drive · Grand Island, NE · 68803 · 3083825440

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

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Total nurse staffing below 3.0 hours per resident-day

2.84 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

77% 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 32
Serious harm & abuse 20% 94
Staffing 20% 48
Federal penalties 15% 73
Trend 10% 54
Context 5% 75

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

CMS ratings & staffing

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

Total nurse hours / resident-day2.843.48 min · 4.1 strong
RN hours / resident-day0.530.55–0.75
Weekend hours / resident-day2.63≈ weekday level
Nursing turnover / year77%median 45%
Fines (3-yr window)1 · $16,801

Inspection citations (32 in the current record)

  • Potential for harm · D May 21, 2025

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

    Corrected June 20, 2025 · Resident Rights

  • Potential for harm · D May 21, 2025

    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.

    Corrected June 20, 2025 · Resident Rights

  • Potential for harm · D May 21, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F May 21, 2025

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 21, 2025

    Ensure each resident receives an accurate assessment.

    Corrected June 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 21, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected June 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 21, 2025

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

    Corrected June 20, 2025 · Quality of Life and Care

  • Potential for harm · D May 21, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected June 20, 2025 · Quality of Life and Care

  • Potential for harm · D May 21, 2025

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected June 20, 2025 · Nursing and Physician Services

  • Potential for harm · D May 21, 2025

    Provide or obtain dental services for each resident.

    Corrected June 20, 2025 · Quality of Life and Care

  • Potential for harm · D May 21, 2025

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected June 20, 2025 · Nutrition and Dietary

  • Potential for harm · F May 21, 2025

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected June 20, 2025 · Administration

  • Potential for harm · F May 21, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 20, 2025 · Infection Control

  • Potential for harm · F May 21, 2025

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected June 20, 2025 · Administration

  • Potential for harm · D May 21, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F May 21, 2025 · found via complaint

    Post nurse staffing information every day.

    Corrected June 20, 2025 · Nursing and Physician Services

  • Potential for harm · F May 21, 2025 · found via complaint

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected June 20, 2025 · Pharmacy Service

  • Potential for harm · F May 21, 2025 · found via complaint

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

    Corrected June 20, 2025 · Nursing and Physician Services

  • Potential for harm · D October 8, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 22, 2024 · Quality of Life and Care

  • Potential for harm · E May 14, 2024

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected June 28, 2024 · Resident Rights

  • Potential for harm · D May 14, 2024

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

    Corrected June 28, 2024 · Quality of Life and Care

  • Potential for harm · D May 14, 2024

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected June 28, 2024 · Quality of Life and Care

  • Potential for harm · F May 14, 2024

    Provide and implement an infection prevention and control program.

    Corrected June 28, 2024 · Infection Control

  • Potential for harm · E May 14, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E May 14, 2024 · 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 June 28, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 1, 2024Fine$16,801

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285221 · certified since May 21, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.