Adept Nursing & Rehab of Blue HillCMS ratings, inspections and fines
- Address
- 414 North Wilson Street, Blue Hill, NE 68930
- CCN
- 285144
- Ownership type
- For-profit, limited liability company
- Certified beds
- 62
- Residents per day
- No data
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Adept Nursing & Rehab of Blue Hill an overall rating of 1 of 5 stars. The last standard survey was on 17 Apr 2025. The latest survey cycle has 11 health citations. The median for nursing homes in Nebraska is 6. CMS lists 1 fine of $13,644 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Webster County median | Nebraska median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | No data | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 180 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Nebraska median |
|---|---|---|---|
| Cycle 1 (latest) | 17 Apr 2025 | 11 | 6 |
| Cycle 2 | 23 May 2024 | 13 | 5 |
| Cycle 3 | No date | 13 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Apr 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 30 May 2025 |
| 17 Apr 2025 | F0584 | 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. | E | Complaint investigation | 30 May 2025 |
| 17 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 May 2025 |
| 17 Apr 2025 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 30 May 2025 |
| 17 Apr 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 30 May 2025 |
| 17 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 May 2025 |
| 17 Apr 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 30 May 2025 |
| 17 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 30 May 2025 |
| 17 Apr 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 30 May 2025 |
| 17 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 30 May 2025 |
| 17 Apr 2025 | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | D | Complaint investigation | 30 May 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 May 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 6 Jul 2024 |
| 23 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 6 Jul 2024 |
| 23 May 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 6 Jul 2024 |
| 23 May 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 6 Jul 2024 |
| 23 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Jul 2024 |
| 23 May 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Jul 2024 |
| 23 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 6 Jul 2024 |
| 23 May 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 6 Jul 2024 |
| 23 May 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 6 Jul 2024 |
| 23 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 6 Jul 2024 |
| 23 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 6 Jul 2024 |
| 23 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Jul 2024 |
| 23 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Jul 2024 |
Survey cycle 3: 13 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 13 Mar 2024 |
| 13 Feb 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 13 Mar 2024 |
| 28 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 26 Jan 2024 |
| 28 Dec 2023 | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | Complaint investigation | 26 Jan 2024 |
| 3 May 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 13 Jun 2023 |
| 3 May 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 13 Jun 2023 |
| 3 May 2023 | F0625 | 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. | E | Standard survey | 13 Jun 2023 |
| 3 May 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 13 Jun 2023 |
| 3 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 13 Jun 2023 |
| 3 May 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 13 Jun 2023 |
| 3 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 13 Jun 2023 |
| 3 May 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Jun 2023 |
| 3 May 2023 | F0886 | Perform COVID19 testing on residents and staff. | F | Standard survey | 13 Jun 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 13 Feb 2024 | Fine | $13,644 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Nebraska median | Nebraska average (CMS) |
|---|---|---|---|
| All nurse staff | No data | 3.90 | 3.98 |
| Registered nurses (RN) | No data | 0.60 | 0.67 |
| Licensed practical nurses (LPN) | No data | 0.67 | |
| Nurse aides | No data | 2.64 | |
| All nurse staff, weekends | No data | 3.40 | 3.49 |
- Nurse staff turnover in a year
- 68.9%
- Nurse staff turnover, Nebraska median
- 47.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Nebraska median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.5% | 18.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.4% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 4.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.2% | 17.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.7% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.9% | 19.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Pines at Blue Hill LLC
- Chain
- Avid Healthcare Group (11 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Douro Valley Investment, LLC | 5% or greater direct ownership interest | 2 Aug 2023 | |
| Ne 11 Holdings Opco LLC | 5% or greater direct ownership interest | 2 Aug 2023 | |
| BSD Beis Health Trust | 5% or greater indirect ownership interest | 2 Aug 2023 | |
| Ne SNF Holdings LLC | 5% or greater indirect ownership interest | 2 Aug 2023 | |
| SF 4140 Olde Washington Boulevard Real Property LLC | 5% or greater indirect ownership interest | 1 Aug 2023 | |
| Tulip Investments Ne LLC | 5% or greater indirect ownership interest | 2 Aug 2023 |
The site shows organisations only. It does not show the names of persons.
Other homes in Webster County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Heritage of Webster County | Red Cloud | 1 of 5 | 11 | $0 | 14 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Adept Nursing & Rehab of Blue Hill (CCN 285144). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/adept-nursing-rehab-of-blue-hill-blue-hill-ne-285144/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Adept Nursing & Rehab of Blue Hill last inspected?
- The latest inspection with a citation in the CMS record was on 17 Apr 2025. It was a standard survey and a complaint investigation. It gave 11 citations. The standard survey before the last one was on 23 May 2024.
- Who operates Adept Nursing & Rehab of Blue Hill?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Avid Healthcare Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Adept Nursing & Rehab of Blue Hill a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Nebraska as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.