Hall County, Nebraska · Nursing home
Adept Nursing & Rehab of Grand Island
1 of 5 overall from CMS
800 Stoeger Drive, Grand Island, NE 68803
At a glance
- Overall rating 1 of 5 Below the state average of 2.8
- Nurse time per resident, per day 2.86 hours Below the state average of 3.98
- Nursing staff who left in a year 76.1% Above the state average of 48.7%
- Health citations, last 3 inspection cycles 33 1 at the harm level or above
- Fines in 3 years $16,801 1 fine
- Certified beds in use 82.8% of 76 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 Grand Island is a 76-bed nursing home in Grand Island, Nebraska (Hall County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 2.86 nurse staffing hours per resident per day, below the Nebraska average of 3.98. CMS lists 1 fine totaling $16,801 in the past three years.
- Certified beds
- 76
- Residents per day (average)
- 62.9
- Certified since
- 1998 (28 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 Grand Island
Chosen from this home's public data.
- CMS lists 1 fine totaling $16,801 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 19 health deficiencies in the latest inspection cycle (the standard inspection on May 21, 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 76.1%, 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 1 of 5 Nebraska average 3.2
- Quality measures 2 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 2.86 h Nebraska average 3.98
- Nurse aides 2.00 h Nebraska average 2.64
- Licensed practical nurses 0.39 h Nebraska average 0.67
- Registered nurses 0.46 h Nebraska average 0.67
- All staff, weekends 2.68 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 turnover76.1%
- Nebraska average48.7%
- Registered nurse turnover70.0%
- 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 | 25.5% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.3% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.5% | 2.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.0% | 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 | 4.3% | 4.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 73.7% | 93.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 26.5% | 18.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.4% | 19.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.6% | 4.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.7% | 25.9% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 35.9% | 20.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.91 | 1.81 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.22 | 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 | 49.4% | 80.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.3% | 75.9% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% | 20.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 15.2% | 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 33 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. 10 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Feb 1, 2024: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 21, 2025 | 19 | 7 |
| May 14, 2024 | 8 | 9 |
| May 16, 2023 | 6 | 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 (33)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has no plan of correction
-
FPotential for more than minimal harm, widespread
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 20, 2025)
-
FPotential for more than minimal harm, widespread
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 20, 2025)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 20, 2025)
-
FPotential for more than minimal harm, widespread
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration · Deficient, Provider has date of correction (Jun 20, 2025)
Show 25 more
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 20, 2025)
-
FPotential for more than minimal harm, widespread
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration · Deficient, Provider has date of correction (Jun 20, 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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 20, 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 (Jun 20, 2025)
-
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 (Jun 20, 2025)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 20, 2025)
-
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 (Jun 20, 2025)
-
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 (Jun 20, 2025)
-
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 (Jun 20, 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 (Jun 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 20, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services · Deficient, Provider has date of correction (Jun 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 22, 2024)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 28, 2024)
-
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.
Resident Rights · Deficient, Provider has date of correction (Jun 28, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 28, 2024)
-
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.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 28, 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 (Jun 28, 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 (Jun 28, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 28, 2024)
-
JImmediate jeopardy, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 16, 2024)
-
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 (Jun 5, 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 5, 2023)
Showing the 30 most recent of 33.
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 1, 2024 | Fine | $16,801 |
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
- Size65 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 Grand Island6
- Homes in Hall County6
Common questions
What is the CMS star rating for Adept Nursing & Rehab of Grand Island?
Adept Nursing & Rehab of Grand Island has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 2.
How many beds does Adept Nursing & Rehab of Grand Island have?
Adept Nursing & Rehab of Grand Island has 76 certified beds. It averages 62.9 residents per day, about 82.8% of its certified beds.
How much nursing care do residents get at Adept Nursing & Rehab of Grand Island?
The home reports 2.86 hours of nurse staffing per resident per day, including 0.46 hours from registered nurses. The Nebraska average is 3.98 hours and 0.67 hours from registered nurses.
Has Adept Nursing & Rehab of Grand Island been fined?
Yes. CMS lists 1 fine totaling $16,801 in the past three years.
Does Adept Nursing & Rehab of Grand Island 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
- 3 of 5 CHI Health St. Francis 36beds 20.6%in use –nurse hours a day
- 2 of 5 Tiffany Square 103beds 84.1%in use 4.34nurse hours a day
- 1 of 5 Good Samaritan Society - Grand Island Village 67beds 83.0%in use 3.56nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Hall County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 285221. 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.