Adept Nursing & Rehab of North Platte

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

40.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 131 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 68.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 135 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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 94 beds and averages 72.3 residents a day — about 77% occupied, or roughly 22 beds typically open. It usually has some room. 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 3.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 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 2.98 hrs/resident/day on weekends vs 3.69 on weekdays — 19% thinner on weekends. RN hours go from 0.74 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above the national median of 45%.

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 fewer than at the previous inspection — improving. 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.

23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · Jdisputed · IDR2024-10-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference 175 NAC 12-006.09(I) Based on interviews and record reviews, the facility failed to identify causative factors, and develop and implement new interventions for falls for 3 (Resident 1, 3, 4) of 4 sampled residents. The facility also failed to develop and implement interventions for 1 (Resident 5) of 4 sampled resident at-risk for elopement. The facility identified a census of 54. The facility was notified on 10/16/2024 at 8:40 PM of an Immediate Jeopardy (IJ) which began on 7/4/2024. The IJ was removed on 10/17/2024, as confirmed by the surveyor onsite verification. Findings are: A record review of facility policy Fall Prevention Program with a last revised date of 10/16/23 revealed when a resident experiences a fall, the facility will review and update the resident's care plan. The policy did not include identifying causative factors of falls. A. A record review of an admission Record indicated the facility admitted Resident 1 on 7/4/2024 with diagnoses of vascular dementia, disorientation, muscle weakness, and repeated falls. A record review of Resident 1's…

  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
• Actual harm · G2025-03-18 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 12-006.09(H)(i)(3) Licensure Reference Number 175 NAC 12-006.09(J)(i)(1) Based on observations, record reviews, and interviews; the facility failed to implement interventions to prevent weight loss for 2 (Residents 6 & 7) of 4 sampled residents. The facility census was 68. Findings Are: A record review of the facility policy Nutritional Management with review/revise date of 4/9/24 revealed the facility provides care and services to each resident to ensure the resident maintains acceptable parameters of nutritional status in the context of (gender) overall condition. In the Care plan implementation section, the policy stated an example of an intervention was to provide physical assist or provision of assistive devices and stated that real food would be offered first before adding supplements. A record review of a facility provided document Staff Education dated 2/11/2025 revealed that a nurse must be present in the dining room during every meal. A. A record review of Resident…

  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 · Ecited before2026-04-22 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(H)Based on record reviews and interviews, the facility failed to follow physician orders for 4 (Resident 1, 3, 4, 5) of 5 sampled residents. The facility census was 66. Findings are:A.A record review of a facility policy titled, Pain Management dated 1/8/26 revealed:The facility must ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences.The facility will utilize a systemic approach for recognition, assessment, treatment and monitoring of pain.2. Facility staff will observe for nonverbal indicators which may indicate the presence of pain.Pain Assessment:1. The facility will use a pain assessment tool, which is appropriate for the resident's cognitive status, to assist staff in consistent assessment of a resident's pain.Pain Management and Treatment:1. Based upon the evaluation, the facility in collaboration with the attending physician/prescriber, other health care professionals…

  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 · E2026-04-22 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.04(F)(i)(5)Based on record reviews and interviews, the facility failed to provide routine medications to meet the needs of the residents for 4 (Resident 1, 3, 4, 5) of 5 sampled residents. The facility census was 66. Findings are:A record review of a facility policy titled, Medication Reordering dated 1/8/26 revealed:It is the policy of this facility to accurately and safely provide or obtain pharmaceutical services including the provision of routine and emergency medications and biologicals in a timely manner to meet the needs of each resident.1. The facility will utilize a systemic approach to provide or obtain routine and emergency medications and biologicals in order to meet the needs of each resident.2. Acquisition of medications should be completed in a timely manner to ensure medications are administered in a timely manner.5. In the event of new orders, the facility is allowed (24) hours to begin a medication unless otherwise specified by the physician.6. For stat (immediately or without delay) medications, a supply of medications…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 12-006.09 (H)(vi)(3)Based on observations, record review, and interview, the facility failed to administer oxygen to 3 of 4 sampled residents (Resident 1, 2, and 3). The faciity identified a census of 70. A record review of a facility policy titled, Oxygen administration, last revised 3/19/25, revealed that the residents' care plans identify interventions for oxygen therapy, based on their assessments and provider orders. A. Record review of Resident 1's face-sheet revealed they were admitted on [DATE] with diagnoses of chronic respiratory failure, chronic obstructive pulmonary disease, type 2 diabetes mellitus, and obesity. Record review of Resident 1's practitioners orders dated 4/23/25 revealed orders for oxygen to be administered by nasal cannula at the rate of 3 liters per minute at rest and with activity, and for staff to adjust the resident's oxygen flow rate to keep the residents blood oxygen saturation above 90 %. A record review of Resident 1's provider orders dated 4/23/2025…

  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 · D2026-01-21 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 12-006.10(D) Based on observation, interview, and record review; the facility failed to ensure 2 (Residents 3 & 2) of 8 sampled residents were free of significant medication errors. The facility census was 74.Findings Are: A record review of facility policy Medication Reordering dated 2025 revealed a policy statement of It is the policy of this facility to accurately and safely provide or obtain pharmaceutical services including the provision of routine and emergency medications and biologicals in a timely manner to meet the needs of the resident. The policy guidelines states acquisition of medications should be completed in a timely manner to ensure medications are administered in a timely manner. Each time a nurse is administering medications and observes 6 or less doses left of one kind, that nurse will reorder the medication, time permitting. In the event of new orders, the facility is allowed 24 hours to begin a medication unless otherwise specified by the physician. A.A…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-06-26 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number NAC 175 12-006.11(E) Based on observations, interviews, and record review, the facility failed to store, prepare, and serve food in a manner to prevent potential for foodborne illness. This included not wearing gloves while touching food, not wearing beard covers in the food preparation area, not using water from a clean source for food preparation or steam table. This had the potential to affect all 59 residents who resided within the facility. Findings are: A. An observation on 6/23/25 at 10:58 AM in the walk-in cooler of the kitchen revealed: - 1 Sunkist orange juice concentrate 3-liter container, more than 75% used, no open date. - 1 Sunkist apple juice concentrate 3-liter container labeled 5/17, approximately 25% used. An observation on 6/23/25 at 11:18 AM in the dry goods storage area revealed: - 1-gallon jugs (128 fluid ounces) of Pearl [NAME] Company Original syrup, including 1 unopened jug with a best by date of 12/29/24 and 1 opened partial jug with an opened date of 3/20/24…

