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Nursing homeFAID #7590

Adept Nursing & Rehab of Blue Hill

414 North Wilson Street, BLUE HILL, NE, 68930
(402) 756-2080
62 licensed beds

CMS rates Adept Nursing & Rehab of Blue Hill 1 out of 5 overall. Federal inspectors issued 77 citations across 11 inspections in the last three years, with $13,644 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
62
CMS facility ID
285144
Care type
Nursing home
County
Webster
Facility name
Adept Nursing & Rehab of Blue Hill
Street address
414 North Wilson Street
City / state / ZIP
Blue Hill, NE 68930
Phone
(402) 756-2080

Adept Nursing & Rehab of Blue Hill is a Medicare/Medicaid-certified skilled nursing facility in Blue Hill, Nebraska. It is licensed for 62 beds — close to the median for skilled nursing facilities in Nebraska (64 beds).

It is one of 1 senior care facility in Blue Hill and 180 skilled nursing facilities across Nebraska. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avid Healthcare Group, a group of 11 facilities on this site.

Federal inspectors have cited Adept Nursing & Rehab of Blue Hill 77 times across 11 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $13,644 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Avid Healthcare Group
Ownership type
For profit - Limited Liability company

Regulatory standing

Licensed / certified since
1994-06-01
CMS overall rating
1 of 5 stars
Health deficiencies
24 at the last standard inspection
Federal fines
$13,644 total
Last standard inspection
2026-08-18

Cost & payer profile (FY2023 cost report)

Average billed charges
$317 per day (≈ $9,640/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 8% Medicare · 18% private/other
Occupancy
60% (fiscal year 2023)
Vs. state median
6% below the NE median of $338/day — full state cost breakdown

Services & coverage

Licensed beds
62
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-18Health inspectionComplaint-triggered24 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F-0584
F · No harm found
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.
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-0606
D · No harm found
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
F-0726
F · No harm found
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.
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
F-0801
F · No harm foundFood safety
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.
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0835
F · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
F-0881
F · No harm found
Implement a program that monitors antibiotic use.
F-0908
F · No harm found
Keep all essential equipment working safely.
F-0921
F · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0923
F · No harm found
Have enough outside ventilation via a window or mechanical ventilation, or both.
2025-04-17Health inspectionComplaint-triggered11 citations
F-0582
E · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-05-30
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2025-05-30
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-05-30
F-0660
D · No harm found
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-05-30
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-05-30
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-30
F-0759
E · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-30
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-30
F-0867
F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-05-30
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-30
F-0923
D · No harm foundFrom a complaint
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected 2025-05-30
6 earlier / fire-safety inspections (42 citations)
2024-05-23Health inspectionComplaint-triggered13 citations
F-0578
D · No harm found
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.
Corrected 2024-07-06
F-0582
D · No harm foundFrom a complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-07-06
F-0622
D · No harm foundFrom a complaint
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.
Corrected 2024-07-06
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-07-06
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-07-06
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-07-06
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-06
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-06
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-07-06
F-0759
E · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-06
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-07-06
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-06
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-07-06
2024-02-13Health inspectionComplaint-triggered2 citations
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-13
F-0867
E · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-03-13
2023-12-28Health inspectionComplaint-triggered2 citations
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-01-26
F-0675
D · No harm foundFrom a complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected 2024-01-26
2026-08-18Fire-safety inspection7 citations
K-0223
F · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2026-09-16
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-09-16
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-09-16
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2026-09-16
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-09-16
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-09-16
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2026-09-16
2025-04-17Fire-safety inspection12 citations
E-0032
F · No harm found
Provide primary/alternate means for communication.
Corrected 2025-05-30
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2025-06-01
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-06-01
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-01
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-01
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-01
K-0700
E · No harm found
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2025-06-01
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2025-06-01
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-01
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-01
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-01
K-0922
E · No harm found
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-06-01
2024-05-23Fire-safety inspection6 citations
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-07-06
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-07-06
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-07-06
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-07-06
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-06
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-06

Federal penalties

2024-02-13Fine$13,644
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 285144.
How it compares in Nebraska.
Inspection citations, 3 years
77
More than 95% of nursing homes in the state
State median: 33
Federal fines, 3 years
$13,644
More than 78% of nursing homes in the state
State median: $0
Nursing staff turnover, annual
68%
Higher than 87% of nursing homes in the state
State median: 48%

Resident outcomes

On 21 federal quality measures, this facility does better than the Nebraska average on 9 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased20.0%19.0%13.5%Near state average
Lose too much weight8.3%5.1%5.1%Worse than state
With a catheter inserted and left in their bladder0.8%1.3%0.7%Better than state
With a urinary tract infection0.9%2.7%1.5%Better than state
Have depressive symptoms0.0%4.4%13.5%Better than state
Were physically restrained0.0%0.3%0.1%Better than state
Experiencing one or more falls with major injury2.5%4.5%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine95.8%93.0%93.7%Near state average
Ability to walk independently worsened15.2%16.8%12.7%Near state average
Received an antianxiety or hypnotic medication18.0%19.0%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine96.9%95.6%95.3%Near state average
With pressure ulcers5.3%4.0%4.5%Worse than state
With new or worsened bowel or bladder incontinence31.7%25.0%18.3%Worse than state
Received an antipsychotic medication9.6%20.7%15.4%Better than state
Hospitalizations per 1000 long-stay resident days1.691.671.81Near state average
Outpatient emergency department visits per 1000 long-stay resident days1.871.851.69Near state average
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine86.1%81.3%82.3%Near state average
Newly received an antipsychotic medication0.0%2.1%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine91.3%73.9%80.1%Better than state
Were rehospitalized after a nursing home admission13.1%21.1%23.4%Better than state
Had an outpatient emergency department visit22.2%10.8%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0582 3 inspections. Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  • F-0759 3 inspections. Ensure medication error rates are not 5 percent or greater.
  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • K-0918 3 inspections. Have generator or other power source capable of supplying service within 10 seconds.
  • F-0584 2 inspections. 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.
Where to check, and what's nearby.

Who to contact in Nebraska

  • Licensing: Nebraska Department of Health and Human Services, Division of Public Health, Licensure Unit
  • File a complaint: 402-471-0316 · Online
  • Long-Term Care Ombudsman: 800-942-7830. A free advocate for residents and families.
  • Adult Protective Services: 800-652-1999. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Webster County Community Hospital, about 17 miles.
  • Mary Lanning Healthcare, about 18 miles. CMS rating 2 of 5.
  • Kearney County Health Services Hospital, about 28 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 77 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered