Home / Nebraska / South Sioux City
3501 Dakota Avenue, South Sioux City, NE 68776 · Dakota County · (402) 494-4273
72 certified beds, about 37 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285076 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 20, 2025, inspectors cited 5 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
Of 34 health citations since May 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $33,784 in the last three years; the largest was $33,784, and the latest is dated November 1, 2023.
Nurses and nurse aides worked 4.63 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
39.2% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
CMS links it to Avid Healthcare Group, an affiliated group of 11 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 34 health citations on file.
Inspectors wroteLICENSURE REFERENCE 175 NAC 12-006.04(F)(i)(5) Based on interview and record review; the facility failed to notify Resident 3's physician of a change in condition related to cellulitis to the resident's left stump and a significant weight gain. The sample size was 7 and the facility census was 40.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09Based on record review and interview; the facility failed to follow physician's orders for Resident 1's daily weights. The sample size was 4 and the facility census was 41.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.04(D) Licensure Reference Number 175 NAC 12-006.04(G)Based on observation, record review, and interview; the facility failed to ensure adequate staffing related to call light response times. This had the potential to affect all residents who were able to activate use of their call light.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.05Based on record review and interviews, the facility failed to ensure gradual dose reductions were attempted or documented clinical contraindications were completed for Resident 1's antipsychotic and antianxiety medications, and Resident 2 and 23's antidepressant medications. The sample size was 5 and the facility census was 44.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.12Based on record review and interview; the facility failed to obtain signed consent for the use of psychotropic (affects the brain and nervous system, altering mood, perception, cognition, and behavior) medications prior to use to ensure the resident's responsible party was educated on the benefits and risks prior to the medication being used for Resident 1. The sample size was 5 and the facility census was 44.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)Based on record review and interview; the facility failed to ensure Resident 16 had a documented duration of use for an antibiotic. The sample size was 23 and the facility census was 44.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18Based on observation, record review, and interview; the facility failed to utilize the required Personal Protective Equipment (PPE-gowns and gloves) during the provision of cares for Resident 23 who was on Enhanced Barrier Precautions (EBP). The sample size was 3 and the facility census was 44.
Inspectors wroteLicensure Reference Number 12.006.04(F)(i)(5) Based on record review and interview the facility failed to notify the physician of a change in condition for 1 (Resident 3) of 3 residents sampled. The facility census was 56.
Inspectors wroteLicensure reference: 175 NAC 12-007.04(G) Based on observations, interviews, and record reviews, the facility failed to ensure staff were notified to residents calls for assistance within facility. This has the potential to affect all 52 residents of the facility.
Inspectors wroteLicensure reference: 175 NAC 12-006.09 Based on record review and interview, the facility staff failed to ensure care was provided without delay for a changes in condition of a wound for 1 [Resident 3] of 3 sampled residents. The facility had a total census of 52 residents.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.11(E) Based on observations and interviews, the facility failed to a) ensure food products were disposed of prior to expiration dates, b) failed to implement and maintain the cleaning of food preparation equipment and surfaces to prevent the potential for food borne illness. This had the potential to affect 48 of 49 residents who eat from the kitchen. The facility census was 49.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.19 Based on observations and interviews: the facility staff failed to maintain hallyway carpets in the center hallway, south hallway and the common area between 400 north and south hallways with the potential to effect 35 residents, failed to ensure2 (room [ROOM NUMBER], 402 and 405) ventilation covers were clean and failed to ensure a privacy curtain was in 1 residents room, room [ROOM NUMBER]. The facility staff identified a census of 49.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.18 Based on observation, interview and record review: the facility staff failed to ensure hand hygiene was performed after glove changes during peri care, catheter care, and wound care and failed to prevent potential cross contamination during these cares by placing the washcloths in the sink basins and on the bed covers without a barrier for 2 of 2 residents surveyed (Residents 1 and 21). The facility claimed a census of 49.
Inspectors wroteBased on record review and interview, the facility failed to provide a written notice of transfer for 1 (Resident 252) and/or their representative upon transfer to the hospital and failed to notify a representative of the Office of the State Long-Term Care Ombudsman for 2 of 2 (Resident 1 and 252) residents sampled for hospitalizations. The facility census was 49.
Inspectors wroteBased on record review and interview, the facility failed to provide a written notice of a bed hold for 2 (Resident 252 and 1) of 2 sampled residents. The facility census was 49.
