Adept Nursing & Rehab of Central City

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 63 beds and averages 59.0 residents a day — about 94% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.17 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.01 hrs/resident/day on weekends vs 3.23 on weekdays — 7% thinner on weekends. RN hours go from 0.35 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · D2025-12-03 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to provide notification to the physician for Resident #7 as required. The facility has a census of 58.Findings are: Record review of Resident 7's Medication Administration Record dated 12/3/25 revealed admission to the facility was on 4/8/25.Record review of Resident 7's progress notes dated 12/2/25 revealed several episodes on different days when this resident was screaming, flailing arms, hitting, thrashing about, kicking, and combative with cares.Record review of Resident 7's diagnoses dated 12/2/25 revealed bipolar disorder-current episode manic severe with psychotic features, anorexia nervosa, obsessive-compulsive disorder, mood disorder due to known physiological condition, body dysmorphic disorder, alcohol dependence-remission, major depressive disorder-recurrent and anxiety disorder.Interview with Director of Nursing on 12/2/25 at 3:00 PM revealed Resident 7 was transferred to [NAME] hospital on [DATE].An interview on 12/3/25 at 12:25 PM…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-07-31 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11EBased on observations, interviews, and record reviews, the facility failed to store, prepare, and serve food in a manner to prevent potential for foodborne illness. Specifically failed were gloves while touching foods, failed to ensure food in storage were labeled, dated or sealed, failed to have thermometers in the milk refrigerator, failed to ensure foods and fluids were at the proper temperature and failed to ensure hand hygiene was completed. This had the potential to affect all 58 residents who ate food prepared in the kitchen.Findings are: Record review of the facility provided policy, titled “Personal Protective Equipment”, dated 4/1/24 revealed that staff should perform hand hygiene before donning gloves and after removal. Gloves are not a substitute for hand hygiene. Record review of the facility policy, titled “Hand Hygiene” dated 5/29/24 revealed a definition of hand hygiene as a general term for cleaning hands by hand washing with soap and water or the use of antiseptic hand rub, or alcohol-based hand rub (ABHR). Record review…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-31 · tag F0726 — failed to have competent, trained nursing staff — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.04(B)(ii)(2) Based on record reviews and interviews, the facility failed to ensure 4 Medication Assistants of 4 reviewed had competencies completed. The facility had census of 58. Findings are: Record review of 4 out of 4 sampled Medication Assistants (MA) employees' competencies for 2024 and 2025 revealed that the 4 MA's did not have competencies documented as completed. Record review of 4 employees that are MA's and their hire dates:-MA-M hire date was 1/29/2024-MA-J hire date was 8/23/2016-MA-N hire date was 5/20/2025-MA-O hire date was 6/11/2025 An interview on 7/30/25 at 1:10 PM with the Director of Nursing (DON) confirmed the facility did not have documentation of MA competencies. An interview on 7/30/25 at 2:40 PM with the Regional Director of Operations (RDO) revealed the facility was unable to find the MA's competencies. Record review of Training Requirements policy dated 7/1/25 revealed: It is the policy of this facility to develop, implement, and maintain an effective training program for all new and existing staff, individuals…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-31 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12.006.05(E) Based on record review and interviews, the facility failed to have a signed advanced directive for one resident (resident 11) out of eight sampled residents. Facility census was 58. Findings are: A record review of resident 11's Minimum Data Set (MDS) (a comprehensive assessment used to develop a resident's care plan) dated 05/14/2025 revealed a brief interview of mental status (BIMS)(a score of a resident's cognitive ability) score of 11.This means the resident had moderate cognitive impairment. Based on the MDS, Preferences for Customary Routine Activities is somewhat to very important to Resident 11. A record review of Resident 11's Care Plan with an admission date of 05/08/2025 revealed resident was having adjustment issues with admission. Interventions listed include, identifying resident's activity preferences, learn to recognize/help the resident to identify stressors, and to provide the resident with as many situations as possible to allow control over the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-31 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews and interview, the facility failed to provide notice of end of Medicare coverage for 2 ( Resident 10 and 46) of 3 sampled residents. The facility has a census of 58. Findings are:A.Record review of Resident 46's MDS (Minimum Data Set, a comprehensive assessment of each resident's functional capabilities) dated 6/23/25 revealed admission to the facility was on 4/18/23.Record review of Resident 46's Notice of Medicare Non-Coverage (NOMNC) and Advance Beneficiary Notice (ABN) was completed, although was signed on 7/25/25 with last covered date being 7/22/25.An interview on 7/30/25 at 8:00 AM with the Regional Business Office Manager confirmed that the facility did not have Resident 46 sign the NOMNC or ABN 2 days before the last day of Medicare-covered services.Record review of Advanced Beneficiary notices Policy dated 4/1/ 25 revealed: It is the policy of this facility to provide timely notices regarding Medicare eligibility and coverage.B.Record review of Resident 10's admission record dated 