Elder Care Record

Nebraska › Douglas County › Omaha

Keystone Ridge Post Acute Nursing and Rehabilitati

7501 Keystone Drive, Omaha, NE 68134

CCN 285238 · For-profit, corporation · 100 certified beds · chain The Ensign Group

Continuing care retirement community
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 100 beds, Keystone Ridge Post Acute Nursing and Rehabilitati serves Omaha in Douglas County, Nebraska and has taken Medicare and Medicaid residents since 2000.

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

Inspectors recorded 26 health deficiencies across the three most recent survey cycles (7, 16, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 26.0 per 100 beds, about the same as the state median of 23.7.

CMS lists 1 penalty in the period covered: fines totalling $70K.

Reported nurse staffing is 3.5 hours per resident per day (0.5 RN), close to the Nebraska median of 3.9; nursing staff turnover is 64.4%.

26health deficiencies, 3 survey cycles2 at actual harm or worse
$70Kfines listed by CMS1 penalty in period
3.5nurse hours per resident per daystate median 3.9
69%occupancy (residents ÷ beds)69 residents a day

Compared with county, state and nation

MeasureThis facilityDouglas Co. medianNebraska medianUS average
Overall star rating2333.0
Health citations, 3 cycles26261528.7
Citations per 100 beds26.025.823.726.8
Total nurse hours per resident day3.54.43.93.9
RN hours per resident day0.50.70.60.7
Nursing staff turnover64.4%47.4%47.1%45.8%
Fines listed$70,103$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)7
Cycle 216
Cycle 33

Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 May 2025, 2 May 2024.

Severity mix: J ×2 D ×14 E ×4 F ×6

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 Apr 2026F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DComplaint investigation22 May 2026
16 Apr 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation22 May 2026
21 May 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey3 Jul 2025
21 May 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint investigation3 Jul 2025
21 May 2025F0584Honor 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 investigation3 Jul 2025
21 May 2025F0791Provide or obtain dental services for each resident.DStandard survey3 Jul 2025
21 May 2025F0880Provide and implement an infection prevention and control program.DStandard survey3 Jul 2025
24 Oct 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation30 Oct 2024
24 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation30 Oct 2024
10 Oct 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.JComplaint investigation11 Oct 2024
10 Oct 2024F0760Ensure that residents are free from significant medication errors.JComplaint investigation11 Oct 2024
10 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation11 Oct 2024
2 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation9 Aug 2024
2 May 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey14 Jun 2024
2 May 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint investigation14 Jun 2024
2 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation14 Jun 2024
2 May 2024F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.FStandard survey14 Jun 2024
2 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 investigation14 Jun 2024
2 May 2024F0923Have enough outside ventilation via a window or mechanical ventilation, or both.EComplaint investigation14 Jun 2024
2 May 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation14 Jun 2024
2 May 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey14 Jun 2024
2 May 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation14 Jun 2024
2 May 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation14 Jun 2024
2 May 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation14 Jun 2024
9 Mar 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 survey3 May 2023
9 Mar 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey3 May 2023

Penalties

DateTypeAmountDetail
10 Oct 2024Fine$70,103

Staffing

Total nursing3.47 h
Nurse aides2.17 h
LPN0.8 h
RN0.51 h
Weekend total3.12 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 64.4%, RNs 57.1%; 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 Stay14.0%18.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.0%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.4%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 Stay10.0%17.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.0%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.3%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, corporation. Legal business name: Good Hope Healthcare Inc. Chain: The Ensign Group (342 facilities).

OrganisationRole in the CMS recordInterestSince
Gateway Healthcare LLCDirect ownership interestNOT APPLICABLE04/24/2014
Fusion Medical Staffing LLCOperational/managerial controlNOT APPLICABLE02/01/2015
Grape Tree Medical Staffing LLCOperational/managerial controlNOT APPLICABLE02/01/2015
Kare Technologies LLCOperational/managerial controlNOT APPLICABLE02/01/2015
Ensign Services IncAdp of the snfNOT APPLICABLE02/01/2015
Menomonee Health Holdings LLCAdp of the snfNOT APPLICABLE02/01/2015

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 Keystone Ridge Post Acute Nursing and Rehabilitati been cited for?

26 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.

Has Keystone Ridge Post Acute Nursing and Rehabilitati been fined?

Yes. CMS lists fines totalling $70K in the period covered.

How does staffing at Keystone Ridge Post Acute Nursing and Rehabilitati compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.

Who operates Keystone Ridge Post Acute Nursing and Rehabilitati?

It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Gateway Healthcare LLC, Fusion Medical Staffing LLC and Grape Tree Medical Staffing LLC. Individual owners and managers are not listed on this site.

When was Keystone Ridge Post Acute Nursing and Rehabilitati last inspected?

The most recent survey or investigation in the CMS record is dated 16 Apr 2026; the most recent standard health survey was 21 May 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.