Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (54% of admissions), and a typical Medicare stay runs around 28 days.
Gold Crest Retirement Center provides nursing home care, assisted living, hospice care, memory care, and skilled nursing in Adams, Nebraska. Assisted living helps residents with daily tasks while they maintain their own living space, while skilled nursing provides licensed nursing care on site around the clock. Memory care offers a secured setting with supervision, and hospice care supports residents at the end of life. Having these care levels together may suit someone whose needs grow over time without requiring a move to another community.
Gold Crest has 35 beds, placing it in the smaller community range where staff and residents can get to know one another. All listed beds are filled, with occupancy at 100 percent. Medicare, Medicaid, and private pay are accepted, giving families public program and direct payment routes for covering care. Total nurse staffing is 46 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident.
The community opened in 1984. Rehabilitation services and short-term rehabilitation provide a temporary stay focused on recovery, while respite care offers a short stay when a usual caregiver needs to travel or recover. These options can support a resident returning from an illness or injury, or a family arranging a brief change in care.
Jennifer Graff administers the community, which is operated by Coffman-Levi Charitable Trust. The range of care may be a good fit for a resident who needs assisted living now and could later require memory care, skilled nursing, or hospice support without leaving the community.
6 of 6 metrics below Nebraska average
93.3% of staff hours were worked by the facility's own employees
Nebraska average: 89.8% · Contractors this quarter: Certified Nursing Assistant (17), Licensed Practical Nurse (1), Occupational Therapy Aide (1), Medical Director (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Smaller home · May offer a more intimate, personalized care environment.
Based on 35 residents and 35 beds. Source: state inspection report (Feb 2019)
Gold Crest Retirement Center is administered by Administrator Jennifer Graff.
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
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Total deficiencies
| 87 | 52.0 | This facility has 67% more total deficiencies than a typical Nebraska nursing home (87 vs. NE avg 52).↑ 67% worse |
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Deficiencies per inspection
| 4.0 | 2.7 | This facility has 48% more deficiencies per inspection than a typical Nebraska nursing home (4 vs. NE avg 2.7).↑ 48% worse |
Inspections
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total inspections
| 22 | 15.0 | This facility has had 47% more total inspections than the Nebraska average (22 vs. NE avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 47% more |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 12 citations resulted from standard inspections; and 1 of 12 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
54% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Gold Crest Retirement Center from 2012–2025, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 06/2025.
Based on CMS SNF Cost Report for fiscal year ending in 06/2025.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (54% of admissions), and a typical Medicare stay runs around 28 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Adams's city center to Gold Crest Retirement Center's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nebraska average is: 61.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brookestone Meadows Rehabilitation and | NH HC HOS IL SNF | Elkhorn | 140
Facility
140
NE AVG
81
Rank
#17 / 130 |
91.4%
Facility
91.4%
NE AVG
74.9%
Rank
#22 / 125 | +22% | 4.71
Facility
4.71
NE AVG
4.48
Rank
#35 / 117 | -18% | +5% | $0
Facility
$0
NE AVG
$37.2k
Rank
#1 / 124 | 3
Facility
3
NE AVG
18.8
Rank
#1 / 124 | 1.5
