Nursing homeActive

Adept Nursing & Rehab of South Sioux City

3501 Dakota Avenue, South Sioux City, NE 68776402494427372 certified beds · 37 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
9
since 2023
Deficiencies
34
0331
Penalties · 3 yrs
$33,784
1 fine
Last survey
2026-03-18
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Nebraska DHHS · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-18Complaint010CMS-2567 (Care Compare)
2025-09-23Complaint010CMS-2567 (Care Compare)
2025-08-20Standard050CMS-2567 (Care Compare)
2024-11-12Complaint010CMS-2567 (Care Compare)
2024-09-24Complaint020CMS-2567 (Care Compare)
2024-06-27Standard0110CMS-2567 (Care Compare)
2024-02-07Complaint010CMS-2567 (Care Compare)
2023-11-01Complaint021CMS-2567 (Care Compare)
2023-05-11Standard090CMS-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.

2026-03-18Complaint survey · 1 deficiencyOfficial 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 2026-04-10Record 285076-20260318-F580
2025-09-23Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-06Record 285076-20250923-F684
2025-08-20Standard survey · 5 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 285076-20250820-F552
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 285076-20250820-F725
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 285076-20250820-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 285076-20250820-F757
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 285076-20250820-F880
2024-11-12Complaint survey · 1 deficiencyOfficial 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 2024-11-26Record 285076-20241112-F580
2024-09-24Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 285076-20240924-F684
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 285076-20240924-F919
2024-06-27Standard survey · 11 deficienciesOfficial report
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 285076-20240627-F584
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 285076-20240627-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 285076-20240627-F625
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 285076-20240627-F645
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 285076-20240627-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 285076-20240627-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 285076-20240627-F689
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 285076-20240627-F693
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 285076-20240627-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 285076-20240627-F812
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 2024-08-11Record 285076-20240627-F880
2024-02-07Complaint survey · 1 deficiencyOfficial 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 2024-03-15Record 285076-20240207-F677
2023-11-01Complaint survey · 3 deficienciesOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-11-28Record 285076-20231101-F755
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 2023-11-28Record 285076-20231101-F580
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 2023-11-28Record 285076-20231101-F609
2023-05-11Standard survey · 9 deficienciesOfficial report
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285076-20230511-F582
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285076-20230511-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285076-20230511-F609
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285076-20230511-F679
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285076-20230511-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285076-20230511-F692
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285076-20230511-F726
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 285076-20230511-F740
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 2023-06-30Record 285076-20230511-F880

Penalties & enforcement

DateActionAmountSource
2023-11-01Civil money penalty$33,784CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.80
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day4.63
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours3.94
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover39%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover25%
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
0.6%4.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
9.5%4.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
26.2%20.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.6%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
18.4%19.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
8.3%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.7%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
Ne 11 Holdings Opco LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Brass Ne Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Bsd Beis Health Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Copper Ne Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Douro Valley Investment, LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Gold Ne Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Ne SNF Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Sf 4140 Olde Washington Boulevard Real Property LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Silver Ne Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Tulip Investments Ne LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Jacobson, Hollie
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Silberstein, Ari
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Avid Healthcare Group11 facilities
View chain record

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 Dakota.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Continental Falls
South Sioux City
0.5 mi2026-01-140120
St Luke's Regional Medical Center SNF
Sioux City
2.7 mi2025-07-17030
Casa De Paz Health Care Center
Sioux City
3.8 mi2026-04-090360
Holy Spirit Retirement Home
Sioux City
4.1 mi2026-04-300300
Westwood Specialty Care
Sioux City
4.1 mi2026-04-290772
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