Gold Crest Retirement Center

200 Levi Lane · Adams, NE · 68301 · 4029887115

52 certified beds Non profit - Other

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 70
Serious harm & abuse 20% 100
Staffing 20% 83
Federal penalties 15% 100
Trend 10% 65
Context 5% 100

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

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.513.48 min · 4.1 strong
RN hours / resident-day1.030.55–0.75
Weekend hours / resident-day3.98≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)none

Inspection citations (12 in the current record)

  • Potential for harm · E March 12, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 22, 2025 · Quality of Life and Care

  • Potential for harm · E March 12, 2025

    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 April 22, 2025 · Pharmacy Service

  • Potential for harm · E March 12, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 22, 2025 · Infection Control

  • Potential for harm · D April 2, 2024

    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, 2024 · Resident Rights

  • Potential for harm · D April 2, 2024

    Ensure each resident receives an accurate assessment.

    Corrected May 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 2, 2024

    Ensure a qualified health professional conducts resident assessments.

    Corrected May 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E April 2, 2024

    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 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 2, 2024

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

    Corrected May 15, 2024 · Quality of Life and Care

  • Potential for harm · D October 23, 2023 · found via complaint

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

    Corrected December 4, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 25, 2023

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected July 5, 2023 · Resident Rights

  • Potential for harm · E May 25, 2023

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected July 5, 2023 · Resident Rights

  • Potential for harm · E May 25, 2023

    Provide and implement an infection prevention and control program.

    Corrected July 5, 2023 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285065 · certified since June 7, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.