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).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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
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-day | 2.84 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.63 | ≈ weekday level |
| Nursing turnover / year | 77% | median 45% |
| Fines (3-yr window) | 1 · $16,801 |
Inspection citations (32 in the current record)
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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
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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
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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
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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
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Potential for harm · D May 21, 2025
Ensure each resident receives an accurate assessment.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 21, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 20, 2025 · Resident Assessment and Care Planning
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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
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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
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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
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Potential for harm · D May 21, 2025
Provide or obtain dental services for each resident.
Corrected June 20, 2025 · Quality of Life and Care
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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
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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
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Potential for harm · F May 21, 2025
Provide and implement an infection prevention and control program.
Corrected June 20, 2025 · Infection Control
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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
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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
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Potential for harm · F May 21, 2025 · found via complaint
Post nurse staffing information every day.
Corrected June 20, 2025 · Nursing and Physician Services
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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
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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
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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
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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
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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
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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
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Potential for harm · F May 14, 2024
Provide and implement an infection prevention and control program.
Corrected June 28, 2024 · Infection Control
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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
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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
| Date | Type | Amount / length |
|---|---|---|
| February 1, 2024 | Fine | $16,801 |
Family & resident reviews — a separate signal, never mixed into the score
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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.