Nebraska average 4.3
Last Health inspection on Feb 2025

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Emerald Nursing & Rehab Omaha is a Skilled Nursing Facility at 5505 Grover Street, Omaha, Douglas County, Nebraska. Administrated by Kristina Pilege and owned by Omaha Operations LLC, the facility is certified by the Centers for Medicare & Medicaid Services (CMS Certification Number 285097). Emerald Nursing & Rehab Omaha offers rehabilitation services and 24/7 nursing care to help patients achieve independence.
Emerald Nursing & Rehab Omaha is an urban nursing home in Omaha providing a mix of rehabilitation and long-term care services. The facility serves mostly long-term care residents with extended stays and ongoing daily care. Medicare admissions (21%) typically stay 19 days for short-term rehab. Private pay admissions (7%) typically stay 4-5 months. Medicaid admissions (73%) typically stay 3-4 months for long-term daily care. Average length of stay is 88 days. Occupancy rate is 42.6%, ranked #110 out of 122 in Nebraska, significantly below the state average occupancy of 70.3%.
The CMS Overall Rating of 1/5 stars falls critically below the Nebraska average of 2.8/5 stars. The Health Inspection Rating of 1/5 stars also falls critically below the Nebraska average of 2.8/5 stars, indicating serious deficiency concerns. The Staffing Rating of 3/5 stars is at or slightly below the Nebraska average of 3.1/5 stars. The Quality Measures Rating of 1/5 stars falls critically below the Nebraska average of 2.7/5 stars.
Staffing levels are below state and national benchmarks across most categories. Total nursing care per resident per day reaches 4 hours 3 minutes, -7% below the Nebraska state average of 4 hours 20 minutes. This facility ranks #70 out of 117 in Nebraska for total nursing hours. Registered Nurse hours total 23 minutes per day, -47% below the state average of 43 minutes. Licensed Practical Nurse hours total 43 minutes per day, at the state average. Certified Nurse Aide hours total 2 hours 33 minutes per day, -8% below the state average of 2 hours 46 minutes. Weekend nursing hours total 3 hours 12 minutes per day, -12% below the state average of 3 hours 37 minutes. Physical Therapist hours total 6 minutes per day, +100% above the state average of 3 minutes. Four of six staffing metrics fall below state average.
Emerald Nursing & Rehab Omaha operates as a privately-owned, for-profit facility with annual revenue of $7.9 million and profit of $44.8 thousand. Payroll comprises 50% of revenue ($4.0 million), below the typical SNF range of 55–65%. The facility is urban, located in Omaha in Douglas County. The predominantly Medicaid-dependent population (73% of admissions) represents the lowest reimbursement level.
Families considering Emerald Nursing & Rehab Omaha should ask about the low CMS ratings (1/5 overall and health inspection), and below-average staffing levels.
Emerald Nursing & Rehab Omaha is administrated by Kristina Pilege.
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.
Nebraska average 4.3
Last Health inspection on Feb 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.
30 of 54 citations resulted from standard inspections; 17 of 54 resulted from complaint investigations; and 7 of 54 came from combined inspections (standard and complaint).
Nebraska average: 0.2
Nebraska average: 0.5
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
2,971 contractor hours this quarter
| Certified Nursing Assistant | 37 | 0 | 37 | 7,897 | 92 | 100% | 7.3 |
| Medication Aide/Technician | 18 | 0 | 18 | 6,121 | 92 | 100% | 7.4 |
| Physical Therapist | 14 | 0 | 14 | 4,464 | 92 | 100% | 6.9 |
| Licensed Practical Nurse | 11 | 50 | 61 | 4,388 | 92 | 100% | 6.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 983 | 68 | 74% | 8.1 |
| Registered Nurse | 5 | 10 | 15 | 662 | 67 | 73% | 7.1 |
| Nurse Practitioner | 1 | 1 | 2 | 610 | 67 | 73% | 8.8 |
| Respiratory Therapy Technician | 6 | 1 | 7 | 589 | 82 | 89% | 5.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 485 | 58 | 63% | 7.3 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 337 | 46 | 50% | 6 |
| Qualified Social Worker | 1 | 0 | 1 | 146 | 26 | 28% | 5.6 |
| Physical Therapy Aide | 1 | 0 | 1 | 122 | 23 | 25% | 5.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 87 | 19 | 21% | 4.6 |
| Medical Director | 0 | 1 | 1 | 51 | 44 | 48% | 1.1 |
| RN Director of Nursing | 1 | 0 | 1 | 18 | 3 | 3% | 6 |
| Speech Language Pathologist | 1 | 0 | 1 | 2 | 1 | 1% | 1.9 |
Includes penalties issued in 2023-2025
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
5 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
21% of new residents, usually for short-term rehab.
7% of new residents, often for short stays.
73% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
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.
Historical financial and operational data for Emerald Nursing & Rehab Omaha based on CMS SNF Cost Reports.
Most residents stay for extended periods and receive ongoing daily care.
3.4 miles from city center
Estimated distance in miles from Omaha's city center to Emerald Nursing & Rehab Omaha's address, calculated via Google Maps.
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Emerald Nursing & Rehab Omaha is located in OMAHA, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| The Lighthouse |
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) | 36 | 88.9% | +26% | 5.35 | +64% | +20% | $0 | 11 | 3.7 | - | 32 | A+ | 42 | Bianca Carmel-Cooper | $19.6M | $4.4M | 22.6% | 285280 | ||||
| Emerald Nursing & Rehab 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 | 155 | - | - | 4.05 | -9% | -9% | $174.9k | 54 | 6.0 | 5 | 53 | - | 27 | Omaha Operations LLC | $7.9M | $4.6M | 58.6% | 285097 | ||||
| Omaha Nursing and Rehabilitation Center |
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 (Southside Acres) | 70 | - | - | 2.89 | -14% | -35% | $167.1k | 53 | 4.8 | 7 | 62 | A+ | 59 | Malene Davis | $6.7M | $4.8M | 70.9% | 285240 | ||||
| Keystone Villas |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Omaha (Keystone) | 68 | - | - | 3.35 | -56% | -25% | $70.1k | 24 | 4.0 | 2 | 70 | - | 55 | Sandra Leimer | $10.0M | $5.7M | 57.6% | 285238 | ||||
| Astoria Senior Living 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Omaha (Central Omaha) | 157 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 38 | #N/A | $11.9M | $6.1M | 51.7% | 285274 |
The legal owner and operator of Emerald Nursing & Rehab Omaha is Omaha Operations, Llc.
Emerald Nursing & Rehab Omaha has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Kristina Pilege is the administrator of Emerald Nursing & Rehab Omaha.
Emerald Nursing & Rehab Omaha has 155 beds.
Emerald Nursing & Rehab Omaha is located at 5505 Grover Street.
(402) 558-0225 will put you in contact with the team at Emerald Nursing & Rehab Omaha.
Emerald Nursing & Rehab Omaha is in Douglas County.
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