Adept Nursing & Rehab of Sutherland
333 Maple Street · Sutherland, NE · 69165 · 3083864393
60 certified beds For profit - Corporation Chain: Avid Healthcare Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $51,637 in fines in the last 24 months.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$51,637 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
75% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 75% | median 45% |
| Fines (3-yr window) | 2 · $51,637 |
Inspection citations (39 in the current record)
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Immediate jeopardy · K March 5, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 1, 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 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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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 1, 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 1, 2026 · Pharmacy Service
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Potential for harm · F March 5, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 1, 2026 · Nutrition and Dietary
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Potential for harm · F March 5, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 1, 2026 · Nutrition and Dietary
-
No harm found · B March 5, 2026
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected April 1, 2026 · Quality of Life and Care
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Immediate jeopardy · J September 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 22, 2025 · Quality of Life and Care
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Potential for harm · D September 24, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F September 24, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected October 22, 2025 · Nursing and Physician Services
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Actual harm · G April 9, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 16, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 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 May 15, 2025 · Resident Rights
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Potential for harm · D April 9, 2025 · 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 May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2025 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 15, 2025 · Pharmacy Service
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Potential for harm · D December 19, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 15, 2025 · Quality of Life and Care
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Potential for harm · F December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 15, 2025 · Nutrition and Dietary
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Potential for harm · D December 19, 2024
Provide and implement an infection prevention and control program.
Corrected February 15, 2025 · Infection Control
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Potential for harm · D December 19, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 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 February 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 15, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected February 15, 2025 · Pharmacy Service
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Potential for harm · D September 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 10, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 5, 2026 | Fine | $19,120 |
| September 24, 2025 | Fine | $32,517 |
| April 9, 2025 | Payment Denial | 45 days |
Better-scoring options nearby
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 285141 · 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.