facebook tracking Adept Nursing & Rehab of Gretna, Gretna NE: CMS Ratings
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Adept Nursing & Rehab of Gretna

All states › Nebraska › Gretna › Adept Nursing & Rehab of Gretna

700 Highway 6 Gretna, NE 68028 · Sarpy County

(402) 332-3446

Accepts Medicare Accepts Medicaid 63 certified beds For profit

CMS certification number 285146 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 24 citations in the last three years. CMS imposed 1 penalty in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 3 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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.

Nursing care per resident per day 4.29 hours
Above the Nebraska median of 3.99 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.73 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.74 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 88% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 75% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds63
Residents per day 40 About 63% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJune 1994
Part of a chainAvid Healthcare Group
Legal business nameWILLOWS AT GRETNA LLC

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 9, 2026)

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Complaint inspection · Deficient, Provider has date of correction (Apr 9, 2026)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Apr 9, 2026)

DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Apr 9, 2026)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 9, 2026)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Apr 9, 2026)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Apr 9, 2026)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Apr 9, 2026)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Sep 12, 2025)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Sep 12, 2025)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Sep 12, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Sep 12, 2025)

May 5, 2025 · 3 citations, includes actual harm · includes complaint inspection

GProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Jun 13, 2025)

DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Complaint inspection · Deficient, Provider has date of correction (Jun 13, 2025)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Jun 13, 2025)

October 16, 2024 · 2 citations · includes complaint inspection

FPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Nov 30, 2024)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Nov 30, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (May 14, 2024)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (May 14, 2024)

January 29, 2024 · 1 citation · includes complaint inspection

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Complaint inspection · Deficient, Provider has date of correction (Feb 16, 2024)

August 15, 2023 · 4 citations

EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Sep 28, 2023)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Sep 28, 2023)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Sep 28, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 28, 2023)

Questions to ask on a tour of Adept Nursing & Rehab of Gretna

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on March 5, 2026. How are staff trained, and how are concerns reported?
  3. Nursing staff turnover was 88% a year. How many of the staff come from agencies?
  4. 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?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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.

DateTypeAmount or length
May 5, 2025 Payment Denial 21 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Newport House Omaha · 6.9 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 96 beds · Medicaid
The Lighthouse at Lakeside Village Omaha · 7.6 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 54 beds · Medicaid
Brookestone Village Omaha · 7.9 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 140 beds · Medicaid
Brookestone Meadows Rehabilitation and Care Center Elkhorn · 8.2 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 140 beds · Medicaid
Good Samaritan Society - Millard Omaha · 8.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 106 beds · Medicaid

More nursing homes near Adept Nursing & Rehab of Gretna ›   All nursing homes in Gretna ›

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Other Avid Healthcare Group nursing homes in Nebraska

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.

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https://www.nursinghomesineachstate.com/nebraska/gretna/adept-nursing-and-rehab-of-gretna/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.