Emerald Nursing & Rehab Legacy Pointe llc
Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Omaha, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Emerald Nursing & Rehab Legacy Pointe llc

Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Omaha, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Emerald Nursing & Rehab Legacy Pointe llc accepts Medicare, Medicaid, and private pay.

Inspection History

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.

Since 2010 · 16 years of data 119 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2010 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (129% above)
• Deficiencies per year (124% above)
0 Better No metrics in this bucket.
Latest Inspection June 16, 2025 Original Licensing

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility NE Average vs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 119 52 This facility has 129% more total deficiencies than a typical Nebraska nursing home (119 vs. NE avg 52).↑ 129% worse
Deficiencies per year Info Average deficiencies per year since 2010. 7.4 3.3 This facility has 124% more deficiencies per year than a typical Nebraska nursing home (7.4 vs. NE avg 3.3).↑ 124% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent licensing action on June 16, 2025, found Emerald Nursing & Rehab Legacy Pointe met all statutory requirements with no deficiencies or complaints.
  • The facility had multiple prior complaints substantiated for medication errors and failure to prevent weight loss, but recent complaint investigations from 2019 to 2022 found no deficiencies or violations.
  • Between 2010 and 2018, the facility had numerous serious deficiencies including abuse protection failures, medication errors above 5%, infection control lapses, and life safety code violations resulting in enforcement actions and probation periods.

Health Inspection History

Inspections since 2023
Total health inspections 5

Nebraska average 4.3


Last Health inspection on Jul 2025

Total health citations
28 Rank #107 / 131Health citations — State benchmarkedThis home is ranked 107th out of 131 homes in Nebraska for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 131 NE facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Nebraska average 18.2

Citations per inspection
5.6 Rank #109 / 131Citations per inspection — State benchmarkedThis home is ranked 109th out of 131 homes in Nebraska for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 131 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Nebraska average 4.19


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 28 citations resulted from standard inspections; 3 of 28 resulted from complaint investigations; and 14 of 28 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than Nebraska average

Nebraska average: 0.2


Serious health citations
0
100% better than Nebraska average

Nebraska average: 0.5

0 critical citations Nebraska average: 0.2

0 serious citations Nebraska average: 0.5

28 moderate citations Nebraska average: 17.2

0 minor citations Nebraska average: 0.2
Citations history (last 3 years)
Infection Control moderate citation Jul 22, 2025
Corrected

Nutrition moderate citation Jul 22, 2025
Corrected

Nutrition moderate citation Jul 22, 2025
Corrected

Pharmacy moderate citation Jul 22, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 131
Employees 84
Contractors 47
Staff to resident ratio 2.08 : 1
0% compared with Nebraska average
Nebraska average ratio: 2.03 : 1 Nebraska average ratio: 2.03 : 1See full Nebraska ranking
Avg staff/day 39
Average shift 7.5 hours
0% compared with Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 27,037

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 5 total: 4 full-time employees and 1 contractor. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 27 total: 9 full-time employees and 18 contractors. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 53 total: 32 full-time employees and 21 contractors. 53
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.3%

1,442 contractor hours this quarter

Certified Nursing Assistant: 21 Licensed Practical Nurse: 18 Medication Aide/Technician: 7 Registered Nurse: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 32 21 53 10,427 92 100% 7.3
Physical Therapist 12 0 12 4,230 92 100% 6.6
Medication Aide/Technician 9 7 16 3,528 92 100% 8.3
Registered Nurse 4 1 5 2,669 92 100% 11.2
Licensed Practical Nurse 9 18 27 2,221 91 99% 9.4
RN Director of Nursing 2 0 2 538 59 64% 8.3
Mental Health Service Worker 1 0 1 496 62 67% 8
Other Dietary Services Staff 1 0 1 480 60 65% 8
Administrator 1 0 1 480 60 65% 8
Nurse Practitioner 1 0 1 472 59 64% 8
Physical Therapy Assistant 4 0 4 463 60 65% 5.8
Clinical Nurse Specialist 2 0 2 432 64 70% 5
Respiratory Therapy Technician 2 0 2 257 56 61% 4.5
Physical Therapy Aide 1 0 1 191 37 40% 5.2
Qualified Social Worker 2 0 2 129 23 25% 5.6
Speech Language Pathologist 1 0 1 26 6 7% 4.4
53 Certified Nursing Assistant
% of Days 100%
12 Physical Therapist
% of Days 100%
16 Medication Aide/Technician
% of Days 100%
5 Registered Nurse
% of Days 100%
27 Licensed Practical Nurse
% of Days 99%
2 RN Director of Nursing
% of Days 64%
1 Mental Health Service Worker
% of Days 67%
1 Other Dietary Services Staff
% of Days 65%
1 Administrator
% of Days 65%
1 Nurse Practitioner
% of Days 64%
4 Physical Therapy Assistant
% of Days 65%
2 Clinical Nurse Specialist
% of Days 70%
2 Respiratory Therapy Technician
% of Days 61%
1 Physical Therapy Aide
% of Days 40%
2 Qualified Social Worker
% of Days 25%
1 Speech Language Pathologist
% of Days 7%

