Elder Care Record

Nebraska › Douglas County › Omaha

Emerald Nursing & Rehabilitation Mercy

7410 Mercy Road, Omaha, NE 68124

CCN 285058 · For-profit, limited liability company · 174 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.

Emerald Nursing & Rehabilitation Mercy is a For-profit, limited liability company nursing home in Omaha, Nebraska, certified for 174 beds and caring for about 107 residents a day.

CMS gives it 1 of 5 stars overall, below the Nebraska median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.

Inspectors recorded 82 health deficiencies across the three most recent survey cycles (42, 24, 16 by cycle, most recent first), 9 of them at the actual-harm or immediate-jeopardy level. That is 47.1 per 100 beds, more than the state median of 23.7.

CMS lists 4 penalties in the period covered: fines totalling $62K and 1 payment denial.

Reported nurse staffing is 3.3 hours per resident per day (0.3 RN), close to the Nebraska median of 3.9; nursing staff turnover is 64.8%.

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

82health deficiencies, 3 survey cycles9 at actual harm or worse
$62Kfines listed by CMS4 penalties in period
3.3nurse hours per resident per daystate median 3.9
62%occupancy (residents ÷ beds)107 residents a day

Compared with county, state and nation

MeasureThis facilityDouglas Co. medianNebraska medianUS average
Overall star rating1333.0
Health citations, 3 cycles82261528.7
Citations per 100 beds47.125.823.726.8
Total nurse hours per resident day3.34.43.93.9
RN hours per resident day0.30.70.60.7
Nursing staff turnover64.8%47.4%47.1%45.8%
Fines listed$61,867$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)42
Cycle 224
Cycle 316

Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Mar 2025, 15 Feb 2024.

Severity mix: J ×1 G ×5 H ×3 D ×59 E ×4 F ×9 C ×1

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
16 Jun 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.HComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.HComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation30 Jun 2026
16 Jun 2026F0610Respond appropriately to all alleged violations.DComplaint investigation30 Jun 2026
16 Jun 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation30 Jun 2026
16 Jun 2026F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint investigationDeficient, Provider has no plan of correction
7 May 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigationDeficient, Provider has no plan of correction
7 May 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation30 Jun 2026
7 May 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation30 Jun 2026
7 May 2026F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint investigationDeficient, Provider has no plan of correction
7 May 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation30 Jun 2026
7 May 2026F0880Provide and implement an infection prevention and control program.DComplaint investigationDeficient, Provider has no plan of correction
9 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigationDeficient, Provider has no plan of correction
9 Apr 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation30 Jun 2026
9 Apr 2026F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation30 Jun 2026
9 Apr 2026F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation30 Jun 2026
9 Apr 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation30 Jun 2026
9 Apr 2026F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint investigation30 Jun 2026
9 Apr 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation30 Jun 2026
24 Mar 2026F0610Respond appropriately to all alleged violations.DComplaint investigation30 Jun 2026
24 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigationDeficient, Provider has no plan of correction
18 Mar 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigationDeficient, Provider has no plan of correction
18 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation30 Jun 2026
18 Mar 2026F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation30 Jun 2026
18 Mar 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation30 Jun 2026
18 Mar 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigationDeficient, Provider has no plan of correction
18 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation30 Jun 2026
18 Mar 2026F0761Ensure 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.DComplaint investigation30 Jun 2026
18 Mar 2026F0880Provide and implement an infection prevention and control program.DComplaint investigationDeficient, Provider has no plan of correction
18 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation19 Nov 2025
28 Jul 2025F0760Ensure that residents are free from significant medication errors.GComplaint investigation21 Aug 2025
28 Jul 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation21 Aug 2025
28 Jul 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation21 Aug 2025
5 Jun 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation19 Jun 2025
5 Jun 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation19 Jun 2025
30 Apr 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation11 Jun 2025
17 Apr 2025F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint investigation21 May 2025
17 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation21 May 2025
17 Apr 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation21 May 2025
20 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation25 Apr 2025
20 Mar 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation25 Apr 2025
20 Mar 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation25 Apr 2025
20 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation25 Apr 2025
20 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation25 Apr 2025
20 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation25 Apr 2025
20 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation25 Apr 2025
20 Mar 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint investigation25 Apr 2025
20 Mar 2025F0758Implement 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 investigation25 Apr 2025
14 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation10 Dec 2024
14 Nov 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FComplaint investigation10 Dec 2024
1 Oct 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation11 Oct 2024
23 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation22 Aug 2024
23 Jul 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation22 Aug 2024
23 Jul 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation22 Aug 2024
23 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation22 Aug 2024
23 Jul 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation22 Aug 2024
15 Feb 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey31 Mar 2024
15 Feb 2024F0803Ensure 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.FStandard survey31 Mar 2024
15 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey31 Mar 2024
15 Feb 2024F0880Provide and implement an infection prevention and control program.FStandard survey31 Mar 2024
15 Feb 2024F0685Assist a resident in gaining access to vision and hearing services.DComplaint investigation31 Mar 2024
15 Feb 2024F0688Provide 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.DStandard survey31 Mar 2024
15 Feb 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation31 Mar 2024
15 Feb 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey31 Mar 2024
15 Feb 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey31 Mar 2024
15 Feb 2024F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey31 Mar 2024
15 Feb 2024F0791Provide or obtain dental services for each resident.DComplaint investigation31 Mar 2024
15 Feb 2024F0850Hire a qualified full-time social worker in a facility with more than 120 beds.CComplaint investigation31 Mar 2024
7 Nov 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint investigation22 Dec 2023
20 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation20 Oct 2023
20 Sep 2023F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FComplaint investigation20 Oct 2023
20 Sep 2023F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint investigation20 Oct 2023
14 Feb 2023F0880Provide and implement an infection prevention and control program.FStandard survey31 Mar 2023
14 Feb 2023F0584Honor 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.EStandard survey31 Mar 2023
14 Feb 2023F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey31 Mar 2023
14 Feb 2023F0637Assess the resident when there is a significant change in conditionDStandard survey31 Mar 2023
14 Feb 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey31 Mar 2023
14 Feb 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey31 Mar 2023
14 Feb 2023F0761Ensure 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.DStandard survey31 Mar 2023

