Webster County, Nebraska · Nursing home
Adept Nursing & Rehab of Blue Hill
1 of 5 overall from CMS
414 North Wilson Street, Blue Hill, NE 68930
At a glance
- Overall rating 1 of 5 Below the state average of 2.8
- Nurse time per resident, per day Not reported
- Nursing staff who left in a year 68.9% Above the state average of 48.7%
- Health citations, last 3 inspection cycles 37 1 at the harm level or above
- Fines in 3 years $13,644 1 fine
- Certified beds in use Not reported of 62 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 Blue Hill is a 62-bed nursing home in Blue Hill, Nebraska (Webster County). CMS rates it 1 of 5 stars overall as of Sep 2026. CMS lists 1 fine totaling $13,644 in the past three years.
- Certified beds
- 62
- Residents per day (average)
- –
- 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 Blue Hill
Chosen from this home's public data.
- CMS lists 1 fine totaling $13,644 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 11 health deficiencies in the latest inspection cycle (the standard inspection on Apr 17, 2025 plus complaint and infection-control inspections); the Nebraska average is 7.4. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 68.9%, above the Nebraska average of 48.7%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Nebraska average 2.8
- Health inspections 1 of 5 Nebraska average 2.8
- Staffing Not rated Nebraska average 3.2
- Quality measures 3 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 Not reported Nebraska average 3.98
- Nurse aides Not reported Nebraska average 2.64
- Licensed practical nurses Not reported Nebraska average 0.67
- Registered nurses Not reported Nebraska average 0.67
- All staff, weekends Not reported 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 turnover68.9%
- Nebraska average48.7%
- Registered nurse turnoverNot reported
- 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 | 18.5% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 9.2% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 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 | 1.6% | 4.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% | 93.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 11.2% | 18.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.0% | 19.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.7% | 4.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.4% | 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 | 1.65 | 1.81 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.98 | 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 | 89.1% | 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 | 90.0% | 75.9% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.7% | 20.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 18.8% | 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 37 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 16 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Feb 13, 2024: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 17, 2025 | 11 | 12 |
| May 23, 2024 | 13 | 6 |
| May 3, 2023 | 13 | 7 |
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 (37)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (May 30, 2025)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (May 30, 2025)
-
EPotential for more than minimal harm, pattern
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (May 30, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 30, 2025)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (May 30, 2025)
Show 25 more
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 30, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 30, 2025)
-
DPotential for more than minimal harm, isolated
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 30, 2025)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (May 30, 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 (May 30, 2025)
-
DPotential for more than minimal harm, isolated
Have enough outside ventilation via a window or mechanical ventilation, or both.
Complaint investigation · Environmental · Deficient, Provider has date of correction (May 30, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 6, 2024)
-
EPotential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 6, 2024)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jul 6, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jul 6, 2024)
-
DPotential for more than minimal harm, 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.
Resident Rights · Deficient, Provider has date of correction (Jul 6, 2024)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 6, 2024)
-
DPotential for more than minimal harm, isolated
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 6, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 6, 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 6, 2024)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 6, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 6, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 6, 2024)
-
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 6, 2024)
-
KImmediate jeopardy, pattern
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 (Mar 13, 2024)
-
EPotential for more than minimal harm, pattern
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Complaint investigation · Administration · Deficient, Provider has date of correction (Mar 13, 2024)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 26, 2024)
-
DPotential for more than minimal harm, isolated
Honor each resident's preferences, choices, values and beliefs.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 26, 2024)
-
FPotential for more than minimal harm, widespread
Perform COVID19 testing on residents and staff.
Infection Control · Deficient, Provider has date of correction (Jun 13, 2023)
-
EPotential for more than minimal harm, pattern
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights · Deficient, Provider has date of correction (Jun 13, 2023)
Showing the 30 most recent of 37.
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 |
|---|---|---|
| Feb 13, 2024 | Fine | $13,644 |
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
- Size99 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 Webster County2
Common questions
What is the CMS star rating for Adept Nursing & Rehab of Blue Hill?
Adept Nursing & Rehab of Blue Hill has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is not published and quality measures is 3.
How many beds does Adept Nursing & Rehab of Blue Hill have?
Adept Nursing & Rehab of Blue Hill has 62 certified beds.
Has Adept Nursing & Rehab of Blue Hill been fined?
Yes. CMS lists 1 fine totaling $13,644 in the past three years.
Does Adept Nursing & Rehab of Blue Hill 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 Heritage of Webster County 43beds 70.2%in use 3.91nurse hours a day
- 2 of 5 Good Samaritan Society - Hastings Village 108beds 41.9%in use 3.62nurse hours a day
- 1 of 5 Accura HealthCare of Kenesaw 76beds 85.3%in use 2.86nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Webster County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 285144. 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.