ElderGrade
C

58.2/100

Average

Adept Nursing & Rehab Of South Sioux City

3501 Dakota Avenue, South Sioux City, NE 68776

CMS 1/5 stars #3 of 3 in Dakota County (402) 494-4273
Certified beds
72
Occupancy
52%
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.

  • 1 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.

  • $33,784 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

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

Inspection 17.2/30 Staffing 24/30 Stability 10/15 Outcomes 2/15 Enforcement 5/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

17.2/30

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

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -2.8 for 25 total citations against a national median of 17

Staffing

24/30

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

  • 4.69 total nurse hours per resident per day (national median 3.77)
  • 0.8 RN hours per resident per day
  • Weekend staffing drops 15% against weekdays

Staff stability

10/15

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

  • 39% of nursing staff left in the last year
  • -2 for 2 administrator departures

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

5/10

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

  • $33,784 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 4.63 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.80 hrs
National average 0.69 hrs Better than average

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

Weekend nurse hours 3.94 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 39.20%
National average 45.80% Better than average

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

Recent inspection findings

All 34 citations

Last standard health inspection: August 20, 2025 (1 year ago).

D Mar 18, 2026 F0580 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Sep 23, 2025 F0684 From a complaint

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

E Aug 20, 2025 F0725

Nursing and Physician Services Deficiencies

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

No actual harm, potential for more than minimal harm

E Aug 20, 2025 F0756

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

No actual harm, potential for more than minimal harm

D Aug 20, 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 Aug 20, 2025 F0757

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

No actual harm, potential for more than minimal harm

D Aug 20, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Nov 12, 2024 F0580 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

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
JACOBSON, HOLLIE Individual W-2 MANAGING EMPLOYEE
SILBERSTEIN, ARI Individual CORPORATE OFFICER
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
NE SNF HOLDINGS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
SILVER NE TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
TULIP INVESTMENTS NE LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NE 11 HOLDINGS OPCO LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Adept Nursing & Rehab Of South Sioux City

What is the ElderGrade for Adept Nursing & Rehab Of South Sioux City? +

Adept Nursing & Rehab Of South Sioux City holds an ElderGrade of C (58.2 out of 100), which we describe as "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 South Sioux City? +

Residents receive an average of 4.63 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Adept Nursing & Rehab Of South Sioux City been cited for harming residents? +

Yes. 1 of the 34 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 South Sioux City accept Medicaid? +

Yes, Adept Nursing & Rehab Of South Sioux City 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.