{"schema_version":"1.0.0","facility":{"id":"cms-285144","ccn":"285144","name":"Adept Nursing & Rehab of Blue Hill","source_name":"Adept Nursing & Rehab of Blue Hill","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"NE","address":{"line1":"414 North Wilson Street","city":"Blue Hill","state":"NE","zip":"68930","county_name":"Webster County","county_fips":"31181","county_method":"name_match","ssa_county_code":"900","urban":false},"location":{"lat":40.3293,"lon":-98.451,"method":"cms_published_coordinates","footnote":"22"},"phone":"4027562080","certification":{"authority":"CMS","ccn":"285144","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1994-06-01","certified_beds":62,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/285144"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":62,"avg_residents_footnote":"10"},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name_note":"CMS reports the legal business name as not available.","flags":{"ccrc":false,"special_focus":"SFF Candidate","abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":3},"long_stay_qm":{"value":4},"short_stay_qm":{"value":3},"staffing":{"footnote":"2"},"universe":"cms_certified_nursing_homes"},"staffing":{"footnote":"25","nursing_turnover_pct":68,"rn_turnover_pct":60,"administrators_left":0,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-08-18","cycle1_deficiencies":24,"cycle1_score":228,"cycle2_date":"2025-04-17","cycle23_deficiencies":21,"cycle23_score":257,"total_weighted_score":235.25},"cms_penalty_counts":{"fines":1,"fine_total":13644,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-700","cms_chain_id":"700","name":"AVID HEALTHCARE GROUP"},"first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/285144","provenance":[{"source_id":"cms_provider_info","source_record_id":"285144","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285144&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"285144","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285144&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"ownership_not_available":true,"inspection_summary":{"count":8,"health_count":5,"fire_count":3,"complaint_count":5,"latest_date":"2026-08-18","latest_standard_health":"2026-08-18","earliest_date":"2023-12-28","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":77,"health_count":52,"fire_count":25,"open_count":24,"actual_harm_count":0,"immediate_jeopardy_count":1,"serious_count":1,"complaint_count":17,"by_severity":{"potential":76,"immediate_jeopardy":1},"by_scope_severity":{"F":29,"E":16,"D":31,"K":1},"by_concept":{"environment_life_safety":26,"resident_rights":13,"staffing":1,"food_nutrition":5,"administration":3,"infection_prevention":4,"clinical_care":17,"medication":5,"emergency_preparedness":3},"type_ids":["cms-k0223","cms-k0324","cms-k0918","cms-k0291","cms-k0321","cms-k0920","cms-k0923","cms-f0584","cms-f0726","cms-f0801","cms-f0812","cms-f0835","cms-f0880","cms-f0881","cms-f0908","cms-f0921","cms-f0923","cms-f0641","cms-f0656","cms-f0550","cms-f0582","cms-f0600","cms-f0606","cms-f0657","cms-f0684","cms-f0690","cms-f0692","cms-f0697","cms-f0759","cms-f0760","cms-f0804","cms-e0032","cms-e0041","cms-k0222","cms-k0345","cms-k0353","cms-k0711","cms-k0761","cms-k0921","cms-k0700","cms-k0922","cms-f0867","cms-f0610","cms-f0660","cms-f0679","cms-k0211","cms-f0578","cms-f0622","cms-f0623","cms-f0645","cms-f0686","cms-f0689","cms-f0675"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":13644,"payment_denials":0,"latest_date":"2024-02-13"},"ownership_summary":{"disclosures":0,"organizations":0,"individuals":0,"not_available":true}},"row":{"id":"cms-285144","ccn":"285144","name":"Adept Nursing & Rehab of Blue Hill","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NE","city":"Blue Hill","zip":"68930","county_fips":"31181","county_name":"Webster County","address":"414 North Wilson Street","beds":62,"ownership":"for_profit","chain_id":"cms-chain-700","chain_name":"Avid Healthcare Group","lat":40.3293,"lon":-98.451,"overall":1,"health_rating":1,"qm_rating":3,"turnover":68,"sff":"SFF Candidate","inspections":8,"last_inspection":"2026-08-18","deficiencies":77,"serious":1,"ij":1,"open":24,"penalties":1,"fines_total":13644,"deficiency_type_ids":["cms-k0223","cms-k0324","cms-k0918","cms-k0291","cms-k0321","cms-k0920","cms-k0923","cms-f0584","cms-f0726","cms-f0801","cms-f0812","cms-f0835","cms-f0880","cms-f0881","cms-f0908","cms-f0921","cms-f0923","cms-f0641","cms-f0656","cms-f0550","cms-f0582","cms-f0600","cms-f0606","cms-f0657","cms-f0684","cms-f0690","cms-f0692","cms-f0697","cms-f0759","cms-f0760","cms-f0804","cms-e0032","cms-e0041","cms-k0222","cms-k0345","cms-k0353","cms-k0711","cms-k0761","cms-k0921","cms-k0700","cms-k0922","cms-f0867","cms-f0610","cms-f0660","cms-f0679","cms-k0211","cms-f0578","cms-f0622","cms-f0623","cms-f0645","cms-f0686","cms-f0689","cms-f0675"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"chain":{"id":"cms-chain-700","name":"Avid Healthcare