Inspectors wroteBased on record review and interview, the facility failed to ensure a Preadmission Screening Resident Review (PASARR, a federally mandated screening process to ensure Nursing Home residents with mental illness and/or developmental disabilities receive the care and services they need in the most appropriate setting) was accurately completed for 1 (Resident 34) of 2 sampled residents. The facility sample was 49.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(H)(iii)(3) Based on observation, interview and record review;the facility staff failed to conduct skin evaluations and failed to provide wound treatments in the order time frames for 1( Resident 21) of 1 Residents. The facility census was 49.
Inspectors wroteLicensure Reference Number NAC 175 12-06.09(H)(iii)(2) Based on observation, interview and record review, the facility failed to implement a ordered treatment for 1 (Resident 37) of 3 sampled residents for wound care. The facility identified a census of 49.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(l) Based on observation, interview and record review the facility failed to implement interventions to prevent reoccurring falls for 1 of 4 residents (Resident 40). The facility census was 49.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(J) Based on observation, interview and record review, the facility failed to follow physicians' orders for the administration of tube feeding for 1 (Resident 42) of 1. The facility identified a census of 49.
Inspectors wroteBased on interview and record review, the facility failed to ensure targeted behaviors were identified, and that behavior monitoring for psychotropic medication was initiated for one resident (Resident 4) of 2 residents surveyed. The facility had a census of 49.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D3(2) Licensure Reference Number 175 NAC 12-006.09D1c Based on observations, interviews and record review the facility failed to provide toileting for 1 (Resident 4) and failed to answer call lights for 4 (Resident 1,7,11, and 12) of 5 total sampled residents. The facility census was 53. Findings; A. Record Review of Resident 4's Minimum Data Set (MDS, a federally mandated assessment tool use for care planning) dated 11/21/2023 revealed under section GG, Resident 4 was dependent on staff to perform toileting, bathing, grooming and wheelchair mobility. Under section H of the MDS, Resident 4 was identified as totally incontinent of bowel and bladder. Record Review of Resident 4's Care Plan revealed Resident 4 needed extensive to total assistance from staff with activities of daily living due to dementia. [...]
Inspectors wroteLicensure Reference Number 175 NAC 12-006.12 Based on interview and record review, the facility failed to ensure that anti-seizure medications (medication to prevent seizures) was provided for Resident 1 to prevent potential seizures (a burst of uncontrolled electrical activity between brain cells stiffness, twitching, or limpness) and pain-relieving medication were provided for Resident 2. This affected 2 (Resident 1 and 2) of 3 sampled residents. The total facility census was 49.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.04C3a(6) Based on interview and record review, the facility failed to notify 1 (Resident 1) of 1 sampled residents the provider and the resident's representative of a medication that was unavailable. The facility census was 49.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(8) Based on interview and record review, the facility failed to report an alleged incident of abuse for 1 (Resident 3) of 3 sampled residents to Adult Protective Services (APS) and to The State of Nebraska Department of Health and Human Services (DHHS). The total facility census was 49.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.05(9) Based on record review and interview; the facility failed to protect Residents 35 and 95's right to be free from resident-to-resident physical abuse and to protect Resident 7's right to be free from neglect related to a fall with injury. The sample size was 4 and the facility census was 42.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(8) Based on record review and interview; the facility failed to complete investigations of potential resident-to-resident abuse for Residents 95 and 35 and a fall with injury for Resident 7 and to assure completed investigations were sent to the State Agency within 5 working days. In addition, the facility failed to submit the results of an investigation of potential staff-to-resident abuse involving Resident 6 within the required time frame. The sample size was 4 and the facility census was 42.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.04 Based on interview and record review; the facility failed to have staff who were trained and certified in Cardiopulmonary Resuscitation (CPR-emergency procedures performed if a person stops breathing or their heart stops) for transportation of residents identified as having a full code (if a person's heart stopped beating and/or they stopped breathing, all resuscitation procedures would be provided to keep them alive) status. This had the potential to affect all 13 (Residents 195, 16, 145, 38, 37, 45, 96, 25, 26, 32, 2, 1 and 97) residents identified as having as a full code. The facility census was 42.
Inspectors wroteC. Review of the facility policy titled Obtaining a Fingerstick Glucose, with a revision date of 10/2011 revealed staff should do the following: -review the resident's care plan and provide for any special needs, -assemble equipment and supplies, -use individual devices for individual residents, -place the equipment on the bedside stand or overbed table, -ensure blood glucose meters are cleaned and disinfected between resident uses, and, -clean and disinfect reusable equipment according to the manufacturer's instructions and current infection control standards of practice. On 5/11/23 at 8:50 AM observation of RN-T knocked and entered Resident 97's room. Resident 97 was in isolation. RN-T performed hand hygiene, obtained supplies from the mediation cart which included the resident's glucometer supply container and the resident's scheduled insulin. [...]
