Adept Nursing & Rehab of Waverly

11041 North 137th St · Waverly, NE · 68462 · 4027862626

54 certified beds For profit - Corporation 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.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

83% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 88
Staffing 20% 60
Federal penalties 15% 40
Trend 10% 86
Context 5% 75

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-day3.433.48 min · 4.1 strong
RN hours / resident-day0.710.55–0.75
Weekend hours / resident-day3.05≈ weekday level
Nursing turnover / year83%median 45%
Fines (3-yr window)2 · $25,642

Inspection citations (41 in the current record)

  • Potential for harm · D June 24, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected July 24, 2025 · Pharmacy Service

  • Potential for harm · D April 8, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 12, 2025 · Quality of Life and Care

  • Potential for harm · F April 8, 2025 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected May 12, 2025 · Environmental

  • Potential for harm · D December 5, 2024

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected January 19, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F December 5, 2024

    Post nurse staffing information every day.

    Corrected January 19, 2025 · Nursing and Physician Services

  • Potential for harm · D December 5, 2024

    Provide and implement an infection prevention and control program.

    Corrected January 19, 2025 · Infection Control

  • Potential for harm · E December 5, 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 January 19, 2025 · Resident Rights

  • Potential for harm · D December 5, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 5, 2024 · found via complaint

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

    Corrected January 19, 2025 · Quality of Life and Care

  • Potential for harm · E December 5, 2024 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected January 19, 2025 · Pharmacy Service

  • Potential for harm · E December 5, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected January 19, 2025 · Pharmacy Service

  • Potential for harm · F December 5, 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 January 19, 2025 · Nutrition and Dietary

  • Potential for harm · E August 28, 2024 · found via complaint

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

    Corrected September 23, 2024 · Quality of Life and Care

  • Potential for harm · E August 28, 2024 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected September 23, 2024 · Nursing and Physician Services

  • Potential for harm · D August 8, 2024 · found via complaint

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

    Corrected August 29, 2024 · Quality of Life and Care

  • Potential for harm · D August 8, 2024 · found via complaint

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

    Corrected August 29, 2024 · Quality of Life and Care

  • Immediate jeopardy · J June 17, 2024 · found via complaint

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

    Corrected June 17, 2024 · Quality of Life and Care

  • Immediate jeopardy · J February 12, 2024 · found via complaint

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

    Corrected March 11, 2024 · Quality of Life and Care

  • Potential for harm · D February 12, 2024 · found via complaint

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

    Corrected March 11, 2024 · Quality of Life and Care

  • Potential for harm · D January 10, 2024

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

    Corrected February 23, 2024 · Resident Rights

  • Potential for harm · D January 10, 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 February 23, 2024 · Resident Rights

  • Potential for harm · D January 10, 2024

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

    Corrected February 23, 2024 · Quality of Life and Care

  • Potential for harm · D January 10, 2024

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected February 23, 2024 · Quality of Life and Care

  • Potential for harm · E January 10, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 23, 2024 · Quality of Life and Care

  • Potential for harm · F January 10, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 23, 2024 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 5, 2024Payment Denial26 days
June 17, 2024Fine$9,805
December 12, 2023Fine$15,837

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285143 · 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.