LIFE BYVardellNursing Home
Report

TheVardellReport

Adept Nursing & Rehab of Blue Hill

Skilled nursing facility and nursing facility

414 North Wilson Street
Blue Hill, NE 68930

Report Date
Nov 1, 2026
Data Through
Oct 1, 2026
Report ID
VR-NE-285144-2611
← Adept Nursing & Rehab of Blue Hill, free profile

Life by Vardell Presents

The Vardell Report.Adept Nursing & Rehab of Blue Hill

The deeper story, beautifully organized. Available records, historical context, and questions worth asking.

Provider Category
Nursing home
Location
Blue Hill, NE
Record Period
2023–2026
Source Documents
7
Read the report

This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.

01

The Essentials

Summary

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.

Inspections
5
2023–2026, standard and complaint
Findings
52
Deficiencies cited by state inspectors
Corrected
28
Of 52 findings, with a recorded correction date
Penalties
1
1 fine; payment not published

Findings by Year

  • Findings
  • Of which, actual harm (level G or above)
2023: 2 findings across 1 inspection220231 inspection2024: 15 findings across 2 inspections; of which, actual harm (level G or above): 11520242 inspections2025: 11 findings across 1 inspection1120251 inspection2026: 24 findings across 1 inspection242026*1 inspection2023: 2 findings across 1 inspection220231 insp.2024: 15 findings across 2 inspections; of which, actual harm (level G or above): 11520242 insp.2025: 11 findings across 1 inspection1120251 insp.2026: 24 findings across 1 inspection242026*1 insp.

* Partial year, through October 1, 2026.

Findings by year
YearInspectionsFindingsOf which, actual harm (level G or above)
2023120
20242151
20251110
20261240

What the Record Shows

  • 28 of 52 findings have a recorded correction date.
  • CMS lists 1 enforcement action in the window: 1 fine of $13,644, its payment not published.
  • 5 visits in this window included a complaint investigation. CMS publishes what a complaint investigation cited, not what the complaint alleged.
  • The latest standard inspection, August 18, 2026, recorded 24 findings (most serious: Level F).
02

Chronology

Inspection History

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.

  1. 2026

    Standard health inspection

    24 findings

    The same visit included a complaint investigation.

    • F584Honor 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.Level FNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Level FNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Level FNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level FNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Level FNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F880Provide and implement an infection prevention and control program.Level FNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F881Implement a program that monitors antibiotic use.Level FNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F908Keep all essential equipment working safely.Level FNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Level FNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F923Have enough outside ventilation via a window or mechanical ventilation, or both.Level FNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F641Ensure each resident receives an accurate assessment.Level ENo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Level ENo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F692Provide enough food/fluids to maintain a resident's health.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F697Provide safe, appropriate pain management for a resident who requires such services.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F759Ensure medication error rates are not 5 percent or greater.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F760Ensure that residents are free from significant medication errors.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
    • F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  2. 2025

    Standard health inspection

    11 findings

    The same visit included a complaint investigation.

    • F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level FNo actual harm, potential for moreCorrected May 30, 2025
    • F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Level FNo actual harm, potential for moreCorrected May 30, 2025
    • F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Level ENo actual harm, potential for moreCorrected May 30, 2025
    • F584Honor 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.Level ENo actual harm, potential for moreCorrected May 30, 2025
    • F759Ensure medication error rates are not 5 percent or greater.Level ENo actual harm, potential for moreCorrected May 30, 2025
    • F880Provide and implement an infection prevention and control program.Level ENo actual harm, potential for moreCorrected May 30, 2025
    • F610Respond appropriately to all alleged violations.Level DNo actual harm, potential for moreCorrected May 30, 2025
    • F660Plan the resident's discharge to meet the resident's goals and needs.Level DNo actual harm, potential for moreCorrected May 30, 2025
    • F679Provide activities to meet all resident's needs.Level DNo actual harm, potential for moreCorrected May 30, 2025
    • F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level DNo actual harm, potential for moreCorrected May 30, 2025
    • F923Have enough outside ventilation via a window or mechanical ventilation, or both.Level DNo actual harm, potential for moreCorrected May 30, 2025

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  3. 2024

    Standard health inspection

    13 findings

    The same visit included a complaint investigation.

