CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2851462026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Adept Nursing & Rehab Of Gretna

700 Highway 6 · Gretna, NE 68028 · Sarpy County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds63CMS provider file
Recent citation rows49current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-03-05122026-03-055
Cycle 22024-10-1652024-10-163
Cycle 32023-08-1572023-08-1517
02 / CITATION DETAIL

49 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-05 · HEALTHF0578Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2026-04-09
2026-03-05 · HEALTHF0605Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-09
2026-03-05 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2026-04-09
2026-03-05 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-09
2026-03-05 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-09 · complaint
2026-03-05 · HEALTHF0695Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-09
2026-03-05 · HEALTHF0756Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Correction field: Deficient, Provider has date of correction · 2026-04-09
2026-03-05 · HEALTHF0759Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2026-04-09 · complaint
2026-03-05 · FIREK0321Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2026-03-30
2026-03-05 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2026-03-30
2026-03-05 · FIREK0753Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

Correction field: Deficient, Provider has date of correction · 2026-03-30
2026-03-05 · FIREK0781Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Correction field: Deficient, Provider has date of correction · 2026-03-30
2026-03-05 · FIREK0920Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2026-03-30
2025-08-21 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-09-12 · complaint
2025-08-21 · HEALTHF0689Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-09-12 · complaint
2025-08-21 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2025-09-12 · complaint
2025-08-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-09-12 · complaint
2025-05-05 · HEALTHF0561Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Correction field: Deficient, Provider has date of correction · 2025-06-13 · complaint
2025-05-05 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-06-13 · complaint
2025-05-05 · HEALTHF0686Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-06-13 · complaint
2024-10-16 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-11-30 · complaint
2024-10-16 · HEALTHF0732Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Correction field: Deficient, Provider has date of correction · 2024-11-30
2024-10-16 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2024-11-08
2024-10-16 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2024-11-08
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-05-05Payment Denial$021
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • BRASS NE TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 08/02/2023
  • BSD BEIS HEALTH TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 08/02/2023
  • COPPER NE TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 08/02/2023
  • DOURO VALLEY INVESTMENT, LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 08/02/2023
  • GOLD NE TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 08/02/2023
  • NE 11 HOLDINGS OPCO LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 08/02/2023
  • NE SNF HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 08/02/2023
  • SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 08/01/2023
  • SILVER NE TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 08/02/2023
  • TULIP INVESTMENTS NE LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 08/02/2023
  • HOHENSEE, KENTIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 08/02/2023
  • SILBERSTEIN, ARIIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 08/02/2023

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.04per resident day
RN hours0.44per resident day
Weekend nurse hours3.61per resident day
Staff turnover87.1%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Nebraska ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.