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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
River City Nursing and Rehabilitation Center is an elegant community that focuses on personalized care that allows for efficient senior living care. Considerably one of the most trusted nursing homes in the city, management, and staff ensure that everything is designed and catered to the needs of all individuals. River City is a warm and welcoming home-like environment that boasts a close and tight-knit relationship where there is a mutual level of respect and trust.
Comfort and convenience are the heart of their service– ensuring that residents are able to have a speedy recovery so they can be with their families as soon as possible. Comprehensive services include rehabilitative therapy and long-term or short-term nursing care.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 109th out of 117 homes in Nebraska.| Staff type | Hours / day | vs state avg |
|---|---|---|
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Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
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19m per day | ▼ 56% State avg: 43m per day · National avg: 41m per day |
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LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
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55m per day | ▲ 28% State avg: 43m per day · National avg: 52m per day |
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Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
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2h 12m per day | ▼ 20% State avg: 2h 46m per day · National avg: 2h 21m per day |
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Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
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3h 1m per day | ▼ 17% State avg: 3h 37m per day · National avg: 3h 26m per day |
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Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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5m per day | ▲ 67% State avg: 3m per day · National avg: 4m per day |
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RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
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9m per day | ▼ 69% State avg: 29m per day · National avg: 29m per day |
Most residents stay for extended periods and receive ongoing daily care.
21% of new residents, usually for short-term rehab.
9% of new residents, often for short stays.
70% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #37 / 120Payroll — state benchmarkedThis home is ranked 37th out of 120 homes in Nebraska.Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Nebraska average: 70.3%
River City Nursing and Rehabilitation is administrated by Christen Sobrilsky.
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
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Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
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182 | 52 | This facility has 250% more total deficiencies than a typical Nebraska nursing home (182 vs. NE avg 52).↑ 250% worse |
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Deficiencies per year
Average deficiencies per year since 2010.
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11.4 | 3.3 | This facility has 245% more deficiencies per year than a typical Nebraska nursing home (11.4 vs. NE avg 3.3).↑ 245% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 28, 2025, cited the facility for deficiencies related to medication errors and failure to comply with licensure regulations, resulting in probation and requirements for a Plan of Correction. Earlier inspections showed a pattern of medication administration issues, fall prevention shortcomings, and life safety code violations, with multiple periods of probation and corrective actions over the years. Complaint investigations were mostly unsubstantiated, though some substantiated cases involved medication errors, care plan implementation, and fall interventions. Enforcement actions included license probation and denial of payment for new admissions in 2011, with fines or license suspensions not listed in the available reports. The facility’s inspection history indicates ongoing challenges with medication management and regulatory compliance, with some improvements followed by recurring issues.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Jul 2025
Nebraska average 18.2
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 56 citations resulted from standard inspections; 28 of 56 resulted from complaint investigations; and 14 of 56 came from combined inspections (standard and complaint).
400% worse than Nebraska average
Nebraska average: 0.2
2
300% worse than Nebraska average
Nebraska average: 0.5
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 28, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jul 28, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 28, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 05, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
River City Nursing and Rehabilitation is located in Omaha, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
5.0 miles from city center
Estimated distance in miles from Omaha's city center to River City Nursing and Rehabilitation's address, calculated via Google Maps.
— 0.2 miles to nearest hospital (Select Specialty Hospital - Omaha)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
14% worse than Nebraska average
Nebraska average ratio: 2.15:1
0% compared with Nebraska average
Nebraska average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This role is partially covered by contractors.