    • F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level FNo actual harm, potential for moreCorrected Jul 6, 2024
    • F692Provide enough food/fluids to maintain a resident's health.Level ENo actual harm, potential for moreCorrected Jul 6, 2024
    • F759Ensure medication error rates are not 5 percent or greater.Level ENo actual harm, potential for moreCorrected Jul 6, 2024
    • F760Ensure that residents are free from significant medication errors.Level ENo actual harm, potential for moreCorrected Jul 6, 2024
    • F578Honor 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.Level DNo actual harm, potential for moreCorrected Jul 6, 2024
    • F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Level DNo actual harm, potential for moreCorrected Jul 6, 2024
    • F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Level DNo actual harm, potential for moreCorrected Jul 6, 2024
    • F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Level DNo actual harm, potential for moreCorrected Jul 6, 2024
    • F641Ensure each resident receives an accurate assessment.Level DNo actual harm, potential for moreCorrected Jul 6, 2024
    • F645PASARR screening for Mental disorders or Intellectual DisabilitiesLevel DNo actual harm, potential for moreCorrected Jul 6, 2024
    • F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Level DNo actual harm, potential for moreCorrected Jul 6, 2024
    • F697Provide safe, appropriate pain management for a resident who requires such services.Level DNo actual harm, potential for moreCorrected Jul 6, 2024
    • F880Provide and implement an infection prevention and control program.Level DNo actual harm, potential for moreCorrected Jul 6, 2024

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  4. 2024

    Complaint investigation

    2 findings

    • F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level KImmediate jeopardyCorrected Mar 13, 2024
    • F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Level ENo actual harm, potential for moreCorrected Mar 13, 2024

    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)

  5. 2023

    Complaint investigation

    2 findings

    • F610Respond appropriately to all alleged violations.Level DNo actual harm, potential for moreCorrected Jan 26, 2024
    • F675Honor each resident's preferences, choices, values and beliefs.Level DNo actual harm, potential for moreCorrected Jan 26, 2024

    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.

03

Context

Patterns Worth Examining

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

  1. 1

    Investigating Alleged Violations, Cited in Two Inspections

    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.

    2324242526F610 across all 5 inspections, oldest to newest
  2. 2

    Citation F867, Cited in Two Inspections

    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.

    2324242526F867 across all 5 inspections, oldest to newest
  3. 3

    Dignity and Resident Rights, No Recorded Correction

    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.

    2324242526F550 across all 5 inspections, oldest to newest
  4. 4

    Citation F582, No Recorded Correction

    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.

    2324242526F582 across all 5 inspections, oldest to newest
  5. 5

    A Clean, Homelike Setting, No Recorded Correction

    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.

    2324242526F584 across all 5 inspections, oldest to newest
  6. 6

    Protection From Abuse and Neglect, No Recorded Correction

    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.

    2324242526F600 across all 5 inspections, oldest to newest
  7. 7

    Citation F606, No Recorded Correction

    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.

    2324242526F606 across all 5 inspections, oldest to newest
  8. 8

    Accurate Assessments, No Recorded Correction

    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.

    2324242526F641 across all 5 inspections, oldest to newest
  9. 9

    Care Plans, No Recorded Correction

    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.

    2324242526F656 across all 5 inspections, oldest to newest
  10. 10

    Care Plan Timing and Review, No Recorded Correction

    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.

    2324242526F657 across all 5 inspections, oldest to newest
  11. 11

    Quality of Care, No Recorded Correction

    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.

    2324242526F684 across all 5 inspections, oldest to newest
  12. 12

    Continence and Catheter Care, No Recorded Correction

    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.

    2324242526F690 across all 5 inspections, oldest to newest
  13. 13

    Nutrition and Hydration, No Recorded Correction

    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.

    2324242526F692 across all 5 inspections, oldest to newest
  14. 14

    Citation F697, No Recorded Correction

    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.

