Beatrice · 16.3 mi
Beatrice Health and Rehabilitation
5 of 5 · Medicare
View facility →Gold Crest Retirement Center
⌖ Adams, NE · Gage County · Medicare data as of September 2026
No photos yet
Medicare overall rating 3 of 5 stars
Certified beds52
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (other)
About Gold Crest Retirement Center
Gold Crest Retirement Center is a 52-bed nonprofit nursing home in Adams, NE. Medicare rates it 3 out of 5 stars overall (average); the average in Nebraska is 2.8.
- Inspections: 3 problems at its last full inspection (Mar 2025), fewer than the Nebraska average of 7.4. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 39 min a day with each resident, less than the Nebraska average of 3 hr 59 min. About 67% of nursing staff left in the past year.
- Fines: no federal fines in the last three years.
- Stands out: No short-stay (rehab) residents needed an emergency room visit in Medicare’s latest figures, compared with 12.0% nationally.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameGold Crest Retirement Center
LocationGage County, Nebraska
Phone(402) 988-7115
Address200 Levi Lane, Adams, NE 68301 · Gage County
Medicare provider number285065
Ownership typeNon-profit (other)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJune 7, 1984 (42 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since Mar 2025No citations for actual harm or immediate jeopardy since Mar 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection3 (Mar 2025)Nebraska average: 7.4.Strength
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Nurse staffing per resident39 min a dayNebraska average: 3 hr 59 minWorse than state average
- Nursing staff turnover67% a yearNebraska average: 49%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Nebraska average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital17.0%State average: 20.7%About average
- Needed an emergency room visit0.0%State average: 11.4%Better than average
- Newly given antipsychotic drugs4.9%State average: 2.0%Worse than average
Physical therapist time: about 0 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 3 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury5.3%State average: 4.5%About average
- Pressure sores (bedsores)4.5%State average: 4.0%About average
- Given antipsychotic drugs9.9%State average: 20.7%Better than average
- Hospital stays per 1,000 resident days1.5State average: 1.8About average
Source: Medicare (CMS) quality measures, compared with the Nebraska average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Nebraska, Medicaid pays for 50% of resident days at a typical home.
- 44% Medicaid
- 4% Medicare
- 52% Private pay, insurance and other
Beds in use, on average76%Nebraska typical: 72%
Facility operating cost per resident day$422Nebraska typical: $347
Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
What a stay may cost
- Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
- Paying privately: ask the home for its daily rate, what it includes and how often it rises. What nursing homes typically cost →
- Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Nebraska →
Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.
Ratings over time
Its overall Medicare rating is 3 stars now, down from 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 20 times.
Overall rating3★
Health inspections4★
Staffing1★
Quality of care4★
Nurse hours per resident per day0.6
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 5 | 4 | 5 | 3.8 |
| Jan 2020 | 4 | 3 | 3 | 5 | 3.6 |
| Jan 2021 | 3 | 2 | 3 | 5 | 3.6 |
| Jan 2022 | 3 | 2 | 3 | 5 | 3.1 |
| Jan 2023 | 2 | 2 | 4 | 4 | 3.4 |
| Jan 2024 | 3 | 3 | 3 | 4 | 3.7 |
| Feb 2025 | 5 | 4 | 3 | 5 | 3.4 |
| Feb 2026 | 4 | 4 | 4 | 4 | 4.0 |
| Sep 2026 | 3 | 4 | 1 | 4 | 0.6 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.