  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 · D2025-06-26 · 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 — the official record, unedited, may be distressing

  Licensure Reference Number NAC 175-12 006.09(G)(i)7 Based on record review and interviews, the facility failed to document a recapitulation (a complete summary of resident stay in nursing facility from admittance to discharge) for a resident-initiated discharge for 1 (Resident 50) of 6 sample resident. The facility identified a census of 59. Findings are: A record review of a Discharge summary and Plan of Care dated 06/08/2025 of Resident 50 revealed no documentation of a recapitulation summary of residents stay at facility. An Interview with the Social Service Director (SSD) on 06/24/2025 02:30 PM revealed that the recapitulation has not been part of the facilities discharge process, and that the facility utilized a Discharge Summary and Plan of Care. The SSD confirmed they were unaware of the regulatory requirement for the Recapitulation Summary and stated they would work to incorporate it in the discharge process in the future.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-26 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number NAC 175-12 006.09(F) Based on record review and interviews, the facility failed to implement a Comprehensive Care Plan (a detailed, individualized guide that outlines a residents medical, functional, and psychosocial needs) addressing the need for repositioning bars based on assessed physical needs. A review of 1 (Resident 23) out of 3 sampled residents. The facility identified a census of 59. Findings are: A record review of the facilities Positioning Rails and Monitoring Policy dated 10/08/2024 revealed positioning rails are to only be implemented when clinically indicated. A record review of a Minimum Data Set (MDS, a federally mandated assessment tool for nursing homes reveals) a Brief Interview for Mental Status (BIMS) score of 11 idicating the resident is moderately cognitive impairment. An observation on of Resident 23's bed 6/23/2025 at 10:00 AM revealed 2 bed canes (a type of bed rail), 1 on each side of the bed. An interview with Resident 23 on 6/23/2025 10:00 AM revealed the (gender) did not know why bed canes were on (gender) bed. Resident…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-26 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 interviews and record review, the facility failed to assess a wound and obtain wound care orders for Resident 67. The sample size was 6 with the facility identifying a census of 59. Findings are: A record review of Resident 67's admission Summary revealed Resident 67 was admitted to the facility on [DATE] after a surgery to the right ankle for intravenous (IV) antibiotics, wound care, and physical therapy services. Resident 67 had an admission diagnosis of Osteomyelitis (a bone infection, most often caused by bacteria) and Cellulitis (a bacterial infection of the skin and underlying tissues) to the right ankle. A record review of Resident 67's Physician Orders revealed no documented evidence of wound care orders to the right lower leg or Resident 67's weight-bearing status (the amount of weight that can safely be placed on a body part during healing after an injury or surgery). A record review of a progress note on 6/21/25 revealed that Resident 67 is alert and oriented to person, place, time, and…

  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 · Dcited before2025-03-18 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12.006.09(H)(i)(3) Based on observation, interview, and record review, the facility failed to provide assistance with activities of daily living for one (Resident 4) of five sampled residents. The facility identified a census of 67. Findings are: A record review of a Day Shift Routine/Checklist revealed at 6:15 AM Nurse Aides (NA) were to begin AM cares, including brushing teeth, and getting residents up and ready for breakfast. They were to obtain daily weight and vital signs as ordered. All residents should get dressed. If they refuse to get up or dressed, inform the Charge Nurse. A record review of an admission face sheet revealed Resident 4 was admitted to facility 11/26/24. Resident 4's pertinent diagnoses are as follows: Acute Kidney Failure (a significant decline in kidney function that leads to an accumulation of waste products in the blood), Chronic Obstructive Pulmonary Disease (a disease that causes inflammation and damage to the airways and air sacs in the lungs, leading to breathing difficulties), Muscle Weakness, Repeated Falls, and…

  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 · Dcited before2025-03-18 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 1-005.06(D) Based on observation, interview, and record review, the facility failed to don (put on) Personal Protective Equipment (PPE) for Enhanced Barrier Precautions (EBP- infection control measures that involve targeted use of gowns, gloves, and mask during high-contact resident care activities to reduce the transmission of multidrug-resistant organisms) for one (Resident 5) of three sampled residents. The facility identified a census of 67. Findings are: A record review of an Enhanced Barrier Precautions Policy dated 4/1/24 revealed that EBP was required while performing high-contact care including: dressing, bathing, transferring, hygiene, changing linens, changing briefs or assisting with toileting, device care (central lines, urinary catheters, feeding tubes) and wound care. An observation on 3/17/24 at 1:00 PM revealed Nurse Aid (NA)-C and NA-F use a hoyer lift (a mechanical device designed to assist caregivers in safely transferring individuals with limited mobility from one place to another) to transfer Resident 5 from their wheelchair…

  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.

  Infection Control 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.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

$44,343 in federal fines across 2 penalties.

• $22,030 — penalty dated 2025-03-18
• $22,313 — penalty dated 2024-10-28

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

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.

This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 24% 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