ElderGrade
D

53/100

Below average

Adept Nursing & Rehab Of Ashland

1700 Furnas Street, Ashland, NE 68003

CMS 2/5 stars #3 of 3 in Saunders County (402) 944-7031
Certified beds
97
Occupancy
78%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • Nursing staff turnover of 65%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

18/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -12 for 3 actual-harm citation(s) in the last 3 years

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.79 total nurse hours per resident per day (national median 3.77)
  • 0.52 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 65% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

6/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record
  • -4 for 2 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.25 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.52 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.82 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 64.70%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 19 citations

Last standard health inspection: July 22, 2025 (1 year ago).

E Jul 22, 2025 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

D Jul 22, 2025 F0552

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

D Jul 22, 2025 F0684

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jul 22, 2025 F0695

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jul 22, 2025 F0699

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

No actual harm, potential for more than minimal harm

G May 14, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

D Apr 16, 2025 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

G Mar 5, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

Who owns this home

Full record

Part of AVID HEALTHCARE GROUP, which operates 11 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
SILBERSTEIN, ARI Individual CORPORATE OFFICER
BAKER, JEFFREY Individual OPERATIONAL/MANAGERIAL CONTROL
KIRSCHNER, DEVORA Individual OPERATIONAL/MANAGERIAL CONTROL
MAZZOCHI, ANABELLE Individual OPERATIONAL/MANAGERIAL CONTROL
BAKER, JEFFREY Individual ADP OF THE SNF
EHRENFELD, EUGENE Individual ADP OF THE SNF
MORNER, ASHLEY Individual ADP OF THE SNF
BRASS NE TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
BSD BEIS HEALTH TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
COPPER NE TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
DOURO VALLEY INVESTMENT, LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
GOLD NE TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Adept Nursing & Rehab Of Ashland

What is the ElderGrade for Adept Nursing & Rehab Of Ashland? +

Adept Nursing & Rehab Of Ashland holds an ElderGrade of D (53 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Adept Nursing & Rehab Of Ashland? +

Residents receive an average of 4.25 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Adept Nursing & Rehab Of Ashland been cited for harming residents? +

Yes. 3 of the 19 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Adept Nursing & Rehab Of Ashland accept Medicaid? +

Yes, Adept Nursing & Rehab Of Ashland is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.