Facility
1.5
NE AVG
4.1
Rank
#3 / 124 | - | 128 | - |
6
Facility
6
NE AVG
48
Rank
#134 / 138 | Vsl Elkhorn, LLC | $22.3MFiscal year ending 06/2025
Facility
$22.3MFiscal year ending 06/2025
NE AVG
$7.6M
Rank
#4 / 113 | $13.7MFiscal year ending 06/2025
Facility
$13.7MFiscal year ending 06/2025
NE AVG
$4.5M
Rank
#4 / 113 | 61.4%Fiscal year ending 06/2025
Facility
61.4%Fiscal year ending 06/2025
NE AVG
61.5%
Rank
#75 / 113 | 285276 | ||||
| St Joseph’s Hillside Villa | NH AL HOS RC SNF | West Point | 54
Facility
54
NE AVG
81
Rank
#87 / 130 |
98.7%
Facility
98.7%
NE AVG
74.9%
Rank
#8 / 125 | +32% | 5.47
Facility
5.47
NE AVG
4.48
Rank
#9 / 117 | -32% | +22% | $0
Facility
$0
NE AVG
$37.2k
Rank
#1 / 124 | 12
Facility
12
NE AVG
18.8
Rank
#39 / 124 | 3.0
Facility
3.0
NE AVG
4.1
Rank
#27 / 124 | - | 53 | - |
66
Facility
66
NE AVG
48
Rank
#31 / 138 | St. Joseph's Elder Services, Inc | $8.7MFiscal year ending 12/2024
Facility
$8.7MFiscal year ending 12/2024
NE AVG
$7.6M
Rank
#33 / 113 | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
NE AVG
$4.5M
Rank
#26 / 113 | 62.8%Fiscal year ending 12/2024
Facility
62.8%Fiscal year ending 12/2024
NE AVG
61.5%
Rank
#50 / 113 | 285303 | ||||
| Gold Crest Retirement Center | NH AL HOS MC SNF | Adams | 35
Facility
35
NE AVG
81
Rank
#123 / 130 |
100.0%
Facility
100.0%
NE AVG
74.9%
Rank
#1 / 125 | +34% | 0.76
Facility
0.76
NE AVG
4.48
Rank
#117 / 117 | -5% | -83% | $0
Facility
$0
NE AVG
$37.2k
Rank
#1 / 124 | 12
Facility
12
NE AVG
18.8
Rank
#39 / 124 | 3.0
Facility
3.0
NE AVG
4.1
Rank
#27 / 124 | - | 35 | - |
19
Facility
19
NE AVG
48
Rank
#121 / 138 | Coffman-Levi Charitable Trust, Inc | $5.2MFiscal year ending 06/2025
Facility
$5.2MFiscal year ending 06/2025
NE AVG
$7.6M
Rank
#66 / 113 | $3.5MFiscal year ending 06/2025
Facility
$3.5MFiscal year ending 06/2025
NE AVG
$4.5M
Rank
#59 / 113 | 67.5%Fiscal year ending 06/2025
Facility
67.5%Fiscal year ending 06/2025
NE AVG
61.5%
Rank
#43 / 113 | 285065 | ||||
| The Mulberry at Waverly | NH AL | Waverly (Waverly Precinct) | 54
Facility
54
NE AVG
81
Rank
#87 / 130 |
83.3%
Facility
83.3%
NE AVG
74.9%
Rank
#47 / 125 | +11% | 3.62
Facility
3.62
NE AVG
4.48
Rank
#94 / 117 | -15% | -19% | $25.6k
Facility
$25.6k
NE AVG
$37.2k
Rank
#105 / 124 | 32
Facility
32
NE AVG
18.8
Rank
#105 / 124 | 3.2
Facility
3.2
NE AVG
4.1
Rank
#42 / 124 | 2 | 45 | - |
58
Facility
58
NE AVG
48
Rank
#47 / 138 | The Mulberry At Waverly LLC | $6.7MFiscal year ending 12/2024 | $2.2MFiscal year ending 12/2024 | 32.8%Fiscal year ending 12/2024 | 285143 | ||||
| Emerald Columbus | NH AL HOS MC PC SNF | Columbus | 145
Facility
145
NE AVG
81
Rank
#16 / 130 |
56.6%
Facility
56.6%
NE AVG
74.9%
Rank
#106 / 125 | -24% | 3.15
Facility
3.15
NE AVG
4.48
Rank
#113 / 117 | -37% | -30% | $0
Facility
$0
NE AVG
$37.2k
Rank
#1 / 124 | 22
Facility
22
NE AVG
18.8
Rank
#80 / 124 | 2.8
Facility
2.8
NE AVG
4.1
Rank
#23 / 124 | - | 82 | - |
57
Facility
57
NE AVG
48
Rank
#53 / 138 | Columbus Operations, LLC | $11.1MFiscal year ending 12/2024
Facility
$11.1MFiscal year ending 12/2024
NE AVG
$7.6M
Rank
#19 / 113 | $4.7MFiscal year ending 12/2024
Facility
$4.7MFiscal year ending 12/2024
NE AVG
$4.5M
Rank
#30 / 113 | 42%Fiscal year ending 12/2024
Facility
42%Fiscal year ending 12/2024
NE AVG
61.5%
Rank
#100 / 113 | 285092 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NE nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Gold Crest Retirement Center is legally operated by Coffman-Levi Charitable Trust, Inc, and administered by Administrator Jennifer Graff.
Gold Crest Retirement Center has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NE state health department records, Gold Crest Retirement Center's license number is ALF066.
Gold Crest Retirement Center's occupancy is 100%.
No, Gold Crest Retirement Center has a no-pet policy.
Gold Crest Retirement Center is registered as a non-profit in NE.
Administrator Jennifer Graff is the administrator of Gold Crest Retirement Center.
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