Gage County, Nebraska · Nursing home
Gold Crest Retirement Center
3 of 5 overall from CMS
200 Levi Lane, Adams, NE 68301
At a glance
- Overall rating 3 of 5 Above the state average of 2.8
- Nurse time per resident, per day 0.64 hours Below the state average of 3.98
- Nursing staff who left in a year 66.7% Above the state average of 48.7%
- Health citations, last 3 inspection cycles 12 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 70.2% of 52 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Gold Crest Retirement Center is a 52-bed nursing home in Adams, Nebraska (Gage County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 0.64 nurse staffing hours per resident per day, below the Nebraska average of 3.98. CMS lists no fines in the past three years.
- Certified beds
- 52
- Residents per day (average)
- 36.5
- Certified since
- 1984 (42 yrs)
Non profit - Other Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Gold Crest Retirement Center
Chosen from this home's public data.
- Nursing staff turnover is 66.7%, above the Nebraska average of 48.7%. How often would the same aides care for my relative?Turnover in CMS data
- About 70.2% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- Registered nurse time is 0.00 hours per resident per day; the Nebraska average is 0.67. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Nebraska average 2.8
- Health inspections 4 of 5 Nebraska average 2.8
- Staffing 1 of 5 Nebraska average 3.2
- Quality measures 4 of 5 Nebraska average 3.0
The vertical line marks the Nebraska average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 0.64 h Nebraska average 3.98
- Nurse aides 0.58 h Nebraska average 2.64
- Licensed practical nurses 0.06 h Nebraska average 0.67
- Registered nurses 0.00 h Nebraska average 0.67
- All staff, weekends 0.68 h Nebraska average 3.48
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Nebraska average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover66.7%
- Nebraska average48.7%
- Registered nurse turnover50.0%
- Nebraska average44.1%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Nebraska and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Nebraska | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 17.8% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.4% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 5.5% | 2.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.6% | 4.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.3% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.3% | 4.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% | 93.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 28.9% | 18.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.3% | 19.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.5% | 4.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 39.7% | 25.9% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 9.9% | 20.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.52 | 1.81 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.65 | 1.92 | 1.78 |
Short-stay residents
| Measure | This home | Nebraska | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.8% | 80.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 4.9% | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 75.9% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.0% | 20.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% | 11.4% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 12 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 1 was cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 12, 2025 | 3 | 7 |
| Apr 2, 2024 | 5 | 6 |
| May 25, 2023 | 4 | 6 |
Nebraska homes averaged 7.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (12)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 22, 2025)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Apr 22, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 22, 2025)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2024)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (May 15, 2024)
Show 7 more
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2024)
-
DPotential for more than minimal harm, isolated
Ensure a qualified health professional conducts resident assessments.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 4, 2023)
-
EPotential for more than minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Jul 5, 2023)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 5, 2023)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Jul 5, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Nebraska homes averaged 0.4 fines and $11,975 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Nebraska
- Size123 of 180 by certified beds
- Nebraska average residents per day55.3
- ChainNone listed
- Resident or family councilResident
- Homes in Gage County3
Common questions
What is the CMS star rating for Gold Crest Retirement Center?
Gold Crest Retirement Center has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 1 and quality measures is 4.
How many beds does Gold Crest Retirement Center have?
Gold Crest Retirement Center has 52 certified beds. It averages 36.5 residents per day, about 70.2% of its certified beds.
How much nursing care do residents get at Gold Crest Retirement Center?
The home reports 0.64 hours of nurse staffing per resident per day, including 0.00 hours from registered nurses. The Nebraska average is 3.98 hours and 0.67 hours from registered nurses.
Has Gold Crest Retirement Center been fined?
CMS lists no fines for this home in the past three years.
Does Gold Crest Retirement Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Beatrice Health and Rehabilitation 87beds 65.4%in use 3.80nurse hours a day
- 3 of 5 Good Samaritan Society - Beatrice 80beds 76.8%in use 3.74nurse hours a day
- 5 of 5 Southlake Village Rehabilitation & Care Center 126beds 94.1%in use 4.72nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Gage County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 285065. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.