Saunders County, Nebraska · Nursing home
Adept Nursing & Rehab of Ashland
2 of 5 overall from CMS
1700 Furnas Street, Ashland, NE 68003
At a glance
- Overall rating 2 of 5 Below the state average of 2.8
- Nurse time per resident, per day 4.25 hours Above the state average of 3.98
- Nursing staff who left in a year 64.7% Above the state average of 48.7%
- Health citations, last 3 inspection cycles 19 3 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 77.5% of 97 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.
Adept Nursing & Rehab of Ashland is a 97-bed nursing home in Ashland, Nebraska (Saunders County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 4.25 nurse staffing hours per resident per day, above the Nebraska average of 3.98. CMS lists no fines in the past three years.
- Certified beds
- 97
- Residents per day (average)
- 75.2
- Certified since
- 1994 (32 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Avid Healthcare Group (11 homes)
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 Adept Nursing & Rehab of Ashland
Chosen from this home's public data.
- Nursing staff turnover is 64.7%, above the Nebraska average of 48.7%. How often would the same aides care for my relative?Turnover in CMS data
- Registered nurse time is 0.52 hours per resident per day; the Nebraska average is 0.67. Is an RN on site overnight?RN staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Nebraska average 2.8
- Health inspections 3 of 5 Nebraska average 2.8
- Staffing 3 of 5 Nebraska average 3.2
- Quality measures 1 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 4.25 h Nebraska average 3.98
- Nurse aides 3.19 h Nebraska average 2.64
- Licensed practical nurses 0.54 h Nebraska average 0.67
- Registered nurses 0.52 h Nebraska average 0.67
- All staff, weekends 3.82 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 turnover64.7%
- Nebraska average48.7%
- Registered nurse turnover84.6%
- Nebraska average44.1%
- Administrators who left0
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 | 21.9% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.6% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.1% | 2.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.1% | 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 | 4.4% | 4.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.9% | 93.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 13.1% | 18.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.2% | 19.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.9% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.2% | 4.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.8% | 25.9% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 39.7% | 20.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 3.14 | 1.81 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.19 | 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 | 49.3% | 80.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 14.8% | 75.9% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% | 20.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 15.3% | 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 19 health deficiencies in the three most recent inspection cycles. Of these, 3 involved actual harm; the rest were graded as no actual harm. 8 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 14, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 22, 2025 | 5 | 3 |
| Jun 17, 2024 | 10 | 11 |
| Jun 23, 2023 | 4 | 13 |
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 (19)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Aug 28, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Aug 28, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 28, 2025)
-
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 (Aug 28, 2025)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 28, 2025)
Show 14 more
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 31, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 9, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 31, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 31, 2025)
-
FPotential for more than minimal harm, widespread
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · Deficient, Provider has date of correction (Jul 25, 2024)
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jul 25, 2024)
-
EPotential for more than minimal harm, pattern
Have enough outside ventilation via a window or mechanical ventilation, or both.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jul 25, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Jul 25, 2024)
-
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 (Jul 25, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 25, 2024)
-
DPotential for more than minimal harm, isolated
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Complaint investigation · Administration · Deficient, Provider has date of correction (May 1, 2024)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 6, 2023)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Resident Rights · Deficient, Provider has date of correction (Jul 21, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 21, 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
| Date | Type | Amount |
|---|---|---|
| Mar 5, 2025 | Payment Denial | 64 days |
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
- Size43 of 180 by certified beds
- Nebraska average residents per day55.3
- ChainAvid Healthcare Group
- Chain average overall rating1.6 of 5
- Resident or family councilResident
- Homes in Saunders County3
Common questions
What is the CMS star rating for Adept Nursing & Rehab of Ashland?
Adept Nursing & Rehab of Ashland has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 3 and quality measures is 1.
How many beds does Adept Nursing & Rehab of Ashland have?
Adept Nursing & Rehab of Ashland has 97 certified beds. It averages 75.2 residents per day, about 77.5% of its certified beds.
How much nursing care do residents get at Adept Nursing & Rehab of Ashland?
The home reports 4.25 hours of nurse staffing per resident per day, including 0.52 hours from registered nurses. The Nebraska average is 3.98 hours and 0.67 hours from registered nurses.
Has Adept Nursing & Rehab of Ashland been fined?
CMS lists no fines for this home in the past three years. It also lists 1 payment denial.
Does Adept Nursing & Rehab of Ashland 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
- 2 of 5 Adept Nursing & Rehab of Gretna 63beds 66.3%in use 4.04nurse hours a day
- 2 of 5 Nye Summit 61beds 68.5%in use 3.73nurse hours a day
- 2 of 5 Adept Nursing & Rehab of Waverly 54beds 80.6%in use 3.50nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Saunders County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 285140. 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.