Adept Nursing & Rehab of Sutherland
333 Maple Street · Sutherland, NE · 69165 · 3083864393
60 certified beds For profit - Corporation Chain: Avid Healthcare Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $51,637 in fines in the last 24 months.
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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$51,637 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
75% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 75% | median 45% |
| Fines (3-yr window) | 2 · $51,637 |
Inspection citations (39 in the current record)
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Immediate jeopardy · K March 5, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 1, 2026 · Resident Rights
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Potential for harm · D March 5, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 1, 2026 · Pharmacy Service
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Potential for harm · F March 5, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 1, 2026 · Nutrition and Dietary
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Potential for harm · F March 5, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 1, 2026 · Nutrition and Dietary
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No harm found · B March 5, 2026
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected April 1, 2026 · Quality of Life and Care
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Immediate jeopardy · J September 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 22, 2025 · Quality of Life and Care
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Potential for harm · D September 24, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F September 24, 2025 · found via complaint
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.
Corrected October 22, 2025 · Nursing and Physician Services
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Actual harm · G April 9, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 16, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025 · 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 May 15, 2025 · Resident Rights
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Potential for harm · D April 9, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2025 · found via complaint
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 May 15, 2025 · Pharmacy Service
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Potential for harm · D December 19, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 15, 2025 · Quality of Life and Care
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Potential for harm · F December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 15, 2025 · Nutrition and Dietary
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Potential for harm · D December 19, 2024
Provide and implement an infection prevention and control program.
Corrected February 15, 2025 · Infection Control
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Potential for harm · D December 19, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 15, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected February 15, 2025 · Pharmacy Service
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Potential for harm · D September 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 10, 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 |
|---|---|---|
| March 5, 2026 | Fine | $19,120 |
| September 24, 2025 | Fine | $32,517 |
| April 9, 2025 | Payment Denial | 45 days |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285141 · 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.