Skilled nursing · Gretna, NE

Adept Nursing & Rehab of Gretna

700 Highway 6, Gretna, NE 68028

2 / 5CMS 63 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Concerns

The Palmelle read

Worth a closer look. Adept Nursing & Rehab of Gretna carries a Palmelle Clarity Score of 37 out of 100, derived from federal CMS Care Compare data plus Nebraska state records. Health inspection rating sits at 2-star, staffing at 2-star, quality measures at 2-star. Long-stay antipsychotic prescribing is at 31.8 percent, above the 14 percent national median. Long-stay sedative prescribing is at 15.1 percent, in line with the 15 percent national median. RN coverage is 0.5 hours per resident per day. Nurse turnover 81 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Nebraska DPH

Your trusted senior advocate

Independent senior placement and family advocacy.

Palmelle helps families check facility safety, vet nursing home red flags, and find the right placement after a hospital discharge. We index all 67,750 U.S. facilities, including the ones with active CMS violations or open complaints. The data is on the page so families can see what's actually there.

Call (888) 282-7256 to talk with a Placement Specialist. Intake Monday, written recommendation Thursday, follow-up Friday.

In their own words

No operator description yet.

Claim this listing →

Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

0.5

National

0.78

Annual nurse turnover

This

81%

National

53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This

31.8%

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Nebraska state data

The full inspection record.

Federal CMS ratings

Overall★★★★★2 / 5

Health inspection★★★★★2 / 5

Staffing★★★★★2 / 5

Quality measures★★★★★2 / 5

Staffing

RN hours per resident, daily

This

0.5

Nat

0.78

Total nurse hours / resident, daily

This

3.8

Nat

3.62

Annual nurse turnover

This

81%

Nat

53%

Annual RN turnover

This

100%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

31.8%

Nat

14%

Sedative / sleep med

This

15.1%

Nat

15%

Physical restraint

This

1.9%

Nat

1.1%

Falls with major injury

This

0.0%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection currentZero federal fines (36mo)

Identity & licensing

CMS ID285146

OwnershipFor profit - Limited Liability company

ChainIndependent

Beds63

Avg residents43

Citations · last 36 months

Flagged by CMS data
Annual nursing staff turnover is 81%. High turnover means residents frequently interact with unfamiliar staff, which research links to lower quality of care. Industry average is around 50-60%.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay antipsychotic rate is 32% — above the national median of about 14%. CMS already excludes residents with primary psychotic diagnoses from this measure. Worth asking what specific behaviors the medication is targeting and what non-medication options were tried first.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Nebraska DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for Adept Nursing & Rehab of Gretna?

Adept Nursing & Rehab of Gretna has an overall CMS Care Compare rating of 2 out of 5 stars. It scores 2 of 5 on health inspection, 2 of 5 on staffing, and 2 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Adept Nursing & Rehab of Gretna been cited for resident harm?

CMS data flagged 2 concerns on the latest reconcile. The full record for Adept Nursing & Rehab of Gretna appears in the record section above.

Does Adept Nursing & Rehab of Gretna use antipsychotic medications?

31.8 percent of long-stay residents at Adept Nursing & Rehab of Gretna are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 15.1 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Adept Nursing & Rehab of Gretna's Palmelle Clarity Score?

Adept Nursing & Rehab of Gretna has a Palmelle Clarity Score of 37 out of 100, putting it below the national median. The score is a composite of federal CMS and Nebraska state inspection data. Higher is better.

How can I tour or contact Adept Nursing & Rehab of Gretna?

Adept Nursing & Rehab of Gretna is located at 700 Highway 6, Gretna, NE 68028. Phone: (402) 332-3446. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Adept Nursing & Rehab of Gretna a special focus facility?

Adept Nursing & Rehab of Gretna is not currently on the federal Special Focus Facility list, has no abuse icon on file, and no federal fines in the last 36 months.

What does F-689 mean on Adept Nursing & Rehab of Gretna's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Adept Nursing & Rehab of Gretna has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Adept Nursing & Rehab of Gretna compare to other Gretna skilled nursing facilities?

Adept Nursing & Rehab of Gretna holds a Palmelle Clarity Score of 37. Browse the full Gretna directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Adept Nursing & Rehab of Gretna?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Adept Nursing & Rehab of Gretna and two other facilities on your shortlist.

Not sure if this is the one?

We do the calling. You do the choosing.

A real human compares this facility to two others. Phone calls, pricing, availability, the questions you would not think to ask.

$199 · 3-business-day money-back promise

Get your answer →