Inspectors wroteLicensure Reference Number 175 NAC 12-006.051 Based on record review and interview the facility failed to provide the required Advanced Beneficiary Notice (ABN) to Resident 22 prior to discharge from Medicare services. The sample size was 3 and the facility census was 42.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D5b Based on observation, record review and interview the facility failed to provide an individualized activity program to meet the needs of Resident 13. The sample size was 14 and the facility census was 42.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09Da Based on record review and interview the facility failed to identify a potential safety risk related to the use of an electric lift chair resulting in a fall with injury for Resident 7. The sample size was 5 and the facility census was 42.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D8b Based on observation, record review, and interview; the facility failed to implement recommendations for ongoing weight loss for Resident 97. The sample size was 5 and the facility census was 42.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09D Based on interview and record review, the facility failed to address Resident 16's behavioral needs. The sample size was 18 and the facility census was 24.
6 fire safety citations on file: 2 on June 27, 2024, 4 on May 11, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| November 1, 2023 | Fine | $33,784 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.63 | 3.98 | 3.86 |
| Registered nurses | 0.80 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.94 | 3.48 | 3.42 |
| Nurse aides | 2.82 | ||
| Licensed practical nurses | 1.02 | ||
| Nursing staff turnover (share who left in a year) | 39.2% | 48.7% | 45.8% |
| Registered nurse turnover | 25.0% | 44.1% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.79 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.91 on weekdays and 3.94 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 25.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.95 in April to June 2025 to 4.63 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.63 | 0.80 | 4.91 | 3.94 | 25.0% | 0 of 90 | 37 |
| Oct to Dec 2025 | 4.01 | 0.90 | 4.18 | 3.58 | 31.2% | 0 of 92 | 41 |
| Jul to Sep 2025 | 3.71 | 0.76 | 3.88 | 3.27 | 32.8% | 0 of 92 | 43 |
| Apr to Jun 2025 | 3.95 | 0.67 | 4.15 | 3.45 | 27.2% | 0 of 91 | 42 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nebraska, all employers | |||
| CNAs (nursing assistants) | $19.23 | $18.29 to $22.31 | 16,450 |
| LPNs and LVNs | $30.13 | $28.41 to $34.55 | 4,580 |
| Registered nurses | $40.74 | $38.09 to $47.90 | 24,720 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.4 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.5 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.4 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.6 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.2 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.5 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.4 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Adept Nursing & Rehab of South Sioux City's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (37.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
37.0% this home
Worse than the national rate
US median of homes 51.5% · Nebraska: 17 better, 24 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 41 eligible stays.
11.1% this home
No different from the national rate
US median of homes 10.7% · Nebraska: 2 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 58 eligible stays.
6.3% this home
No different from the national rate
US median of homes 7.1% · Nebraska: 2 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 38 eligible stays.
58.8% this home
Median of homes: Nebraska50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 51 residents counted.
0.0% this home
Median of homes: Nebraska0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 65 residents counted.
4.1% this home
Median of homes: Nebraska2.2% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 65 residents counted.
100.0% this home
Median of homes: Nebraska100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 21 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: PALM AT REGENCY SQUARE LLC. CMS links this home to Avid Healthcare Group, a group of 11 nursing homes averaging 1.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ne 11 Holdings Opco LLC | 5% or greater direct ownership interest | Organization | 100% | 08/02/2023 |
| Brass Ne Trust | 5% or greater indirect ownership interest | Organization | 08/02/2023 | |
| Bsd Beis Health Trust | 5% or greater indirect ownership interest | Organization | 08/02/2023 | |
| Copper Ne Trust | 5% or greater indirect ownership interest | Organization | 08/02/2023 | |
| Douro Valley Investment, LLC | 5% or greater indirect ownership interest | Organization | 08/02/2023 | |
| Gold Ne Trust | 5% or greater indirect ownership interest | Organization | 08/02/2023 | |
| Ne SNF Holdings LLC | 5% or greater indirect ownership interest | Organization | 08/02/2023 | |
| Sf 4140 Olde Washington Boulevard Real Property LLC | 5% or greater indirect ownership interest | Organization | 08/01/2023 | |
| Silver Ne Trust | 5% or greater indirect ownership interest | Organization | 08/02/2023 | |
| Tulip Investments Ne LLC | 5% or greater indirect ownership interest | Organization | 08/02/2023 | |
| Jacobson, Hollie | W-2 managing employee | Individual | 08/02/2023 | |
| Silberstein, Ari | Corporate officer | Individual | 08/02/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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