Group","cms_chain_id":"700","facility_count":11,"states":["NE"],"cms_reported":{"facility_count":11,"avg_overall_rating":1.9,"avg_health_inspection_rating":1.8,"avg_staffing_rating":2.8,"avg_qm_rating":2.5}},"ownership":[],"inspections":[{"id":"cms-285144-20260818-fire","ccn":"285144","date":"2026-08-18","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0223","ss":"F","sl":2,"cs":"corrected","cd":"2026-09-16","std":1,"tv":"New"},{"t":"cms-k0291","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-16","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-16","std":1,"tv":"New"},{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2026-09-16","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2026-09-16","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-16","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-16","std":1,"tv":"New"}]},{"id":"cms-285144-20260818-health","ccn":"285144","date":"2026-08-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":24,"max_severity_level":2,"open_count":24,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"no_plan_of_correction","cmp":1,"std":1},{"t":"cms-f0582","ss":"D","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0584","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0600","ss":"D","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0606","ss":"D","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0641","ss":"E","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0726","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0801","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0804","ss":"D","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0835","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0881","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0908","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0921","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1},{"t":"cms-f0923","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1}]},{"id":"cms-285144-20250417-fire","ccn":"285144","date":"2025-04-17","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":12,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0032","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-30","std":1,"tv":"New"},{"t":"cms-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-01","std":1,"tv":"New"},{"t":"cms-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-01","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-01","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-01","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-01","std":1,"tv":"New"},{"t":"cms-k0700","ss":"E","sl":2,"cs":"corrected","cd":"2025-06-01","std":1,"tv":"New"},{"t":"cms-k0711","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-01","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-01","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-01","std":1,"tv":"New"},{"t":"cms-k0921","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-01","std":1,"tv":"New"},{"t":"cms-k0922","ss":"E","sl":2,"cs":"corrected","cd":"2025-06-01","std":1,"tv":"New"}]},{"id":"cms-285144-20250417-health","ccn":"285144","date":"2025-04-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":11,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0582","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-30","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-30","cmp":1,"std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-30","cmp":1,"std":1},{"t":"cms-f0660","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-30","std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-30","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-30","std":1},{"t":"cms-f0759","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-30","cmp":1,"std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-30","cmp":1,"std":1},{"t":"cms-f0867","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-30","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-30","cmp":1,"std":1},{"t":"cms-f0923","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-30","cmp":1,"std":1}]},{"id":"cms-285144-20240523-fire","ccn":"285144","date":"2024-05-23","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2024-07-06","std":1,"tv":"New"},{"t":"cms-k0211","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","std":1,"tv":"New"},{"t":"cms-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2024-07-06","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2024-07-06","std":1,"tv":"New"}]},{"id":"cms-285144-20240523-health","ccn":"285144","date":"2024-05-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","std":1},{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","cmp":1,"std":1},{"t":"cms-f0622","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","cmp":1,"std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","cmp":1,"std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","std":1},{"t":"cms-f0692","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-06","std":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","cmp":1,"std":1},{"t":"cms-f0759","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-06","cmp":1,"std":1},{"t":"cms-f0760","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-06","cmp":1,"std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-07-06","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-06","std":1}]},{"id":"cms-285144-20240213-health","ccn":"285144","date":"2024-02-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"K","sl":4,"cs":"corrected","cd":"2024-03-13","cmp":1},{"t":"cms-f0867","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-13","cmp":1}]},{"id":"cms-285144-20231228-health","ccn":"285144","date":"2023-12-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-26","cmp":1},{"t":"cms-f0675","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-26","cmp":1}]}],"deficiency_types":{"cms-k0223":{"code":"K-0223","title":"Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0726":{"code":"F-0726","title":"Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0801":{"code":"F-0801","title":"Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0835":{"code":"F-0835","title":"Administer the facility in a manner that enables it to use its resources effectively and efficiently.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0923":{"code":"F-0923","title":"Have enough outside ventilation via a window or mechanical ventilation, or both.