Adept Nursing & Rehab of South Sioux City
3501 Dakota Avenue · South Sioux City, NE · 68776 · 4024944273
72 certified beds For profit - Limited Liability company Chain: Avid Healthcare Group
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.90 | 0.55–0.75 |
| Weekend hours / resident-day | 3.58 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 1 · $33,784 |
Inspection citations (34 in the current record)
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Potential for harm · D March 18, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D September 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 6, 2025 · Quality of Life and Care
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Potential for harm · D August 20, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · E August 20, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 1, 2025 · Nursing and Physician Services
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Potential for harm · E August 20, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 1, 2025 · Pharmacy Service
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Potential for harm · D August 20, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 1, 2025 · Pharmacy Service
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Potential for harm · D August 20, 2025
Provide and implement an infection prevention and control program.
Corrected October 1, 2025 · Infection Control
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Potential for harm · D November 12, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 26, 2024 · Resident Rights
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Potential for harm · D September 24, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 8, 2024 · Quality of Life and Care
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Potential for harm · F September 24, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected November 8, 2024 · Environmental
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Potential for harm · D June 27, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected August 11, 2024 · Resident Rights
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Potential for harm · D June 27, 2024
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.
Corrected August 11, 2024 · Resident Rights
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Potential for harm · D June 27, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 11, 2024 · Quality of Life and Care
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Potential for harm · D June 27, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 11, 2024 · Quality of Life and Care
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Potential for harm · D June 27, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected August 11, 2024 · Quality of Life and Care
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Potential for harm · D June 27, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected August 11, 2024 · Pharmacy Service
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Potential for harm · E June 27, 2024 · 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 August 11, 2024 · Resident Rights
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Potential for harm · D June 27, 2024 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 27, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 11, 2024 · Quality of Life and Care
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Potential for harm · F June 27, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 11, 2024 · Nutrition and Dietary
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Potential for harm · E June 27, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 11, 2024 · Infection Control
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Potential for harm · E February 7, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 15, 2024 · Quality of Life and Care
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Immediate jeopardy · J November 1, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 28, 2023 · Pharmacy Service
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Potential for harm · D November 1, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 28, 2023 · Resident Rights
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Potential for harm · D November 1, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 28, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 1, 2023 | Fine | $33,784 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285076 · certified since July 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.