Adept Nursing & Rehab of Ashland — nursing home in Ashland, NE

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 97 CMS-certified beds (not state-licensed beds)
Licensed beds: 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.
Average residents per day: 75.7 CMS, MDS-derived
CMS Certification Number: 285140
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 1, 1994
Ownership type: For profit - Limited Liability company
Operator (legal business name): Meadows at Ashland LLC
CMS chain: Avid Healthcare Group 11 facilities
Phone: (402) 944-7031
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest Jul 22, 2025

Citations

45

18 health · 27 fire

Harm or worse

2

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D13	E12	F18
Minimal	A·	B·	C·

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

1

Latest

Mar 5, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 285140
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 97
First approved: Jun 1, 1994
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Nebraska.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 22, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jul 22, 2025	Health	Health Standard	5	Potential harm	—	Open →
May 14, 2025	Health	Health Complaint	1	Actual harm	—	Open →
Apr 16, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Mar 5, 2025	Health	Health Complaint	2	Actual harm	—	Open →
Jun 17, 2024	Fire safety	Fire Safety Standard	11	Potential harm	—	Open →
Jun 17, 2024	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Mar 13, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jun 23, 2023	Fire safety	Fire Safety Standard	13	Potential harm	—	Open →
Jun 23, 2023	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Mar 5, 2025	Denial of payment for new admissions	—	Mar 28, 2025 · 64 days	285140\|Payment Denial\|2025-03-28

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D13	E12	F18
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 22, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 28, 2025
Jul 22, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 28, 2025
Jul 22, 2025	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 28, 2025
Jul 22, 2025	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 28, 2025
Jul 22, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 28, 2025
Jul 22, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 28, 2025
Jul 22, 2025	F-0699	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 28, 2025
Jul 22, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Aug 28, 2025
May 14, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected May 31, 2025	Complaint
Apr 16, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 9, 2025	Complaint
Mar 5, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected May 31, 2025	Complaint
Mar 5, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 31, 2025	Complaint
Jun 17, 2024	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Aug 9, 2024
Jun 17, 2024	K-0222	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. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 19, 2024
Jun 17, 2024	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 19, 2024
Jun 17, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 9, 2024
Jun 17, 2024	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 19, 2024
Jun 17, 2024	K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 19, 2024
Jun 17, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 19, 2024
Jun 17, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 9, 2024
Jun 17, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 19, 2024
Jun 17, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 19, 2024
Jun 17, 2024	K-0922	Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 19, 2024
Jun 17, 2024	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 25, 2024
Jun 17, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 25, 2024
Jun 17, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 25, 2024
Jun 17, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 25, 2024	Complaint
Jun 17, 2024	F-0923	Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 25, 2024	Complaint
Jun 17, 2024	F-0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Jul 25, 2024
Mar 13, 2024	F-0849	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected May 1, 2024	Complaint
Jun 23, 2023	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 21, 2023
Jun 23, 2023	K-0222	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. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 21, 2023
Jun 23, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 21, 2023
Jun 23, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 21, 2023
Jun 23, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 21, 2023
Jun 23, 2023	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 21, 2023
Jun 23, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 21, 2023
Jun 23, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 21, 2023
Jun 23, 2023	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 21, 2023
Jun 23, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 21, 2023
Jun 23, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 21, 2023
Jun 23, 2023	K-0922	Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 21, 2023
Jun 23, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 21, 2023
Jun 23, 2023	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 21, 2023
Jun 23, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 21, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.9

Health inspectionsstate 2.8

Staffingstate 3.3

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.43

State avg 4.12US avg 3.90

Registered nurse (RN)0.56

State avg 0.69US avg 0.69

Licensed practical nurse0.58

State avg 0.68US avg 0.86

Nurse aide3.29

State avg 2.75US avg 2.35

Weekend total nurse3.95

State avg 3.57US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.89 (case-mix index 1.27).

Staff turnover

Total nursing staff turnover59.4%

State avg 48.5%US avg 45.3%

Registered nurse turnover76.9%

State avg 43.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 22, 2025
Cycle 1 health score: 24
Total weighted score: 42

Operating entity

Meadows at Ashland LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Avid Healthcare Group

11 facilities in 1 states. CMS chain ID 700.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 1.9

Ownership disclosures

Disclosures

21

Organizations

10

Individuals

11

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
NE 11 Holdings Opco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 2, 2023
Brass NE Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Bsd Beis Health Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Copper NE Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Douro Valley Investment, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Gold NE Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
NE SNF Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Sf 4140 Olde Washington Boulevard Real Property LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 1, 2023
Silver NE Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Tulip Investments NE LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
NE 11 Holdings Opco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 2, 2023
Brass NE Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Bsd Beis Health Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Copper NE Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Douro Valley Investment, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Gold NE Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
NE SNF Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Sf 4140 Olde Washington Boulevard Real Property LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 1, 2023
Silver NE Trust	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Tulip Investments NE LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Aug 2, 2023
Jeffrey Baker	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2025
Pattie Darnell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2025
Vicki Holley	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2025
Devora Kirschner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2025
Anabelle Mazzochi	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2025
Ari Silberstein	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 2, 2023
Jeffrey Baker	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 26, 2026
Pattie Darnell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
Eugene Ehrenfeld	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
Vicki Holley	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
Ashley Morner	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025

Same chain in Nebraska

All 10 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Adept Nursing & Rehab of Omaha 2525 South 135th Avenue, Omaha, NE 68144 CCN 285054	175	May 12, 2026	792 IJ2 harm	$142k
Adept Nursing & Rehab of South Sioux City 3501 Dakota Avenue, South Sioux City, NE 68776 CCN 285076	72	Mar 18, 2026	401 IJ	$34k
Adept Nursing & Rehab of North Platte 510 Centennial Circle, North Platte, NE 69101 CCN 285094	94	Jul 27, 2026	461 IJ1 harm	$44k
Adept Nursing & Rehab of Sutherland 333 Maple Street, Sutherland, NE 69165 CCN 285141	60	Mar 5, 2026	452 IJ1 harm	$52k
Adept Nursing & Rehab of Waverly 11041 North 137th St, Waverly, NE 68462 CCN 285143	54	Feb 25, 2026	772 IJ	$26k
Adept Nursing & Rehab of Blue Hill 414 North Wilson Street, Blue Hill, NE 68930 CCN 285144SFF Candidate	62	Aug 18, 2026	771 IJ24 open	$14k
Adept Nursing & Rehab of Gretna 700 Highway 6, Gretna, NE 68028 CCN 285146	63	Mar 5, 2026	491 harm	—
Adept Nursing & Rehab of Central City 2720 South 17th Avenue, Central City, NE 68826 CCN 285147	63	Dec 3, 2025	30	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1700 Furnas Street, Ashland, NE 68003
ZIP: 68003
County: Saunders County FIPS 31155
State: Nebraska
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Adept Nursing & Rehab of Gretna 700 Highway 6, Gretna, NE 68028 CCN 285146	14.7 km	63		Mar 5, 2026	491 harm	—
Adept Nursing & Rehab of Waverly 11041 North 137th St, Waverly, NE 68462 CCN 285143	19.5 km	54		Feb 25, 2026	772 IJ	$26k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	285140	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	285140	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 285140

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction