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Skilled nursing facility · CMS certified · CCN 285076

Adept Nursing & Rehab of South Sioux City

3501 Dakota Avenue, South Sioux City, NE 68776 · Dakota County · one of 180 skilled nursing facilities in Nebraska
Its Medicare cost report, line by line ↓
72
certified beds
3 / 5
overall CMS rating
For-profit
ownership type
51.7%
occupancy, Oct 2026: 37 residents a day · Nebraska 73.0%
1.27
case mix, 0.90x the national average
4.63
nurse hours per resident day · Nebraska 3.98
What if · run the numbers

This year’s cost report looks incomplete for this building, so we’re not running the numbers on it yet.

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How Adept Nursing & Rehab of South Sioux City compares

Dakota County has 2 other certified buildings, too few to compare, so this is against Nebraska. 180 buildings.

Better than most of Nebraska on 4 of 8 lines.

Occupancy, Oct 202651.7%Behind mostHigher than 18 of the 177 other buildings in Nebraska, level with 2

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 75.5%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.63Better than mostHigher than 141 of the 172 other buildings in Nebraska

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.92. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating3 / 5Mid-packHigher than 78 of the 177 other buildings in Nebraska, level with 33

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 35 of the 177 other buildings in Nebraska, level with 44

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Better than mostHigher than 137 of the 176 other buildings in Nebraska, level with 39

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Better than mostHigher than 102 of the 177 other buildings in Nebraska, level with 47

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.88Better than mostHigher than 133 of the 170 other buildings in Nebraska, level with 5

Registered nurse hours for each resident, each day. The middle of the set: 0.63. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited12Mid-packFewer than 82 of the 179 other buildings in Nebraska, the same as 15

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 12. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Nebraska
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Adept Nursing & Rehab of South Sioux City
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Street View
3501 Dakota Avenue, South Sioux City, NE
Map around Adept Nursing & Rehab of South Sioux City
Map · Dakota County
Dakota County, Nebraska
3 skilled nursing facilities; average overall rating 3.3, Nebraska 2.9.
See how Dakota County compares ›
Cost report, against Nebraska
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Nebraska. The rank counts from the top: 1st is the highest figure among Nebraska's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

This year’s cost report looks incomplete for this building, so we’re not running the numbers on it yet. What the buildings in Nebraska that filed reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
72.6%
142
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
6.9%
160
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
51.8%
160
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$352
160
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$359
160
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
−$10
160
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
-3.1%
158
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating3 / 5 · state 2.9
Health inspection2 / 5 · state 2.8
Staffing5 / 5 · state 3.3
RN hours per resident per day0.88 · state 0.69
Overall rating, last 8 quarters
051Q3’241Q4’241Q1’251Q2’251Q3’251Q4’251Q1’262Q2’26latest
up 1 star over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingNebraskanationrecent quarters
Needed more help with daily activities12.3%better than state19.0%13.5%2025Q2: 34.3%2025Q3: 9.7%2025Q4: 17.2%2026Q1: 10.0%2026Q2: 12.5%
34.3% → 12.5%
Q2’25 to Q2’26
Catheter inserted and left in0.0%better than state1.3%0.7%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Urinary tract infection3.6%worse than state2.7%1.5%2025Q2: 0.0%2025Q3: 5.3%2025Q4: 2.8%2026Q1: 6.2%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Fall with major injury7.7%worse than state4.5%3.2%2025Q2: 10.5%2025Q3: 10.0%2025Q4: 10.8%2026Q1: 6.1%2026Q2: 3.0%
10.5% → 3.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)2.0%better than state2.1%1.5%2025Q2: 0.0%2025Q3: 5.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 5.0%
0.0% → 5.0%
Q2’25 to Q2’26
Ability to walk independently worsened9.0%better than state16.8%12.7%too few quarters to chart
Pressure ulcers0.0%better than state4.0%4.5%2025Q2: 2.4%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
2.4% → 0.0%
Q2’25 to Q2’26
Given an antipsychotic27.1%worse than state20.7%15.4%2025Q2: 24.0%2025Q3: 25.9%2025Q4: 25.0%2026Q1: 29.6%2026Q2: 27.6%
24.0% → 27.6%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Aug 2025
last standard survey
12
deficiencies cited · Nebraska avg 13.3
$33,784
fines, last 3 years
2023
last change of ownership on the federal file
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Nebraska
state rate files
$267
median daily rate across the Nebraska buildings in our rate book, Jul 2026 file
Nebraska rates and what changed ›
Dakota County
buildingbedsoverallHeritage of Emerson385 / 5Adept Nursing & Rehab of South Sioux City723 / 5Continental Falls772 / 5
All Nebraska buildings in Dakota County ›
Also in South Sioux City, NE
1 other certified skilled nursing facility in South Sioux City
buildingbedsoverallContinental Falls772 / 5
Nebraska at a glance
180
buildings
13,715
licensed beds
72%
occupancy
39%
for-profit
Nebraska market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyContinental FallsSouth Sioux City · 0.5 mi772 / 5under 70%St Luke's Regional Medical Center SNFSioux City · 2.7 mi205 / 5under 70%Casa De Paz Health Care CenterSioux City · 3.8 mi712 / 5over 85%Westwood Specialty CareSioux City · 4.1 mi851 / 5over 85%Holy Spirit Retirement HomeSioux City · 4.1 mi783 / 5under 70%Sunrise Retirement CommunitySioux City · 4.1 mi745 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Adept Nursing & Rehab of South Sioux City?
Adept Nursing & Rehab of South Sioux City in South Sioux City, NE carries an overall CMS rating of 3 out of 5 stars in the Oct 2026 CMS file.
How many beds does Adept Nursing & Rehab of South Sioux City have?
Adept Nursing & Rehab of South Sioux City is certified for 72 beds in the Oct 2026 CMS file.
How full is Adept Nursing & Rehab of South Sioux City?
CMS's reported average residents put Adept Nursing & Rehab of South Sioux City's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.