CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2851412026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Adept Nursing & Rehab Of Sutherland

333 Maple Street · Sutherland, NE 69165 · Lincoln County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds60CMS provider file
Recent citation rows47current CMS citation release
Penalty rows3current 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 12026-03-05112026-03-052
Cycle 22024-12-19142024-12-195
Cycle 32023-11-16142023-11-161
02 / CITATION DETAIL

47 rows in the current release

3 rows carry G–L scope/severity codes; 2 carry J–L. 11 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-05 · HEALTHF0552Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction field: Deficient, Provider has date of correction · 2026-04-01
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 · 2026-04-01
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 · 2026-04-01
2026-03-05 · HEALTHF0689Severity K · pattern of immediate jeopardy

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 · 2026-04-01
2026-03-05 · HEALTHF0745Severity B · pattern; potential for minimal harm

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Correction field: Deficient, Provider has date of correction · 2026-04-01
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 · 2026-04-01
2026-03-05 · HEALTHF0804Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Correction field: Deficient, Provider has date of correction · 2026-04-01
2026-03-05 · 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 · 2026-04-01
2026-03-05 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2026-04-01
2026-03-05 · FIREK0912Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Correction field: Deficient, Provider has date of correction · 2026-04-01
2025-09-24 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Deficient, Provider has date of correction · 2025-10-22 · complaint · under IDR/IIDR
2025-09-24 · HEALTHF0689Severity J · isolated immediate jeopardy

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 · 2025-10-22 · complaint · under IDR/IIDR
2025-09-24 · HEALTHF0726Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-10-22 · complaint
2025-04-09 · 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 · 2025-05-15 · complaint
2025-04-09 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint
2025-04-09 · HEALTHF0697Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2025-06-16 · complaint
2025-04-09 · HEALTHF0758Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint
2024-12-19 · HEALTHF0636Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Correction field: Deficient, Provider has date of correction · 2025-02-15
2024-12-19 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction field: Deficient, Provider has date of correction · 2025-02-15 · complaint
2024-12-19 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2025-02-15
2024-12-19 · 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 · 2025-02-15 · complaint
2024-12-19 · 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 · 2025-02-15 · complaint
2024-12-19 · HEALTHF0695Severity D · isolated; 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 · 2025-02-15
2024-12-19 · HEALTHF0759Severity D · isolated; 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 · 2025-02-15 · complaint
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
2026-03-05Fine$19,1200
2025-09-24Fine$32,5170
2025-04-09Payment Denial$045
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • NE 11 HOLDINGS OPCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 08/02/2023
  • 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 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
  • PUCYLOWSKI, TEDIndividual · 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 hours3.46per resident day
RN hours0.35per resident day
Weekend nurse hours2.98per resident day
Staff turnover69.5%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.