Nursing Care Index

Adept Nursing & Rehab Of Blue Hill

Blue Hill, Webster County, Nebraska · CCN 285144 · For-profit (LLC) · part of Avid Healthcare Group (11 facilities, chain average 1.7 stars)

CMS rates Adept Nursing & Rehab Of Blue Hill 1 of 5 overall as of August 2026. 62 certified beds. 37 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $13,644.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
StaffingNot enough data available to calculate a rating (CMS footnote 2)
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay4 / 2 of 5

Staffing

Total nurse staffingNot enough data available to calculate a rating (CMS footnote 2)
Nursing staff turnover68.9%
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-04-17
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-05-30
2025-04-17 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-05-30
2025-04-17 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-05-30
2025-04-17
complaint survey
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 Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-05-30
2025-04-17
complaint survey
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-05-30
2025-04-17
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-05-30
2025-04-17
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-30
2025-04-17 Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies · tag F0660
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-30
2025-04-17 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-30
2025-04-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-30
2025-04-17
complaint survey
Have enough outside ventilation via a window or mechanical ventilation, or both.
Environmental Deficiencies · tag F0923
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-30
2024-05-23 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-07-06
2024-05-23 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-06
2024-05-23
complaint survey
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-06
2024-05-23
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-06
2024-05-23 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 Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-06
2024-05-23
complaint survey
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-06
2024-05-23
complaint survey
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.
Resident Rights Deficiencies · tag F0622
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-06
2024-05-23
complaint survey
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-06
2024-05-23 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-06
2024-05-23 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-06
2024-05-23 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-06
2024-05-23
complaint survey
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-06
2024-05-23 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-06
2024-02-13
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2024-03-13
2024-02-13
complaint survey
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-13
2023-12-28
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2023-12-28
complaint survey
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies · tag F0675
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2023-05-03 Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · tag F0886
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-06-13
2023-05-03 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 Deficiencies · tag F0625
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-06-13
2023-05-03 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-06-13
2023-05-03 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-06-13
2023-05-03 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-06-13
2023-05-03 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-06-13
2023-05-03 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · tag F0561
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-06-13
2023-05-03 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-06-13
2023-05-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-06-13

Fines and payment denials

DatePenaltyAmount
2024-02-13Fine$13,644

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Douro Valley Investment, LLC
Organization
5% or greater direct ownership interest2023-08-02
Ne 11 Holdings Opco LLC
Organization
5% or greater direct ownership interest2023-08-02
Brass Ne Trust
Organization
5% or greater indirect ownership interest2023-08-02
Bsd Beis Health Trust
Organization
5% or greater indirect ownership interest2023-08-02
Copper Ne Trust
Organization
5% or greater indirect ownership interest2023-08-02
Gold Ne Trust
Organization
5% or greater indirect ownership interest2023-08-02
Ne Snf Holdings LLC
Organization
5% or greater indirect ownership interest2023-08-02
Sf 4140 Olde Washington Boulevard Real Property LLC
Organization
5% or greater indirect ownership interest2023-08-01
Silver Ne Trust
Organization
5% or greater indirect ownership interest2023-08-02
Tulip Investments Ne LLC
Organization
5% or greater indirect ownership interest2023-08-02
Silberstein, Ari
Individual
corporate officer2023-08-02
Jackson, Dixie
Individual
w-2 managing employee2023-08-02

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Webster County.