Nursing home · SNF / NF

Adept Nursing & Rehab of Gretna

Federal · CMSActive CMS certificationCCN 285146For profit CMS overall

700 Highway 6, Gretna, NE 68028 · Operated by Willows at Gretna LLC · Chain Avid Healthcare Group

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

Avg residents / day

Inspections

Citations

Harm-level

Fines

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 63 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: 39.9 CMS, MDS-derived
CMS Certification Number: 285146
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 1, 1994
Ownership type: For profit - Corporation
Operator (legal business name): Willows at Gretna LLC
CMS chain: Avid Healthcare Group 11 facilities
Phone: (402) 332-3446
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Mar 5, 2026

Citations

24 health · 25 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D15	E12	F21
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

Payment denials

Latest

May 5, 2025

Date	Domain	Survey types	Citations	Most severe	Open
Mar 5, 2026	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Mar 5, 2026	Health	Health Complaint, Health Standard	8	Potential harm	—	Open →
Aug 21, 2025	Health	Health Complaint	4	Potential harm	—	Open →
May 5, 2025	Health	Health Complaint	3	Actual harm	—	Open →
Oct 16, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Oct 16, 2024	Health	Health Complaint, Health Standard	2	Potential harm	—	Open →
May 2, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Jan 29, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Aug 15, 2023	Fire safety	Fire Safety Standard	17	Potential harm	—	Open →
Aug 15, 2023	Health	Health Standard	4	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
May 5, 2025	Denial of payment for new admissions	—	May 23, 2025 · 21 days	285146\|Payment Denial\|2025-05-23

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D15	E12	F21
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 5, 2026	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 Mar 30, 2026
Mar 5, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 30, 2026
Mar 5, 2026	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 30, 2026
Mar 5, 2026	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 30, 2026
Mar 5, 2026	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 Mar 30, 2026
Mar 5, 2026	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 9, 2026
Mar 5, 2026	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 9, 2026
Mar 5, 2026	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 Apr 9, 2026
Mar 5, 2026	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 Apr 9, 2026
Mar 5, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 9, 2026	Complaint
Mar 5, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 9, 2026
Mar 5, 2026	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 9, 2026
Mar 5, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 9, 2026	Complaint
Aug 21, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 12, 2025	Complaint
Aug 21, 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	E · Potential harm Pattern	Corrected Sep 12, 2025	Complaint
Aug 21, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Sep 12, 2025	Complaint
Aug 21, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 12, 2025	Complaint
May 5, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jun 13, 2025	Complaint
May 5, 2025	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 Jun 13, 2025	Complaint
May 5, 2025	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 13, 2025	Complaint
Oct 16, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 8, 2024
Oct 16, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 8, 2024
Oct 16, 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 Nov 8, 2024
Oct 16, 2024	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Nov 30, 2024	Complaint
Oct 16, 2024	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Nov 30, 2024
May 2, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 14, 2024	Complaint
May 2, 2024	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 14, 2024	Complaint
Jan 29, 2024	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 16, 2024	Complaint
Aug 15, 2023	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 28, 2023
Aug 15, 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	E · Potential harm Pattern	Corrected Sep 28, 2023
Aug 15, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 28, 2023
Aug 15, 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	F · Potential harm Widespread	Corrected Sep 28, 2023
Aug 15, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 28, 2023
Aug 15, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 28, 2023
Aug 15, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 28, 2023
Aug 15, 2023	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 28, 2023
Aug 15, 2023	K-0500	Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 28, 2023
Aug 15, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 28, 2023
Aug 15, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 28, 2023
Aug 15, 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 Sep 28, 2023
Aug 15, 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 Sep 28, 2023
Aug 15, 2023	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 28, 2023
Aug 15, 2023	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 Sep 28, 2023
Aug 15, 2023	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 28, 2023
Aug 15, 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 Sep 28, 2023
Aug 15, 2023	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 28, 2023
Aug 15, 2023	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 28, 2023
Aug 15, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 28, 2023
Aug 15, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 28, 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.

Operating entity

Willows at Gretna 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

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
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 11 Holdings Opco LLC	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
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 11 Holdings Opco LLC	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
Ari Silberstein	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 2, 2023
Kent Hohensee	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Aug 2, 2023

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 Ashland 1700 Furnas Street, Ashland, NE 68003 CCN 285140	97	Jul 22, 2025	452 harm	—
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 Central City 2720 South 17th Avenue, Central City, NE 68826 CCN 285147	63	Dec 3, 2025	30	—

Coordinates as published by CMS.

Address: 700 Highway 6, Gretna, NE 68028
ZIP: 68028
County: Sarpy County FIPS 31153
State: Nebraska
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Newport House 6798 N 67th Plaza, Omaha, NE 68152 CCN 285085	11.1 km	96	Jan 29, 2026	22	—
The Lighthouse at Lakeside Village 17600 Arbor Street, Omaha, NE 68130 CCN 285280	12.2 km	54	May 27, 2026	34	—
Brookestone Village 4330 South 144th Street, Omaha, NE 68137 CCN 285242	12.7 km	140	Mar 24, 2026	27	—
Brookestone Meadows Rehabilitation and Care Center 600 Brookestone Meadows Plaza, Elkhorn, NE 68022 CCN 285276	13.2 km	140	Apr 9, 2026	18	—
Hillcrest Millard LLC 13225 Westwood Lane, Omaha, NE 68144 CCN 285302	14.6 km	76	Jul 21, 2026	39	—
Adept Nursing & Rehab of Ashland 1700 Furnas Street, Ashland, NE 68003 CCN 285140	14.7 km	97	Jul 22, 2025	452 harm	—
Adept Nursing & Rehab of Omaha 2525 South 135th Avenue, Omaha, NE 68144 CCN 285054	15.1 km	175	May 12, 2026	792 IJ2 harm	$142k
Rose Blumkin Jewish Home 323 South 132nd Street, Omaha, NE 68154 CCN 285059	17.1 km	105	Apr 15, 2026	16	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	285146	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	285146	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 285146

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

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Adept Nursing & Rehab of Gretna

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Same chain in Nebraska

Nearby nursing homes

Adept Nursing & Rehab of Gretna

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Same chain in Nebraska

Nearby nursing homes