
Report
TheVardellReport
Adept Nursing & Rehab of Blue Hill
Skilled nursing facility and nursing facility
414 North Wilson Street
Blue Hill, NE 68930

TheVardellReport
Skilled nursing facility and nursing facility
414 North Wilson Street
Blue Hill, NE 68930
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 5 inspections from December 2023 to August 2026, state surveyors documented 52 findings at Adept Nursing & Rehab of Blue Hill; 28 have a recorded correction and 24 await one; CMS lists 1 enforcement action in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2023 | 1 | 2 | 0 |
| 2024 | 2 | 15 | 1 |
| 2025 | 1 | 11 | 0 |
| 2026 | 1 | 24 | 0 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
24 findings
The same visit included a complaint investigation.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
11 findings
The same visit included a complaint investigation.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
13 findings
The same visit included a complaint investigation.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Enforcement Action
Civil money penalty, $13,644 imposed February 13, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the complaint investigation of February 13, 2024, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F610 in December 2023 and April 2025. This citation covers how the home responds to and investigates an allegation of abuse, neglect or mistreatment. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F867 in February 2024 and April 2025. The agency describes it this way: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
F550 was cited in August 2026. This citation covers residents’ right to dignity, to make their own choices and to communicate. The most serious was level D (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F582 was cited in May 2024, April 2025 and August 2026. The agency describes it this way: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The most serious was level E (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F584 was cited in April 2025 and August 2026. This citation covers whether rooms and shared spaces are kept safe, clean, comfortable and homelike. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F600 was cited in August 2026. This citation covers whether residents are protected from abuse and neglect by anyone. The most serious was level D (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F606 was cited in August 2026. The agency describes it this way: Not hire anyone with a finding of abuse, neglect, exploitation, or theft. The most serious was level D (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F641 was cited in May 2024 and August 2026. This citation covers whether each resident’s assessment correctly records their condition. The most serious was level E (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F656 was cited in August 2026. This citation covers whether each resident has a written care plan that meets their needs, with goals that can be measured. The most serious was level E (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F657 was cited in August 2026. This citation covers whether care plans are written on time and revised by a team that includes the resident’s caregivers. The most serious was level D (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F684 was cited in April 2025 and August 2026. This citation covers whether residents receive the treatment their orders, preferences and goals call for. The most serious was level D (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F690 was cited in August 2026. This citation covers continence care, catheter care and preventing urinary tract infections. The most serious was level D (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F692 was cited in May 2024 and August 2026. This citation covers whether residents get enough food and fluids to stay healthy. The most serious was level E (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F697 was cited in May 2024 and August 2026. The agency describes it this way: Provide safe, appropriate pain management for a resident who requires such services. The most serious was level D (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F726 was cited in August 2026. The agency describes it this way: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F759 was cited in May 2024, April 2025 and August 2026. This citation covers whether medication errors stayed under 5 percent when inspectors watched medications being given. The most serious was level E (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F760 was cited in May 2024 and August 2026. This citation covers whether residents are free from significant medication errors. The most serious was level E (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F801 was cited in August 2026. The agency describes it this way: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F804 was cited in August 2026. This citation covers whether food and drink are palatable, attractive and served at a safe temperature. The most serious was level D (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F812 was cited in May 2024, April 2025 and August 2026. This citation covers how food is stored, prepared and served. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F835 was cited in August 2026. This citation covers whether the home is run in a way that uses its resources effectively. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F880 was cited in May 2024, April 2025 and August 2026. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F881 was cited in August 2026. This citation covers the home’s program for monitoring antibiotic use. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F908 was cited in August 2026. The agency describes it this way: Keep all essential equipment working safely. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F921 was cited in August 2026. The agency describes it this way: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F923 was cited in April 2025 and August 2026. The agency describes it this way: Have enough outside ventilation via a window or mechanical ventilation, or both. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
When an allegation is made, who investigates it, and how are residents protected in the meantime?
Investigating Alleged Violations: cited in two inspections, most seriously at level D.
What changed after F867 was cited, and how do you check it now?
Citation F867: cited in two inspections, most seriously at level F.
How do staff learn each resident’s preferences, and how is a complaint about dignity handled?
Dignity and Resident Rights: cited in one inspections, most seriously at level D. The August 18, 2026 citation has no recorded correction date.
What changed after F582 was cited, and how do you check it now?