Penalties and fines

Includes penalties issued in 2023-2024

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)

Total fines amount $61K Rank #124 / 133Federal fines — State benchmarkedThis home is ranked 124th out of 133 homes in Nebraska for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Nebraska average among facilities with fines, and where it ranks among 133 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
86% higher than Nebraska average

Nebraska average: $33K

Number of fines 9
520% more fines than Nebraska average

Nebraska average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Nebraska average

Nebraska average: 0.7

Fines amount comparison
Fines amount comparison
This facility $61K
Nebraska average $33K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

8 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 20, 2024
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 12, 2024
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 22, 2024
$15K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 8, 2024
$5K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.3
18% better than Nebraska average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.3
In line with Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.3%
41% better than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.4%
12% better than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 35.1%
30% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.7%
18% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.6%
16% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.9%
6% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.3%
35% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.5%
In line with Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.7%
45% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 76.1%
18% worse than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.9%
7% worse than Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.26
26% worse than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.46
25% better than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 34.9%
57% worse than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 65.2%
14% worse than Nebraska average

Nebraska average: 75.9%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 35.5%
30% worse than Nebraska average

Nebraska average: 50.6%

Breakdown by payment type

Medicare

22% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

5% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

73% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 63
Medicare
2
3.2% of residents
Medicaid
61
96.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$85.5K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.6M Rank #52 / 129Revenue — State benchmarkedThis home is ranked 52nd out of 129 homes in Nebraska for Revenue. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$85.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
-$3.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #60 / 129Payroll — State benchmarkedThis home is ranked 60th out of 129 homes in Nebraska for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.7M 48.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #88 / 129Payroll % — State benchmarkedThis home is ranked 88th out of 129 homes in Nebraska for Payroll %. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.7M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (73% of admissions), and a typical Medicaid stay runs around 5 - 6 months.

Admissions
175 total

Coverage residents most often arrive under.

Medicare 22%
Private pay 5%
Medicaid 73%
Discharges
183 total

Coverage residents most often leave under.

Medicare 13%
Private pay 17%
Medicaid 70%

Places of interest near Emerald Nursing & Rehab Legacy Pointe llc

Address 8.4 miles from city center Info Estimated distance in miles from Omaha's city center to Emerald Nursing & Rehab Legacy Pointe llc's address, calculated via Google Maps.

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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

CMS & NE Dept. of Health data

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Emerald Nursing & Rehab Legacy Pointe llc
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285239

Financial Assistance for
Nursing Home in Nebraska

Emerald Nursing & Rehab Legacy Pointe llc is located in OMAHA, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.

Get Financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled
General Nebraska resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $4,000 individual, higher than most states
NE

Higher asset limit; rural access focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Nebraska Respite Network

NE Respite Network

Age Caregiver of someone 60+
General Nebraska resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NE

Lifespan respite focus; limited funding.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus)
General Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).
Income Limits (2025) ~$1,255/month (100% FPL, individual); spenddown allowed.
Asset Limits $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).
NE

Family can be paid caregivers; statewide via DHHS.

Benefits
Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+
General Nebraska resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $4,000 (individual), $6,000 (couple).
NE

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled
General Nebraska resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NE

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Nebraska resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NE

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Emerald Nursing & Rehab Legacy Pointe llc

Who is the owner of Emerald Nursing & Rehab Legacy Pointe llc?

Emerald Nursing & Rehab Legacy Pointe llc is legally operated by Emerald Nursing & Rehab Legacy Pointe llc, and administered by Administrator Stephen Osborne.

Is Emerald Nursing & Rehab Legacy Pointe llc in a walkable area?

Emerald Nursing & Rehab Legacy Pointe llc has a walk score of 3. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Emerald Nursing & Rehab Legacy Pointe llc?

Emerald Nursing & Rehab Legacy Pointe llc's occupancy is 56%.

Are pets allowed at Emerald Nursing & Rehab Legacy Pointe llc?

No, Emerald Nursing & Rehab Legacy Pointe llc has a no-pet policy.

Does Emerald Nursing & Rehab Legacy Pointe llc operate as a for-profit or non-profit?

Emerald Nursing & Rehab Legacy Pointe llc is registered as a for-profit in NE.

Who is the administrator of Emerald Nursing & Rehab Legacy Pointe llc?

Administrator Stephen Osborne is the administrator of Emerald Nursing & Rehab Legacy Pointe llc.

How many beds does Emerald Nursing & Rehab Legacy Pointe llc have?

Emerald Nursing & Rehab Legacy Pointe llc has 108 beds.

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