61/100
Average
Gold Crest Retirement Center
200 Levi Lane, Adams, NE 68301
- Certified beds
- 52
- Occupancy
- 70%
- Ownership
- Non-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.
Nursing staff turnover of 67%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Gold Crest Retirement Center
Gold Crest is a 52-bed nonprofit home in Adams that does two things well and one thing badly. Its last inspection, in March 2025, produced a 4-out-of-5 health inspection rating and 12 deficiencies with none at the harm or jeopardy level, though one is abuse-related. Quality measures also score 4 out of 5. The problem is staffing: 0.64 nurse hours per resident day, roughly 83 percent below the national average of 3.86, which is why the staffing rating sits at 1 out of 5. Annual turnover of 66.7 percent is well above the 45.8 percent national figure, so even that thin coverage keeps changing faces.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
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
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
7/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →0.76 total nurse hours per resident per day (national median 3.77)
- →0 RN hours per resident per day
- →Weekend staffing holds steady
Staff stability
2/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →67% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: March 12, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Gold Crest Retirement Center
What is the ElderGrade for Gold Crest Retirement Center? +
Gold Crest Retirement Center holds an ElderGrade of C (61 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 Gold Crest Retirement Center? +
Residents receive an average of 0.64 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Gold Crest Retirement Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Gold Crest Retirement Center accept Medicaid? +
Yes, Gold Crest Retirement Center 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.
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