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0582":{"code":"F-0582","title":"Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0606":{"code":"F-0606","title":"Not hire anyone with a finding of abuse, neglect, exploitation, or theft.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-e0032":{"code":"E-0032","title":"Provide primary/alternate means for communication.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0041":{"code":"E-0041","title":"Implement emergency and standby power systems.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0711":{"code":"K-0711","title":"Provide a written emergency evacuation plan.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0921":{"code":"K-0921","title":"Ensure that testing and maintenance of electrical equipment is performed.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0700":{"code":"K-0700","title":"Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0922":{"code":"K-0922","title":"Meet requirements for the use and maintenance of medical gas equipment.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0867":{"code":"F-0867","title":"Set up an ongoing quality assessment and assurance group to review quality deficiencies  and develop corrective plans of action.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0660":{"code":"F-0660","title":"Plan the resident's discharge to meet the resident's goals and needs.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0679":{"code":"F-0679","title":"Provide activities to meet all resident's needs.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0578":{"code":"F-0578","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0622":{"code":"F-0622","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0675":{"code":"F-0675","title":"Honor each resident's preferences, choices, values and beliefs.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[{"id":"cms-285144-pen-f85925","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-02-13","amount":13644,"fine_id":"85925","evidence_class":"VERIFIED","source_record_id":"285144|Fine|85925"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285144&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285144&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285144&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285144&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285144&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285144&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"NE","overall_rating":2.9,"health_inspection_rating":2.8,"qm_rating":3.2,"staffing_rating":3.3,"avg_residents_per_day":55.2,"cycle1_health_deficiencies":7.6,"cycle1_fire_deficiencies":5.4,"nurse_aide_hprd":2.75,"lpn_hprd":0.68,"rn_hprd":0.69285,"licensed_hprd":1.38,"total_nurse_hprd":4.12348,"weekend_total_nurse_hprd":3.56548,"weekend_rn_hprd":0.48,"pt_hprd":0.05,"nursing_turnover_pct":48.5,"rn_turnover_pct":43.5,"administrators_left":0.5,"case_mix_index":1.28233,"fines":0.4,"fine_amount":12761,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"NE","name":"Nebraska"},"county":{"fips":"31181","name":"Webster County"},"zip":"68930","city":"Blue Hill"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-285054","ccn":"285054","name":"Adept Nursing & Rehab of Omaha","address":"2525 South 135th Avenue","city":"Omaha","state":"NE","zip":"68144","beds":175,"overall":1,"inspections":22,"last_inspection":"2026-05-12","deficiencies":79,"serious":4,"ij":2,"open":0,"fines_total":141793,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285076","ccn":"285076","name":"Adept Nursing & Rehab of South Sioux City","address":"3501 Dakota Avenue","city":"South Sioux City","state":"NE","zip":"68776","beds":72,"overall":3,"inspections":12,"last_inspection":"2026-03-18","deficiencies":40,"serious":1,"ij":1,"open":0,"fines_total":33784,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285094","ccn":"285094","name":"Adept Nursing & Rehab of North Platte","address":"510 Centennial Circle","city":"North Platte","state":"NE","zip":"69101","beds":94,"overall":2,"inspections":11,"last_inspection":"2026-07-27","deficiencies":46,"serious":2,"ij":1,"open":0,"fines_total":44343,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285140","ccn":"285140","name":"Adept Nursing & Rehab of Ashland","address":"1700 Furnas Street","city":"Ashland","state":"NE","zip":"68003","beds":97,"overall":3,"inspections":10,"last_inspection":"2025-07-22","deficiencies":45,"serious":2,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285141","ccn":"285141","name":"Adept Nursing & Rehab of Sutherland","address":"333 Maple Street","city":"Sutherland","state":"NE","zip":"69165","beds":60,"overall":1,"inspections":10,"last_inspection":"2026-03-05","deficiencies":45,"serious":3,"ij":2,"open":0,"fines_total":51637,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285143","ccn":"285143","name":"Adept Nursing & Rehab of Waverly","address":"11041 North 137th St","city":"Waverly","state":"NE","zip":"68462","beds":54,"overall":2,"inspections":13,"last_inspection":"2026-02-25","deficiencies":77,"serious":2,"ij":2,"open":0,"fines_total":25642,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285146","ccn":"285146","name":"Adept Nursing & Rehab of Gretna","address":"700 Highway 6","city":"Gretna","state":"NE","zip":"68028","beds":63,"overall":1,"inspections":10,"last_inspection":"2026-03-05","deficiencies":49,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285147","ccn":"285147","name":"Adept Nursing & Rehab of Central City","address":"2720 South 17th Avenue","city":"Central City","state":"NE","zip":"68826","beds":63,"overall":3,"inspections":8,"last_inspection":"2025-12-03","deficiencies":30,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":10,"same_site_review":[],"nearby":[]}}