Nursing homeActive

Gold Crest Retirement Center

200 Levi Lane, Adams, NE 68301402988711552 certified beds · 37 residentsNon profit - OtherMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
12
0120
Penalties · 3 yrs
none on file
Last survey
2025-03-12
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Nebraska DHHS · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-03-12Standard030CMS-2567 (Care Compare)
2024-04-02Standard050CMS-2567 (Care Compare)
2023-10-23Complaint010CMS-2567 (Care Compare)
2023-05-25Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Nebraska DHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-03-12Standard survey · 3 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 285065-20250312-F677
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 285065-20250312-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-22Record 285065-20250312-F880
2024-04-02Standard survey · 5 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 285065-20240402-F580
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 285065-20240402-F641
F642Ensure a qualified health professional conducts resident assessments.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 285065-20240402-F642
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 285065-20240402-F657
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 285065-20240402-F695
2023-10-23Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-04Record 285065-20231023-F609
2023-05-25Standard survey · 3 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 285065-20230525-F580
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 285065-20230525-F623
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 285065-20230525-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.00
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day0.64
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours0.68
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover67%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover50%
Facility
Nebraska
National
Nebraska 44% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNebraskaNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.5%4.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
5.3%4.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
9.9%20.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
5.5%2.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.3%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
17.8%19.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.4%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
16.3%19.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Fritzen, Jeffrey
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Fritzen, Jeffrey
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gramann, Henry
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gramann, Henry
Individual
CORPORATE OFFICERNOT APPLICABLE
Hershberger, Susan
Individual
CORPORATE OFFICERNOT APPLICABLE
Siefkes, Wes
Individual
CORPORATE OFFICERNOT APPLICABLE
Sutter, Ronald
Individual
CORPORATE OFFICERNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Nebraska.

No county cost figures on file for Gage.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Beatrice Health and Rehabilitation
Beatrice
16.3 mi2025-04-090100
Good Samaritan Society - Beatrice
Beatrice
16.9 mi2026-01-270140
Southlake Village Rehabilitation & Care Center
Lincoln
19.6 mi2025-11-25050
Hillcrest Firethorn
Lincoln
22.7 mi2025-04-01091
Eventide Williamsburg
Lincoln
22.1 mi2026-04-02080
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01