All states › Nebraska › Gretna › Adept Nursing & Rehab of Gretna
700 Highway 6 Gretna, NE 68028 · Sarpy County
CMS certification number 285146 · See this home on Medicare Care Compare
Is Adept Nursing & Rehab of Gretna a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Adept Nursing & Rehab of Gretna as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Nebraska average of 2.9.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.29 hours per resident per day at Adept Nursing & Rehab of Gretna, above the Nebraska median of 3.99 (US median: 3.72). About 0.73 of those hours are from registered nurses. On weekends it falls to 3.74 hours, 13% below its all-week average. 88% of nursing staff left within a year (Nebraska median 47.6%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Adept Nursing & Rehab of Gretna: Medicare and Medicaid
Adept Nursing & Rehab of Gretna is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Nebraska's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 5, 2026 and found 6 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 24 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 24 citations at Adept Nursing & Rehab of Gretna across 7 inspection dates, 13 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on May 5, 2025. The most common areas cited were quality of life and care (9) and resident rights (5). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, May 5, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
March 5, 2026 · 8 citations · includes complaint inspection
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure medication error rates are not 5 percent or greater.
DHonor 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.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
August 21, 2025 · 4 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide and implement an infection prevention and control program.
May 5, 2025 · 3 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
October 16, 2024 · 2 citations · includes complaint inspection
FPost nurse staffing information every day.
EHonor 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.
May 2, 2024 · 2 citations · includes complaint inspection
EEnsure 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.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
January 29, 2024 · 1 citation · includes complaint inspection
DProvide enough food/fluids to maintain a resident's health.
August 15, 2023 · 4 citations
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure medication error rates are not 5 percent or greater.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Adept Nursing & Rehab of Gretna
- Inspectors cited the home at the actual-harm level on May 5, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 5, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 88% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years.
| Date | Type | Amount or length |
|---|---|---|
| May 5, 2025 | Payment Denial | 21 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 3/5 | 1/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 2/5 |
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Location
Hospitals near Adept Nursing & Rehab of Gretna
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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7.8 mi
Alegent Health Lakeside Hospital OmahaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 59m for patients treated and sent home
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8.8 mi
Nebraska Orthopaedic Hospital OmahaEmergency roomMedian ER visit 1h 43m for patients treated and sent home
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10.7 mi
Alegent Health Midlands Hospital PapillionEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 17m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Adept Nursing & Rehab of Gretna › All nursing homes in Gretna ›
Compare Adept Nursing & Rehab of Gretna with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Brookestone Village · Omaha · 5 stars · 7.9 mi
- Brookestone Meadows Rehabilitation and Care Center · Elkhorn · 5 stars · 8.2 mi
- Newport House · Omaha · 4 stars · 6.9 mi
- The Lighthouse at Lakeside Village · Omaha · 4 stars · 7.6 mi
Other Avid Healthcare Group nursing homes in Nebraska
- Adept Nursing & Rehab of South Sioux City · South Sioux City · 3 stars
- Adept Nursing & Rehab of Ashland · Ashland · 3 stars
- The Cypress at Midtown · Omaha · 3 stars
- Adept Nursing & Rehab of Central City · Central City · 3 stars
- Adept Nursing & Rehab of North Platte · North Platte · 2 stars
- Adept Nursing & Rehab of Waverly · Waverly · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 11 Avid Healthcare Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.