Elder Care Record

Nebraska › Douglas County › Omaha

Emerald Nursing & Rehab Legacy Pointe LLC

3110 Scott Circle, Omaha, NE 68112

CCN 285239 · For-profit, limited liability company · 108 certified beds · chain Emerald Healthcare

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 108 beds, Emerald Nursing & Rehab Legacy Pointe LLC serves Omaha in Douglas County, Nebraska and has taken Medicare and Medicaid residents since 2000.

CMS gives it 1 of 5 stars overall, below the Nebraska median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.

Inspectors recorded 35 health deficiencies across the three most recent survey cycles (21, 6, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 32.4 per 100 beds, more than the state median of 23.7.

CMS lists 9 penalties in the period covered: fines totalling $68K.

Reported nurse staffing is 3.4 hours per resident per day (0.7 RN), close to the Nebraska median of 3.9; nursing staff turnover is 53.3%.

CMS flags that the facility is a Special Focus Facility candidate.

35health deficiencies, 3 survey cycles1 at actual harm or worse
$68Kfines listed by CMS9 penalties in period
3.4nurse hours per resident per daystate median 3.9
56%occupancy (residents ÷ beds)61 residents a day

Compared with county, state and nation

MeasureThis facilityDouglas Co. medianNebraska medianUS average
Overall star rating1333.0
Health citations, 3 cycles35261528.7
Citations per 100 beds32.425.823.726.8
Total nurse hours per resident day3.44.43.93.9
RN hours per resident day0.70.70.60.7
Nursing staff turnover53.3%47.4%47.1%45.8%
Fines listed$68,086$0$0—

County and state figures are medians across facilities (24 in the county, 180 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)21
Cycle 26
Cycle 38

Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Jul 2025, 23 May 2024.

Severity mix: J ×1 D ×24 E ×6 F ×4

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
9 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation28 Jul 2026
9 Jun 2026F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint investigation28 Jul 2026
9 Jun 2026F0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.FComplaint investigation28 Jul 2026
9 Jun 2026F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint investigation28 Jul 2026
9 Jun 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation28 Jul 2026
9 Jun 2026F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint investigation28 Jul 2026
20 Nov 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation4 Jan 2026
18 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation28 Nov 2025
22 Jul 2025F0880Provide and implement an infection prevention and control program.FStandard survey22 Aug 2025
22 Jul 2025F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey22 Aug 2025
22 Jul 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey22 Aug 2025
22 Jul 2025F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint investigation22 Aug 2025
22 Jul 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey22 Aug 2025
22 Jul 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey22 Aug 2025
22 Jul 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation22 Aug 2025
22 Jul 2025F0679Provide activities to meet all resident's needs.DComplaint investigation22 Aug 2025
22 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey22 Aug 2025
22 Jul 2025F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint investigation22 Aug 2025
22 Jul 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey22 Aug 2025
22 Jul 2025F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation22 Aug 2025
22 Jul 2025F0791Provide or obtain dental services for each resident.DStandard survey22 Aug 2025
19 Nov 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation10 Dec 2024
19 Nov 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation10 Dec 2024
23 May 2024F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint investigation19 Jun 2024
23 May 2024F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey19 Jun 2024
23 May 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Jun 2024
23 May 2024F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey19 Jun 2024
3 Jan 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation17 Jan 2024
30 Nov 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint investigation3 Jan 2024
30 Nov 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation17 Jan 2024
30 Nov 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint investigation3 Jan 2024
30 Nov 2023F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation3 Jan 2024
30 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigation3 Jan 2024
30 Nov 2023F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DComplaint investigation3 Jan 2024
30 Nov 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation3 Jan 2024

Penalties

DateTypeAmountDetail
9 Jun 2026Fine$11,641
20 Feb 2024Fine$4,938
12 Feb 2024Fine$4,938
22 Jan 2024Fine$14,814
8 Jan 2024Fine$4,938
2 Jan 2024Fine$4,587
11 Dec 2023Fine$11,645
6 Nov 2023Fine$3,176
17 Oct 2023Fine$7,409

Staffing

Total nursing3.45 h
Nurse aides2.37 h
LPN0.39 h
RN0.69 h
Weekend total3.01 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 53.3%, RNs 42.9%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNebraska medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.1%18.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.0%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.2%4.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.5%17.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.7%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay29.4%19.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Emerald Nursing & Rehab Legacy Pointe Llc. Chain: Emerald Healthcare (14 facilities).

OrganisationRole in the CMS recordInterestSince
Emerald Nursing & Rehab Legacy Pointe LLC5% or greater direct ownership interest100%04/29/2022
Legacy Pointe Opco Holdings LLC5% or greater indirect ownership interest100%04/29/2022

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Douglas County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Ambassador Health of OmahaOmaha14654453.4—10 Jul 2025
Brookestone Meadows Rehabilitation and Care CenterElkhorn14055532.1—1 Apr 2025
Brookestone VillageOmaha14054596.4—24 Mar 2026
Newport HouseOmaha9653599.4—29 Jan 2026
Rose Blumkin Jewish HomeOmaha10554587.6—15 Apr 2026
Florence HomeOmaha1264351511.9—17 Nov 2025
Good Samaritan Society - MillardOmaha1064441211.3—26 May 2026
The Lighthouse At Lakeside VillageOmaha544351324.1—27 May 2026

All 24 facilities in Douglas County

Questions and answers

How many deficiencies has Emerald Nursing & Rehab Legacy Pointe LLC been cited for?

35 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.

Has Emerald Nursing & Rehab Legacy Pointe LLC been fined?

Yes. CMS lists fines totalling $68K in the period covered.

How does staffing at Emerald Nursing & Rehab Legacy Pointe LLC compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.

Who operates Emerald Nursing & Rehab Legacy Pointe LLC?

It is part of the Emerald Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Emerald Nursing & Rehab Legacy Pointe LLC and Legacy Pointe Opco Holdings LLC. Individual owners and managers are not listed on this site.

When was Emerald Nursing & Rehab Legacy Pointe LLC last inspected?

The most recent survey or investigation in the CMS record is dated 9 Jun 2026; the most recent standard health survey was 22 Jul 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.