Total hours from contractors
3,483 contractor hours this quarter
| Certified Nursing Assistant | 45 | 18 | 63 | 11,450 | 91 | 100% | 8.1 |
| Medication Aide/Technician | 25 | 9 | 34 | 9,023 | 91 | 100% | 8.6 |
| Licensed Practical Nurse | 16 | 29 | 45 | 7,667 | 91 | 100% | 9.8 |
| Physical Therapist | 27 | 0 | 27 | 6,330 | 91 | 100% | 7 |
| Registered Nurse | 8 | 6 | 14 | 1,575 | 91 | 100% | 9.7 |
| Mental Health Service Worker | 2 | 0 | 2 | 1,018 | 65 | 71% | 8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 802 | 69 | 76% | 7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 784 | 62 | 68% | 8 |
| Speech Language Pathologist | 3 | 0 | 3 | 623 | 67 | 74% | 5.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 587 | 59 | 65% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 584 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 456 | 63 | 69% | 7 |
| Physical Therapy Aide | 2 | 0 | 2 | 399 | 58 | 64% | 4.9 |
| Qualified Social Worker | 1 | 0 | 1 | 338 | 61 | 67% | 5.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
111
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.6
42% better than Nebraska average
Nebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.6
33% better than Nebraska average
Nebraska average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.5%
59% better than Nebraska average
Nebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
8.3%
63% better than Nebraska average
Nebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
11% worse than Nebraska average
Nebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
13% worse than Nebraska average
Nebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
4.3%
In line with Nebraska average
Nebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
1.7%
43% better than Nebraska average
Nebraska average: 3.1%
Percent of long-stay residents who lose too much weight
6.6%
22% worse than Nebraska average
Nebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
1.7%
63% better than Nebraska average
Nebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
18.1%
9% better than Nebraska average
Nebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
76.6%
18% worse than Nebraska average
Nebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
In line with Nebraska average
Nebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
3.31
84% worse than Nebraska average
Nebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.61
17% better than Nebraska average
Nebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.5%
9% worse than Nebraska average
Nebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
12% worse than Nebraska average
Nebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.4%
In line with Nebraska average
Nebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
In line with Nebraska average
Nebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.7%
16% better than Nebraska average
Nebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
65% worse than Nebraska average
Nebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
32.7%
39% worse than Nebraska average
Nebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
45.6%
10% worse than Nebraska average
Nebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
101% higher than Nebraska average
Nebraska average: $33K
107% more fines than Nebraska average
Nebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
38% more payment denials than Nebraska average
Nebraska average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 14, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 20, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 20, 2023
Last updated: Jan 2026
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
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| Brookestone Village |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Omaha (Millard) | 140 | 89.6% | +27% | 4.84 | +28% | +9% | 0 | 5 | 1.7 | - | 131 | 58 | Abigail Meredith | $23.8M | $10.3M | 43.3% | 285242 | ||||
| Ambassador Health of Omaha |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Omaha | 146 | 53.6% | -24% | 3.16 | +117% | -29% | 0 | 5 | 2.5 | - | 81 | 51 | Jake Bleach | $32.1M | $12.6M | 39.3% | 285127 | ||||
| River City Nursing and Rehabilitation |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Omaha (South Central Omaha) | 174 | 52.0% | -26% | 3.29 | -30% | -26% | 3 | 56 | 3.7 | 3 | 102 | 44 | River City O[Cp Holdings LLC | $10.0M | $3.7M | 36.6% | 285058 | ||||
| Azria Health Montclair | - |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Omaha (West Omaha) | 175 | 62.1% | -12% | 4.75 | - | - | - | +54% | +7% | 4 | 69 | 4.9 | 7 | 103 | 78 | Ne M2 Holdco Opco LLC | $13.4M | $4.6M | 34.4% | 285054 |
Historical financial and operational data for River City Nursing and Rehabilitation based on CMS SNF Cost Reports.
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River City Nursing and Rehabilitation is in the South Central Omaha neighborhood of Omaha.
River City Nursing and Rehabilitation has a walk score of 44. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
River City Nursing and Rehabilitation's occupancy is 50%.
Christen Sobrilsky is the administrator of River City Nursing and Rehabilitation.
River City Nursing and Rehabilitation has 174 beds.
(904) 443-9635 will put you in contact with the team at River City Nursing and Rehabilitation.
River City Nursing and Rehabilitation is in Douglas County.
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