Penalties

DateTypeAmountDetail
28 Jul 2025Fine$22,386
14 Nov 2024Fine$23,491
20 Sep 2023Payment denial—3 days
20 Sep 2023Fine$15,990

Staffing

Total nursing3.28 h
Nurse aides2.03 h
LPN0.97 h
RN0.28 h
Weekend total2.86 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 64.8%, RNs 70.0%; 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 Stay9.4%18.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.2%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.2%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%4.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.5%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay7.7%17.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.4%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay13.5%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: Mercy Care Center Llc. Chain: Emerald Healthcare (14 facilities).

OrganisationRole in the CMS recordInterestSince
River City O[Cp Holdings LLC5% or greater direct ownership interest100%03/01/2023
Jw River City LLC5% or greater indirect ownership interest50%03/01/2023
Yc River City LLC5% or greater indirect ownership interest50%03/01/2023
Emerald Healthcare LLCOperational/managerial controlNOT APPLICABLE03/01/2023
Evolve Therapy Services LLCOperational/managerial controlNOT APPLICABLE03/01/2023
Limestone Fiscal Services LLCOperational/managerial controlNOT APPLICABLE07/01/2024
Merch Pay IncOperational/managerial controlNOT APPLICABLE03/01/2023
Private Bancorp IncOperational/managerial controlNOT APPLICABLE03/01/2023
Saul N Friedman & CompanyOperational/managerial controlNOT APPLICABLE03/01/2023
Wellsky CorporationOperational/managerial controlNOT APPLICABLE03/01/2023
Zimmet Healthcare Services Group LLCOperational/managerial controlNOT APPLICABLE03/01/2023
Emerald Healthcare LLCAdp of the snfNOT APPLICABLE04/04/2025
Evolve Therapy Services LLCAdp of the snfNOT APPLICABLE04/04/2025
Limestone Fiscal Services LLCAdp of the snfNOT APPLICABLE04/04/2025
Merch Pay IncAdp of the snfNOT APPLICABLE04/04/2025
Private Bancorp IncAdp of the snfNOT APPLICABLE04/07/2025
Saul N Friedman & CompanyAdp of the snfNOT APPLICABLE04/04/2025
Wellsky CorporationAdp of the snfNOT APPLICABLE04/04/2025
Zimmet Healthcare Services Group LLCAdp of the snfNOT APPLICABLE04/04/2025

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 & Rehabilitation Mercy been cited for?

82 health deficiencies across the three most recent survey cycles, 9 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.

Has Emerald Nursing & Rehabilitation Mercy been fined?

Yes. CMS lists fines totalling $62K in the period covered, plus 1 payment denial.

How does staffing at Emerald Nursing & Rehabilitation Mercy compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.

Who operates Emerald Nursing & Rehabilitation Mercy?

It is part of the Emerald Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include River City O[Cp Holdings LLC, Jw River City LLC and Yc River City LLC. Individual owners and managers are not listed on this site.

When was Emerald Nursing & Rehabilitation Mercy last inspected?

The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 20 Mar 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.