    2324242526F697 across all 5 inspections, oldest to newest
  15. 15

    Citation F726, No Recorded Correction

    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.

    2324242526F726 across all 5 inspections, oldest to newest
  16. 16

    Medication Error Rate, No Recorded Correction

    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.

    2324242526F759 across all 5 inspections, oldest to newest
  17. 17

    Significant Medication Errors, No Recorded Correction

    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.

    2324242526F760 across all 5 inspections, oldest to newest
  18. 18

    Citation F801, No Recorded Correction

    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.

    2324242526F801 across all 5 inspections, oldest to newest
  19. 19

    Food Quality and Temperature, No Recorded Correction

    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.

    2324242526F804 across all 5 inspections, oldest to newest
  20. 20

    Kitchen and Food Safety, No Recorded Correction

    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.

    2324242526F812 across all 5 inspections, oldest to newest
  21. 21

    Administration, No Recorded Correction

    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.

    2324242526F835 across all 5 inspections, oldest to newest
  22. 22

    Infection Control, No Recorded Correction

    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.

    2324242526F880 across all 5 inspections, oldest to newest
  23. 23

    Antibiotic Use, No Recorded Correction

    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.

    2324242526F881 across all 5 inspections, oldest to newest
  24. 24

    Keep all essential equipment working safely, No Recorded Correction

    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.

    2324242526F908 across all 5 inspections, oldest to newest
  25. 25

    Citation F921, No Recorded Correction

    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.

    2324242526F921 across all 5 inspections, oldest to newest
  26. 26

    Citation F923, No Recorded Correction

    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.

    2324242526F923 across all 5 inspections, oldest to newest
04

For Your Next Visit

Questions to Ask on Your Visit

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

  1. 01

    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.

  2. 02

    What changed after F867 was cited, and how do you check it now?

    Citation F867: cited in two inspections, most seriously at level F.

  3. 03

    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.

  4. 04

    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.

  5. 05

    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.

  6. 06

    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.

  7. 07

    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.

  8. 08

    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.

  9. 09

    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.

  10. 10

    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.

  11. 11

    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.

  12. 12

    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.

  13. 13

    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.

  14. 14

    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.

  15. 15

    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.

  16. 16

    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.

  17. 17

    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.

  18. 18

    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.

  19. 19

    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.

  20. 20

    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.

  21. 21

    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.

  22. 22

    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.

  23. 23

    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.

  24. 24

    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.

  25. 25

    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.

  26. 26

    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.

  27. 27

    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.

  28. 28

    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.

05

The Evidence

Sources and Coverage

Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Nebraska state survey agency.

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Nebraska state survey agency

    Inspection Dec 28, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Nebraska state survey agency

    Inspection Feb 13, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Nebraska state survey agency

    Inspection May 23, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Nebraska state survey agency

    Inspection Apr 17, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Nebraska state survey agency

    Inspection Aug 18, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Penalties, Provider Data Catalog

    Centers for Medicare & Medicaid Services

    Published Oct 1, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Provider Information, Provider Data Catalog

    Centers for Medicare & Medicaid Services · 285144

    Published Oct 1, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗

Coverage

Record windowDecember 28, 2023 – October 1, 2026

  • CMS publishes about three inspection cycles; inspections before December 2023 are not in this release.
  • CMS refreshes these files monthly, after statements of deficiencies are processed, so an inspection from the last two months may not appear yet.

What This Report Cannot Tell You

Complaints not investigated onsite
Allegations screened out by the state before an onsite visit are not published.
Complaint allegations
CMS publishes the deficiencies a complaint survey cited, not the allegation itself.
Facility-reported incidents
Self-reported incidents appear only if they led to an inspection.
Follow-up visits
CMS's files list standard, complaint and infection control surveys, not revisits; a correction date is the one CMS records.
Fire safety inspections
Published by CMS separately and not included in this record yet.
Staffing levels and ownership history
Published by CMS separately and not included in this record.
Whether fines were paid
CMS publishes the fines imposed, not whether or when they were paid.

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.