Adept Nursing & Rehab Gretna: Dishwasher Failures - NE
The dishes went into the cabinet. Then they went to lunch.
Inspectors cited Adept Nursing & Rehab of Gretna, also operating under the name The Willows at Gretna, following a complaint inspection completed August 21, 2025. The single deficiency involved the facility's kitchen dishwasher, which failed to reach the minimum sanitizing temperature required during two consecutive wash cycles on the morning of August 20. Forty-three of the facility's 44 residents eat food prepared in that kitchen.
At 7:41 a.m. on August 20, the dietary aide identified in the report as DA-A ran a load of two large bowls and one plate through the American Dish Service Model AF-3D machine. The wash temperature reached 98 degrees. The rinse temperature reached 101 degrees. Both fell more than 20 degrees short of the 120-degree minimum that the facility's own registered dietician and regional director of operations later confirmed was required for both cycles.
Four minutes later, DA-A ran a second load, this one with 11 plates and two bowls. The wash temperature climbed to 102 degrees. The rinse hit 119. Still not 120.
A second dietary worker, identified as DA-B, put the dishes away at 7:55 a.m.
Cook-A was standing there for both loads. Cook-A watched the temperatures register on the machine and said nothing, later confirming to inspectors that the readings were below the required minimum and that he had observed them in real time.
When inspectors interviewed DA-A at 7:47 a.m. that same morning, he confirmed the thermometer wasn't functioning correctly, confirmed the detergent issue, and confirmed that he forgets to look at the temperature gauge. He did not describe any of this as unusual. By 10:05 a.m., DA-A confirmed to inspectors that the dishes from those two loads had already been used for lunch food preparation and service.
The facility's registered dietician, interviewed at 11:16 a.m., confirmed the 120-degree standard. The regional director of operations, reached at 3:05 p.m., confirmed it again, adding the specific model number of the machine and repeating that neither the wash nor rinse cycles had met the threshold.
The deficiency was cited at the "minimal harm or potential for actual harm" level, the lowest tier on CMS's harm scale, and described as affecting many residents. No residents were reported ill as a result.
What the report describes is a kitchen operating on the assumption that a broken machine was doing a job it demonstrably wasn't. The thermometer gave unreliable readings. The aide running the machine knew this and ran it anyway. A second employee watched temperatures come up short and said nothing. A third employee put the dishes away without knowing, or asking, whether they had been properly sanitized.
By the time inspectors were on-site asking questions, the dishes had already been used.
The administrator confirmed to inspectors on the morning of August 21 that 43 residents rely on the kitchen for their meals. The inspection report does not indicate when the dishwasher was repaired or whether the machine had been operating in this condition before August 20.
The facility's plan of correction was not included in the inspection document reviewed for this report.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Adept Nursing & Rehab of Gretna from 2025-08-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 2, 2026 · Our methodology
Adept Nursing & Rehab of Gretna in Gretna, NE was cited for violations during a health inspection on August 21, 2025.
The dishes went into the cabinet.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.