Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.46 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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Adept Nursing & Rehab of Grand Island has 76 certified beds in Grand Island, Nebraska. The CMS overall rating is 1 of 5, compared with the Nebraska average of 2.8. The CMS health inspection rating is 1 of 5, compared with the Nebraska average of 2.8. The CMS staffing rating is 1 of 5. The latest standard health survey on May 21, 2025 lists 14 deficiencies, compared with the Nebraska average of 4.9. CMS records a fine of $16,801 dated Feb 1, 2024. Total nurse staffing is 2.86 hours per resident day in 2026Q1, compared with the Nebraska average of 3.98.
CMS nursing home
Grand Island, NE
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 285221.
At a glance
1 of 5
1 of 5
1 of 5
2 of 5
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2023-08-02.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.46 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on May 21, 2025 cited 14 deficiencies.
View inspection evidenceCMS-published records list 26 ownership or control parties.
CMS records show an ownership change effective August 2023.
View ownership evidenceCMS groups this facility with a chain covering 11 facilities across 1 states or territories.
View chain evidenceCMS records show a $16,801 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
11 currently connected nursing homes share this CMS organization identity with BRASS NE TRUST.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 2, 2023
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Aug 2, 2023
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 2, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 8 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16.5%
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 10 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16.5%
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 10 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 6.6%
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 8 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Aug 2, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 10 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 13%
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 10 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Aug 2, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 10 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Aug 1, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 10 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 13%
Association date reported to CMS: Aug 2, 2023
Other facilities connected through this exact CMS organization identity: 10 across NE.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Aug 2, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 10 across NE.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Aug 2, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 2, 2023
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Aug 2, 2023
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across NE.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 700 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 11 | 1.6 | 2.5 |
| Mon Jun | 11 | 1.7 | 2.5 |
| Fri May | 11 | 1.6 | 2.5 |
| Wed Apr | 11 | 1.6 | 2.5 |
| Sun Mar | 11 | 1.5 | 2.7 |
| Sun Feb | 11 | 1.4 | 2.7 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Provide or obtain dental services for each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 22, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 28, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 28, 2024)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 28, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 28, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Feb 16, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 5, 2023)
Notify 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 5, 2023)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 5, 2023)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 5, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 5, 2023)
Penalties & enforcement
Published fine amount: $16,801.00
Questions to ask
Facility history
13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 3.06 to 2.84 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
3.06 → 2.84
CMS · Reported in a source release · View related evidence
RN staffing increased from 0.40 to 0.53 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.40 → 0.53
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 3.34 to 3.06 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.34 → 3.06
CMS · Reported in a source release · View related evidence
RN staffing decreased from 0.63 to 0.40 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.63 → 0.40
CMS · Reported in a source release · View related evidence
14 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $16,801 civil monetary penalty.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: CEDARS AT BROADWELL LLC.
BCP GRAND ISLAND LLC → CEDARS AT BROADWELL LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 2.931 | 2.676 |
| RN categories | 0.466 | 0.458 |
Contract staff accounted for 23.3% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.066 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.338 | 0.63 | 0.651 | 1.507 | 52.5% | 91 |
| 2025Q3 | 3.06 | 0.399 | 0.722 | 1.353 | 47.1% | 92 |
| 2025Q4 | 2.844 | 0.529 | 0.486 | 1.497 | 46% | 92 |
| 2026Q1 | 2.857 | 0.464 | 0.395 | 1.527 | 23.3% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.