Citation F582: cited in three inspections, most seriously at level E. The August 18, 2026 citation has no recorded correction date.
What was done about the cleanliness citation, and how are rooms and shared spaces checked now?
A Clean, Homelike Setting: cited in two inspections, most seriously at level F. The August 18, 2026 citation has no recorded correction date.
What happened after the abuse or neglect citation, and what changed in training or supervision?
Protection From Abuse and Neglect: cited in one inspections, most seriously at level D. The August 18, 2026 citation has no recorded correction date.
What changed after F606 was cited, and how do you check it now?
Citation F606: cited in one inspections, most seriously at level D. The August 18, 2026 citation has no recorded correction date.
Who completes resident assessments, and how are they checked for accuracy?
Accurate Assessments: cited in two inspections, most seriously at level E. The August 18, 2026 citation has no recorded correction date.
How is a care plan written and reviewed here, and how do families take part in it?
Care Plans: cited in one inspections, most seriously at level E. The August 18, 2026 citation has no recorded correction date.
How often are care plans revised, and who takes part in the review?
Care Plan Timing and Review: cited in one inspections, most seriously at level D. The August 18, 2026 citation has no recorded correction date.
How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?
Quality of Care: cited in two inspections, most seriously at level D. The August 18, 2026 citation has no recorded correction date.
How is continence care scheduled, and how do you prevent urinary infections?
Continence and Catheter Care: cited in one inspections, most seriously at level D. The August 18, 2026 citation has no recorded correction date.
How are weight and fluid intake tracked, and what happens when a resident starts losing weight?
Nutrition and Hydration: cited in two inspections, most seriously at level E. The August 18, 2026 citation has no recorded correction date.
What changed after F697 was cited, and how do you check it now?
Citation F697: cited in two inspections, most seriously at level D. The August 18, 2026 citation has no recorded correction date.
What changed after F726 was cited, and how do you check it now?
Citation F726: cited in one inspections, most seriously at level F. The August 18, 2026 citation has no recorded correction date.
How are medication passes checked, and what happens when an error is found?
Medication Error Rate: cited in three inspections, most seriously at level E. The August 18, 2026 citation has no recorded correction date.
What happened after the medication error citation, and how are high-risk drugs double-checked?
Significant Medication Errors: cited in two inspections, most seriously at level E. The August 18, 2026 citation has no recorded correction date.
What changed after F801 was cited, and how do you check it now?
Citation F801: cited in one inspections, most seriously at level F. The August 18, 2026 citation has no recorded correction date.
May we try a meal, and how do you check food temperature by the time it reaches residents?
Food Quality and Temperature: cited in one inspections, most seriously at level D. The August 18, 2026 citation has no recorded correction date.
May we see the kitchen, and what do your own sanitation checks look like week to week?
Kitchen and Food Safety: cited in three inspections, most seriously at level F. The August 18, 2026 citation has no recorded correction date.
How long have the administrator and the director of nursing been in their roles?
Administration: cited in one inspections, most seriously at level F. The August 18, 2026 citation has no recorded correction date.
Who leads infection control here, and how often are hand-hygiene and isolation practices audited?
Infection Control: cited in three inspections, most seriously at level F. The August 18, 2026 citation has no recorded correction date.
How do you track antibiotic use and decide when one is needed?
Antibiotic Use: cited in one inspections, most seriously at level F. The August 18, 2026 citation has no recorded correction date.
What changed after F908 was cited, and how do you check it now?
Keep all essential equipment working safely: cited in one inspections, most seriously at level F. The August 18, 2026 citation has no recorded correction date.
What changed after F921 was cited, and how do you check it now?
Citation F921: cited in one inspections, most seriously at level F. The August 18, 2026 citation has no recorded correction date.
What changed after F923 was cited, and how do you check it now?
Citation F923: cited in two inspections, most seriously at level F. The August 18, 2026 citation has no recorded correction date.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
What led to the 2024 fine, and has it been paid?
A $13,644 civil money penalty was imposed February 13, 2024. CMS publishes the fine, not whether it has been paid.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Nebraska state survey agency.
Nebraska state survey agency
Inspection Dec 28, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Nebraska state survey agency
Inspection Feb 13, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Nebraska state survey agency
Inspection May 23, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Nebraska state survey agency
Inspection Apr 17, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Nebraska state survey agency
Inspection Aug 18, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 285144
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowDecember 28, 2023 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.