Adept Nursing & Rehab of Gretna
700 Highway 6 · Gretna, NE · 68028 · 4023323446
63 certified beds For profit - Corporation Chain: Avid Healthcare Group
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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
81% 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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.38 | ≈ weekday level |
| Nursing turnover / year | 81% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · D March 5, 2026
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 April 9, 2026 · Resident Rights
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Potential for harm · D March 5, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 9, 2026 · Quality of Life and Care
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Potential for harm · E March 5, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 9, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 9, 2026 · Pharmacy Service
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Potential for harm · D March 5, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 9, 2026 · Quality of Life and Care
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Potential for harm · E March 5, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 9, 2026 · Pharmacy Service
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Potential for harm · D August 21, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · E August 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · F August 21, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 12, 2025 · Nutrition and Dietary
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Potential for harm · D August 21, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 12, 2025 · Infection Control
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Actual harm · G May 5, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 5, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · F October 16, 2024
Post nurse staffing information every day.
Corrected November 30, 2024 · Nursing and Physician Services
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Potential for harm · E October 16, 2024 · found via complaint
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 November 30, 2024 · Resident Rights
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Potential for harm · D May 2, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 14, 2024 · Quality of Life and Care
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Potential for harm · E May 2, 2024 · 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 May 14, 2024 · Pharmacy Service
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Potential for harm · D January 29, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected February 16, 2024 · Quality of Life and Care
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Potential for harm · E August 15, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 28, 2023 · Resident Rights
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Potential for harm · D August 15, 2023
Provide and implement an infection prevention and control program.
Corrected September 28, 2023 · Infection Control
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Potential for harm · D August 15, 2023 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 28, 2023 · Quality of Life and Care
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Potential for harm · D August 15, 2023 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected September 28, 2023 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 5, 2025 | Payment Denial | 21 days |
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 285146 · 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.