Adept Nursing & Rehab of Blue Hill
414 North Wilson Street · Blue Hill, NE · 68930 · 4027562080
62 certified beds For profit - Limited Liability company Chain: Avid Healthcare Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
73% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | 1 · $13,644 |
Inspection citations (37 in the current record)
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Potential for harm · E April 17, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · D April 17, 2025
Plan the resident's discharge to meet the resident's goals and needs.
Corrected May 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2025
Provide activities to meet all resident's needs.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · F April 17, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 30, 2025 · Administration
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Potential for harm · E April 17, 2025 · found via 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 May 30, 2025 · Resident Rights
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Potential for harm · D April 17, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 17, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected May 30, 2025 · Pharmacy Service
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Potential for harm · F April 17, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · E April 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 30, 2025 · Infection Control
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Potential for harm · D April 17, 2025 · found via complaint
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected May 30, 2025 · Environmental
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Potential for harm · D May 23, 2024
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 July 6, 2024 · Resident Rights
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Potential for harm · D May 23, 2024
Ensure each resident receives an accurate assessment.
Corrected July 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected July 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 6, 2024 · Quality of Life and Care
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Potential for harm · E May 23, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected July 6, 2024 · Quality of Life and Care
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Potential for harm · F May 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 6, 2024 · Nutrition and Dietary
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Potential for harm · D May 23, 2024
Provide and implement an infection prevention and control program.
Corrected July 6, 2024 · Infection Control
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Potential for harm · D May 23, 2024 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 6, 2024 · Resident Rights
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Potential for harm · D May 23, 2024 · found via 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 July 6, 2024 · Resident Rights
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Potential for harm · D May 23, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 6, 2024 · Resident Rights
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Potential for harm · D May 23, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected July 6, 2024 · Quality of Life and Care
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Potential for harm · E May 23, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected July 6, 2024 · Pharmacy Service
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Potential for harm · E May 23, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 6, 2024 · Pharmacy Service
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Immediate jeopardy · K February 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 13, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 13, 2024 | Fine | $13,644 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285144 · certified since June 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.