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Adept Nursing & Rehab of South Sioux CityCMS ratings, inspections and fines

Address
3501 Dakota Avenue, South Sioux City, NE 68776
CCN
285076
Ownership type
For-profit, limited liability company
Certified beds
72
Residents per day
37
CMS flags
None in the CMS record
CMS star ratings
Overall rating1 of 5
Health inspection rating2 of 5
Staffing rating4 of 5
Quality measure rating1 of 5
Care Compare record (Medicare.gov)

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 South Sioux City an overall rating of 1 of 5 stars. The last standard survey was on 20 Aug 2025. The latest survey cycle has 7 health citations. The median for nursing homes in Nebraska is 6. CMS lists 1 fine of $33,784 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.

CMS star ratings of Adept Nursing & Rehab of South Sioux City, with medians
Rating (1 to 5 stars)This homeDakota County medianNebraska medianUS average (CMS)
Overall rating12.03.03.0
Health inspection rating22.03.02.8
Staffing rating44.03.02.9
Quality measure rating13.03.03.6

A median is the middle value of the homes in the group: 3 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.

Health citations of Adept Nursing & Rehab of South Sioux City in the last three survey cycles
Survey cycleStandard surveyCitationsNebraska median
Cycle 1 (latest)20 Aug 202576
Cycle 227 Jun 2024145
Cycle 3No date134

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.

Scope and severity of the 34 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 7 citations

Standard survey of this cycle: .

Health citations of Adept Nursing & Rehab of South Sioux City in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
18 Mar 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation10 Apr 2026
23 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation6 Oct 2025
20 Aug 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey1 Oct 2025
20 Aug 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey1 Oct 2025
20 Aug 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey1 Oct 2025
20 Aug 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey1 Oct 2025
20 Aug 2025F0880Provide and implement an infection prevention and control program.DStandard survey1 Oct 2025

Survey cycle 2: 14 citations

Standard survey of this cycle: .

Health citations of Adept Nursing & Rehab of South Sioux City in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 Nov 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation26 Nov 2024
24 Sep 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation8 Nov 2024
24 Sep 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.FComplaint investigation8 Nov 2024
27 Jun 2024F0584Honor 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.EComplaint investigation11 Aug 2024
27 Jun 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey11 Aug 2024
27 Jun 2024F0625Notify 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.DStandard survey11 Aug 2024
27 Jun 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint investigation11 Aug 2024
27 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey11 Aug 2024
27 Jun 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation11 Aug 2024
27 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey11 Aug 2024
27 Jun 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey11 Aug 2024
27 Jun 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey11 Aug 2024
27 Jun 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation11 Aug 2024
27 Jun 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation11 Aug 2024

Survey cycle 3: 13 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Adept Nursing & Rehab of South Sioux City in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
7 Feb 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation15 Mar 2024
1 Nov 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation28 Nov 2023
1 Nov 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 Nov 2023
1 Nov 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.JComplaint investigation28 Nov 2023
11 May 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey30 Jun 2023
11 May 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard survey30 Jun 2023
11 May 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard survey30 Jun 2023
11 May 2023F0679Provide activities to meet all resident's needs.DStandard survey30 Jun 2023
11 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey30 Jun 2023
11 May 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey30 Jun 2023
11 May 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey30 Jun 2023
11 May 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey30 Jun 2023
11 May 2023F0880Provide and implement an infection prevention and control program.EStandard survey30 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.

Penalties of Adept Nursing & Rehab of South Sioux City in the CMS penalties file
DateTypeFineDays without payment
1 Nov 2023Fine$33,784

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.

Nurse staffing hours per resident per day at Adept Nursing & Rehab of South Sioux City
StaffThis homeNebraska medianNebraska average (CMS)
All nurse staff4.633.903.98
Registered nurses (RN)0.800.600.67
Licensed practical nurses (LPN)1.020.67
Nurse aides2.822.64
All nurse staff, weekends3.943.403.49
Nurse staff turnover in a year
39.2%
Nurse staff turnover, Nebraska median
47.1%
RN turnover in a year
25.0%
Administrators who left in a year
2

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.

Quality measures of Adept Nursing & Rehab of South Sioux City, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeNebraska medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay18.4%18.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.6%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay9.5%4.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay19.4%17.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.6%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay26.2%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
Palm at Regency Square LLC
Chain
Avid Healthcare Group (11 homes in the CMS chain file)
Organisations in the CMS ownership record of Adept Nursing & Rehab of South Sioux City
OrganisationRole in the CMS recordInterestSince
Ne 11 Holdings Opco LLC5% or greater direct ownership interest100%2 Aug 2023
BSD Beis Health Trust5% or greater indirect ownership interest2 Aug 2023
Douro Valley Investment, LLC5% or greater indirect ownership interest2 Aug 2023
Ne SNF Holdings LLC5% or greater indirect ownership interest2 Aug 2023
SF 4140 Olde Washington Boulevard Real Property LLC5% or greater indirect ownership interest1 Aug 2023
Tulip Investments Ne LLC5% or greater indirect ownership interest2 Aug 2023

The site shows organisations only. It does not show the names of persons.

Other homes in Dakota County

The 2 nearest other nursing homes in Dakota County, Nebraska
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Continental FallsSouth Sioux City2 of 59$014 Jan 2026
Heritage of EmersonEmerson5 of 53$05 Jun 2025

All 3 nursing homes in Dakota County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Adept Nursing & Rehab of South Sioux City (CCN 285076). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/adept-nursing-rehab-of-south-sioux-city-south-sioux-city-ne-285076/

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 South Sioux City last inspected?
The latest inspection with a citation in the CMS record was on 18 Mar 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 27 Jun 2024.
Who operates Adept Nursing & Rehab of South Sioux City?
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 South Sioux City 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.