Elder Care Record

Nebraska › Douglas County › Omaha

Omaha Nursing and Rehabilitation Center

4835 South 49th Street, Omaha, NE 68117

CCN 285240 · For-profit, corporation · 70 certified beds · chain The Ensign Group

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.

Omaha Nursing and Rehabilitation Center is a For-profit, corporation nursing home in Omaha, Nebraska, certified for 70 beds and caring for about 57 residents a day.

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

Inspectors recorded 49 health deficiencies across the three most recent survey cycles (18, 13, 18 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 70.0 per 100 beds, more than the state median of 23.7.

CMS lists 2 penalties in the period covered: fines totalling $39K and 1 payment denial.

Reported nurse staffing is 3.8 hours per resident per day (0.4 RN), close to the Nebraska median of 3.9.

49health deficiencies, 3 survey cycles7 at actual harm or worse
$39Kfines listed by CMS2 penalties in period
3.8nurse hours per resident per daystate median 3.9
82%occupancy (residents ÷ beds)57 residents a day

Compared with county, state and nation

MeasureThis facilityDouglas Co. medianNebraska medianUS average
Overall star rating1333.0
Health citations, 3 cycles49261528.7
Citations per 100 beds70.025.823.726.8
Total nurse hours per resident day3.84.43.93.9
RN hours per resident day0.40.70.60.7
Nursing staff turnover—47.4%47.1%45.8%
Fines listed$39,146$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)18
Cycle 213
Cycle 318

Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Jul 2025, 13 Jun 2024.

Severity mix: J ×1 G ×6 D ×34 E ×5 F ×2 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
1 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation1 May 2026
7 Oct 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation28 Nov 2025
7 Oct 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation28 Nov 2025
31 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation28 Aug 2025
31 Jul 2025F0760Ensure that residents are free from significant medication errors.GStandard survey28 Aug 2025
31 Jul 2025F0908Keep all essential equipment working safely.FStandard survey28 Aug 2025
31 Jul 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey28 Aug 2025
31 Jul 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 Aug 2025
31 Jul 2025F0610Respond appropriately to all alleged violations.DComplaint investigation28 Aug 2025
31 Jul 2025F0637Assess the resident when there is a significant change in conditionDStandard survey28 Aug 2025
31 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey28 Aug 2025
31 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.DStandard survey28 Aug 2025
31 Jul 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey28 Aug 2025
31 Jul 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey28 Aug 2025
31 Jul 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey28 Aug 2025
31 Jul 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey28 Aug 2025
31 Jul 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey28 Aug 2025
31 Jul 2025F0880Provide and implement an infection prevention and control program.DStandard survey28 Aug 2025
10 Jul 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation29 Aug 2025
10 Jul 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation29 Aug 2025
10 Jul 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation29 Aug 2025
3 Mar 2025F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint investigation28 Mar 2025
31 Oct 2024F0692Provide enough food/fluids to maintain a resident's health.GComplaint investigation6 Dec 2024
31 Oct 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation6 Dec 2024
31 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation6 Dec 2024
31 Oct 2024F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.CComplaint investigation6 Dec 2024
1 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation25 Oct 2024
13 Jun 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.DStandard survey19 Jul 2024
13 Jun 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey19 Jul 2024
13 Jun 2024F0760Ensure that residents are free from significant medication errors.DStandard survey19 Jul 2024
13 Jun 2024F0880Provide and implement an infection prevention and control program.DStandard survey19 Jul 2024
26 Oct 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation8 Dec 2023
26 Oct 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation8 Dec 2023
3 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard survey9 Jun 2023
3 May 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey9 Jun 2023
3 May 2023F0692Provide enough food/fluids to maintain a resident's health.GStandard survey9 Jun 2023
3 May 2023F0760Ensure that residents are free from significant medication errors.GStandard survey9 Jun 2023
3 May 2023F0801Employ 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 survey9 Jun 2023
3 May 2023F0583Keep residents' personal and medical records private and confidential.EStandard survey9 Jun 2023
3 May 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 survey9 Jun 2023
3 May 2023F0638Assure that each resident’s assessment is updated at least once every 3 months.EStandard survey9 Jun 2023
3 May 2023F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EStandard survey9 Jun 2023
3 May 2023F0865Have a plan that describes the process for conducting QAPI and QAA activities.EStandard survey9 Jun 2023
3 May 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey9 Jun 2023
3 May 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey9 Jun 2023
3 May 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey9 Jun 2023
3 May 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey9 Jun 2023
3 May 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey9 Jun 2023
3 May 2023F0880Provide and implement an infection prevention and control program.DStandard survey9 Jun 2023

Penalties

DateTypeAmountDetail
10 Jul 2025Payment denial—1 days
10 Jul 2025Fine$39,146

Staffing

Total nursing3.77 h
Nurse aides2.32 h
LPN1.03 h
RN0.42 h
Weekend total3.47 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff —, RNs —; — 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 Stay10.9%18.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.0%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.5%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.9%4.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.2%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.8%17.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.3%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay13.2%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: Southside Healthcare Inc. Chain: The Ensign Group (342 facilities).

OrganisationRole in the CMS recordInterestSince
Kare Technologies LLCOperational/managerial controlNOT APPLICABLE05/01/2013
Onshift IncOperational/managerial controlNOT APPLICABLE05/01/2013
49th Street Health Holdings LLCAdp of the snfNOT APPLICABLE05/01/2013
Caretrust Gp LLCAdp of the snfNOT APPLICABLE05/01/2013
Caretrust Reit IncAdp of the snfNOT APPLICABLE05/01/2013
Ctr Partnership LPAdp of the snfNOT APPLICABLE05/01/2013
Ensign Services IncAdp of the snfNOT APPLICABLE04/01/2013

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 Omaha Nursing and Rehabilitation Center been cited for?

49 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.

Has Omaha Nursing and Rehabilitation Center been fined?

Yes. CMS lists fines totalling $39K in the period covered, plus 1 payment denial.

How does staffing at Omaha Nursing and Rehabilitation Center compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.

Who operates Omaha Nursing and Rehabilitation Center?

It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Kare Technologies LLC and Onshift Inc. Individual owners and managers are not listed on this site.

When was Omaha Nursing and Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 1 Apr 2026; the most recent standard health survey was 31 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.