7/29/25 revealed re-admission to the facility was on 3/11/25.Record…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-31 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to notify the ombudsman (a state appointed advocate for residents of nursing homes) of resident discharge for 1 of 1 residents reviewed (Resident 66) as required. The facility census was 58 at the time of the survey. Findings are:Record review of the facility process titled Emergency Transfers from Facility revealed the emergency transfer document is to be sent each month to the ombudsman.Review of the discharge Minimum Data Set (MDS - a mandatory comprehensive assessment tool used for care planning) for Resident 66 dated revealed that Resident 66 admitted to the facility on [DATE]. The MDS revealed that Resident 66 had a discharge date of 5/2/2025.Record review of Resident 66's discharge summary revealed that the resident discharged from the facility on 5/2/2025.During an interview on 7/31/2025 at 11:06 AM the Regional Director of Operations (RDO) revealed that the facility staff gives notifications of emergency transfers and discharges to the ombudsman…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-31 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure reference number 175 NAC 12-006.09(H)(iv)(3)Based on observation, interviews and record reviews, the facility failed to maintain the catheter drainage bag below the bladder for 1 (Resident 39) of 1 sampled residents to prevent urinary tract infection. The facility has a census of 58.Findings are: Record review of Resident 39's admission record dated 7/29/25 revealed admission to the facility was on 4/18/23.Record review of Resident 39's Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) dated 6/14/25 revealed:-Section C: short term and long term memory problems. Cognitive Skills for Daily Decision Making severely impaired-Section GG: Dependent assistance with eating, toileting hygiene, bathing, lower body dressing, putting shoes on and off, and transferring. Needs maximum assistance with oral hygiene, upper body dressing, personal hygiene, rolling left and right in bed. -Section H: Indwelling catheter Record review of Resident 39's Diagnoses…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-31 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09Based on observation, record reviews and interviews, the facility staff failed to complete an assessment and monitoring after receiving Dialysis services for 1 (Resident 10) of 1 residents. The facility has a census of 58.Findings are: Record review of Resident 10's admission record dated 7/29/25 revealed re-admission to the facility was on 3/11/2025. Record review of Resident 10's Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) dated 6/2/25 revealed:-Section C: Brief Interview for Mental Status (BIMS, a brief screener that aids in detecting cognitive impairment) score of 15 indicating cognitively intact.Section E: no rejection of care-Section GG: setup assist with eating, oral hygiene, personal hygiene, and upper body dressing. Moderate assist with bathing. Maximum assist with toileting hygiene, lower body dressing, and putting on/taking off footwear. Dependent assist with transfers.-Section O: Dialysis…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-02-27 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11(D) Based on record reviews, observations, and interviews the facility failed to ensure residents were provided with nourishing and palatable meals. This had the potential to affect all residents who received meals from the kitchen. The facility census was 56. Findings Are: Record review of the policy Food Preparation Guidelines dated 8/1/2023 revealed the policy intent is to prepare foods in a manner to preserve or enhance a resident's nutrition and hydration status. The following three definitions were defined: -Food Attractiveness - the appearance of the food when served to residents, -Food palatability - the taste and flavor of the food, and -Proper (safe and appetizing) temperature meant appetizing food and minimizing the risk for scald and burns. The policy explanation and compliance guidelines stated 2) food shall be prepared by methods that conserve nutritive value, flavor, and appearance; 3) Food and drinks shall be palatable, attractive, and at a safe and appetizing temperature; b) using spices or herbs to season food in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-02-27 · tag F0806 — failed to honor food preferences — widespread
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11(A)(iii) Based on record reviews, observations, and interviews the facility failed to ensure residents were offered alternate meal items when residents choose not to eat food that was initially served. This had the potential to affect all residents who received meals from the kitchen. The facility census was 56. Findings Are: Record review of the policy Food Preparation Guidelines dated 8/1/2023 revealed the policy intent is to prepare foods in a manner to preserve or enhance a resident's nutrition and hydration status. The policy explanation and compliance guidelines stated in section 4) Food shall be provided in a form that meets each resident's individual needs according to assessment and care plan; 5) Staff shall accommodate resident preferences providing appropriate alternatives; and 6) Staff shall offer residents appropriate alternatives when they choose not to consume food that is initially served or when a different food choice is requested. Observation on 2/26/2025 at 12:15 PM while residents were eating in the east formal dining…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AVID HEALTHCARE GROUP — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

10 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 85% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $953K paid to related parties — landlords or management companies under common ownership — equal to about 30% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE