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Emerald Nursing & Rehab Omaha
Nursing Home & 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 Omaha

Nursing Home & 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.
5505 Grover Street, Omaha, NE 68106 View map Calculator: See prices in your area
Emerald Nursing & Rehab Omaha accepts Medicare, Medicaid, and private pay.
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Emerald Nursing & Rehab Omaha accepts Medicare, Medicaid, and private pay.

Overview of Emerald Nursing & Rehab Omaha

At 5505 Grover Street in Omaha’s Douglas County, Emerald Nursing & Rehab Omaha runs as a 155-bed skilled nursing facility under administrator Kristina Pilege and owner Omaha Operations LLC. Getting around the neighborhood on foot is limited. The Walk Score sits at 27, so most errands mean a short drive rather than a walk.

Residents have access to in-house physical, occupational, and speech therapy, plus IV therapy, cardiac rehab, and pain management, all backed by round-the-clock nursing staff. The care list runs deep for post-acute and complex needs: stroke and neurological recovery, orthopedic and sports injuries, joint replacement and amputation care, pulmonary support, and PEG or G-tube management. Nursing staff spend a little over four hours with each resident daily, on average.

Medicare, Medicaid, and private pay are all accepted, which opens up multiple ways for families to finance a stay. On the regulatory side, state inspections from Nebraska’s Department of Health and Human Services have tended to focus on resident rights and protections, medication management, and infection prevention and control. From the therapy lineup and the specialized medical tracks, this is a facility built around residents with heavier post-surgical or chronic care needs, not a short rehab stay before heading home.

Facility Direct Line (402) 558-0225
Facility Direct Line (402) 558-0225 info@EmeraldOmaha.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 65.8% Below NE avg. ▼ 65.8% Below NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.9% Below NE avg. ▼ 64.9% Below NE avg.NE average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 39.7% Below NE avg. ▼ 39.7% Below NE avg.NE average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 4.5% Above NE avg. ▲ 4.5% Above NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Nebraska averages

Rank #68 / 119Nurse hours — State benchmarkedThis home is ranked 68th out of 119 homes we track in Nebraska for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 119 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 68th out of 119 homes we track in Nebraska for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 4m

9% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
24m
−44% State avg: 43m per day · National avg: 41m per day
LPN / LVN Info 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.
48m
+12% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info 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.
2h 52m
+3% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
3h 36m
Avg State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
7m
+125% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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.
14m
−51% State avg: 29m per day · National avg: 28m per day

2 of 6 metrics below state avg

Standout metric: Physical Therapist is +125% above Nebraska average

Capacity and availability

Residents per day (avg)
65
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
88 days
Bed community size
155-bed community Rank #20 / 225Bed count — State benchmarkedThis home is ranked 20th out of 225 homes we track in Nebraska for bed count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 27 / 100 Rank #225 / 285Walk Score — State benchmarkedThis home is ranked 225th out of 285 homes we track in Nebraska for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Nebraska facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
42%
Rank #167 / 177Occupancy rate — State benchmarkedThis home is ranked 167th out of 177 homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 177. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Nebraska average: 70.3%
Occupied beds
65 / 155
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyDouglas
CMS Certification Number285097
Certification TypeCertification

Ownership & Operating Entity

Emerald Nursing & Rehab Omaha is administered by Kristina Pilege.

Owner NameOmaha Operations, LLC

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax(402) 558-0227

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

24/7 Nursing And Medical Care
In-House Physical
Occupational & Speech Therapy
Iv Therapy
Cardiac Rehab
Pain Management
Pulmonary Impairment
Stroke And Neurological Care
Peg Tubes
G Tubes & Life-Vests
Orthopedic And Sports Injuries
Joint Replacement & Amputation
Touring HoursMonday - Sunday 08:00 - 17:00

Contact Emerald Nursing & Rehab Omaha

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.

Show Inspection Reports

CMS Health Inspection History

Inspections Since 2022 · 4 years of data
Total health inspections 9

Nebraska average 4.3

Last Health inspection on Feb 2025

Total health citations
54 Rank #119 / 122Health citations — State benchmarkedThis home is ranked 119th out of 122 homes we track in Nebraska for health citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 122 NE facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
6 Rank #105 / 122Citations per inspection — State benchmarkedThis home is ranked 105th out of 122 homes we track in Nebraska for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 122 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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.

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).

Breakdown of citation severity (last 4 years)
Critical health citations
1
400% worse than Nebraska average

Nebraska average: 0.2

Serious health citations
4
700% worse than Nebraska average

Nebraska average: 0.5

1 critical citation Nebraska average: 0.2
4 serious citations Nebraska average: 0.5
49 moderate citations Nebraska average: 17.2
0 minor citations Nebraska average: 0.2
Citations history (last 4 years)
Infection Control moderate citation Feb 06, 2025
Corrected
Quality of Care moderate citation Feb 06, 2025
Corrected
Quality of Care moderate citation Feb 06, 2025
Corrected
Resident Rights moderate citation Feb 06, 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.

Staffing Data

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

Total staff 170
Employees 107
Contractors 63
Staff to resident ratio 2.43 : 1
20% more staff per resident than Nebraska average
Nebraska average ratio: 2.03 : 1 Nebraska average ratio: 2.03 : 1See full Nebraska ranking
Avg staff/day 43
Average shift 7 hours
10% worse than Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 27,864

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 15 total: 5 full-time employees and 10 contractors. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 61 total: 11 full-time employees and 50 contractors. 61
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 37 CNA Staff are full-time employees. No contractors work on this role. 37
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

10.7%

2,971 contractor hours this quarter

Licensed Practical Nurse: 50 Registered Nurse: 10 Medical Director: 1 Respiratory Therapy Technician: 1 Nurse Practitioner: 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 Assistant370377,89792100%7.3
Medication Aide/Technician180186,12192100%7.4
Physical Therapist140144,46492100%6.9
Licensed Practical Nurse1150614,38892100%6.9
Mental Health Service Worker2029836874%8.1
Registered Nurse510156626773%7.1
Nurse Practitioner1126106773%8.8
Respiratory Therapy Technician6175898289%5.1
Other Dietary Services Staff2024855863%7.3
Administrator1014645863%8
Clinical Nurse Specialist1014405560%8
Physical Therapy Assistant4043374650%6
Qualified Social Worker1011462628%5.6
Physical Therapy Aide1011222325%5.3
Occupational Therapy Aide101871921%4.6
Medical Director011514448%1.1
RN Director of Nursing1011833%6
Speech Language Pathologist101211%1.9
37 Certified Nursing Assistant
% of Days 100%
18 Medication Aide/Technician
% of Days 100%
14 Physical Therapist
% of Days 100%
61 Licensed Practical Nurse
% of Days 100%
View All Staffing Data in Omaha

Penalties and fines

Includes penalties issued in 2024-2025

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)

Total fines amount $175K Rank #122 / 124Federal fines — State benchmarkedThis home is ranked 122nd out of 124 homes we track 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 124 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
435% higher than Nebraska average

Nebraska average: $33K

Number of fines 4
176% 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. 3
313% more payment denials than Nebraska average

Nebraska average: 0.7

Fines amount comparison
Fines amount comparison
This facility $175K
Nebraska average $33K
Penalty History

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.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 6, 2025
$16K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Feb 6, 2025
85 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 24, 2024
$56K

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. 11.7
In line with 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. 23.3
In line with Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Below average Nebraska avg: 2.8 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 20.8%
In line with Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.5%
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 29.7%
10% 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 3.6%
20% 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 8.6%
99% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.2%
6% worse than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.1%
12% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 24.7%
25% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 81.5%
12% worse than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.6%
In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.48
38% 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. 3.16
62% worse than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Above average Nebraska avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 52.1%
35% worse than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.4%
41% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 63.6%
16% worse than Nebraska average

Nebraska average: 75.9%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 19.2%
8% better than Nebraska average

Nebraska average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.9%
20% worse than Nebraska average

Nebraska average: 11.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 6.9%
796% worse than Nebraska average

Nebraska average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 29.9%
41% 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.

Breakdown by payment type

Medicare

21% of new residents, usually for short-term rehab.

Typical stay 19 days

Private pay

7% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

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

Typical stay 3 - 4 months

Facility Characteristics

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

Total residents 70
Medicare
10
14.3% of residents
Medicaid
54
77.1% of residents
Private pay or other
6
8.6% 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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

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

For-profit
Corporation
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."
$7.5M
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."
-$38.4K
For-profit Corporation
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."
$7.5M Rank #38 / 113Net patient revenue — State benchmarkedThis home is ranked 38th out of 113 homes we track in Nebraska. Shows this facility's net patient revenue compared to the Nebraska average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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."
-$38.4K
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.
$83.2K
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 #39 / 113Payroll costs — State benchmarkedThis home is ranked 39th out of 113 homes we track in Nebraska. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Nebraska average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.4M 59.1% 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 #72 / 113Payroll % of net patient revenue — State benchmarkedThis home is ranked 72nd out of 113 homes we track in Nebraska. Shows payroll as a percentage of net patient revenue versus the Nebraska average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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).
$3.1M
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).
$7.5M
How we calculate these figures

This home is administered by Kristina Pilege.

This home is owned by Omaha Operations LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285097

Show certification details

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 3 - 4 months.

Admissions
266 total

Coverage residents most often arrive under.

Medicare 21%
Private pay 7%
Medicaid 73%
Discharges
273 total

Coverage residents most often leave under.

Medicare 12%
Private pay 15%
Medicaid 73%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Emerald Nursing & Rehab Omaha

Address 3.4 miles from city center Info Estimated distance in miles from Omaha's city center to Emerald Nursing & Rehab Omaha's address, calculated via Google Maps.

Calculate Travel Distance to Emerald Nursing & Rehab Omaha

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Address

Compare Nursing Homes around Omaha

Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nebraska average is: 61.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Ambassador Health of Omaha ★ ★ ★ ★ ★
NH
AL
IL
SNF
Omaha
146
Facility 146
NE AVG 81
Rank #23 / 225
58.2%
Facility 58.2%
NE AVG 73.3%
Rank #139 / 177
-21%
3.09
Facility 3.09
NE AVG 4.45
Rank #115 / 119
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +122%-31%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
5
Facility 5
NE AVG 18.2
Rank #6 / 122
2.5
Facility 2.5
NE AVG 4.2
Rank #18 / 122
-85-
51
Facility 51
NE AVG 47
Rank #133 / 285
Jake Bleach
$25.0MFiscal year ending 06/2024
Facility $25.0MFiscal year ending 06/2024
NE AVG $7.6M
Rank #2 / 113
$14.7MFiscal year ending 06/2024
Facility $14.7MFiscal year ending 06/2024
NE AVG $4.5M
Rank #2 / 113
58.8%Fiscal year ending 06/2024
Facility 58.8%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #73 / 113
285127
Brookestone Village ★ ★ ★ ★ ★
NH
SNF
Omaha (Millard)
140
Facility 140
NE AVG 81
Rank #26 / 225
94.3%
Facility 94.3%
NE AVG 73.3%
Rank #13 / 177
+29%
4.88
Facility 4.88
NE AVG 4.45
Rank #24 / 119
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +5%+9%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
5
Facility 5
NE AVG 18.2
Rank #6 / 122
1.7
Facility 1.7
NE AVG 4.2
Rank #4 / 122
-132-
58
Facility 58
NE AVG 47
Rank #89 / 285
Abigail Meredith
$20.5MFiscal year ending 06/2024
Facility $20.5MFiscal year ending 06/2024
NE AVG $7.6M
Rank #5 / 113
$13.1MFiscal year ending 06/2024
Facility $13.1MFiscal year ending 06/2024
NE AVG $4.5M
Rank #3 / 113
63.9%Fiscal year ending 06/2024
Facility 63.9%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #53 / 113
285242
Good Samaritan Society – Millard ★ ★ ★ ★ ☆
NH
SNF
Omaha (Millard)
106
Facility 106
NE AVG 81
Rank #56 / 225
69.8%
Facility 69.8%
NE AVG 73.3%
Rank #109 / 177
-5%
4.85
Facility 4.85
NE AVG 4.45
Rank #30 / 119
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ +35%+9%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
16
Facility 16
NE AVG 18.2
Rank #60 / 122
3.2
Facility 3.2
NE AVG 4.2
Rank #34 / 122
-74A+
58
Facility 58
NE AVG 47
Rank #89 / 285
Naureen Bashir Rafiq
$6.2MFiscal year ending 12/2023
Facility $6.2MFiscal year ending 12/2023
NE AVG $7.6M
Rank #52 / 113
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
NE AVG $4.5M
Rank #72 / 113
49.2%Fiscal year ending 12/2023
Facility 49.2%Fiscal year ending 12/2023
NE AVG 61.4%
Rank #96 / 113
285098
The Lighthouse ★ ★ ★ ★ ☆
NH
HOS
SNF
Omaha (West Omaha)
54
Facility 54
NE AVG 81
Rank #147 / 225
59.3%
Facility 59.3%
NE AVG 73.3%
Rank #137 / 177
-19%
5.49
Facility 5.49
NE AVG 4.45
Rank #9 / 119
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +64%+23%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
11
Facility 11
NE AVG 18.2
Rank #37 / 122
3.7
Facility 3.7
NE AVG 4.2
Rank #44 / 122
-32A+
42
Facility 42
NE AVG 47
Rank #177 / 285
Bianca Carmel-Cooper
$5.5MFiscal year ending 06/2024
Facility $5.5MFiscal year ending 06/2024
NE AVG $7.6M
Rank #61 / 113
$3.7MFiscal year ending 06/2024
Facility $3.7MFiscal year ending 06/2024
NE AVG $4.5M
Rank #51 / 113
67.6%Fiscal year ending 06/2024
Facility 67.6%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #36 / 113
285280
Emerald Nursing & Rehab Omaha ★ ☆ ☆ ☆ ☆
NH
SNF
Omaha
155
Facility 155
NE AVG 81
Rank #20 / 225
42.1%
Facility 42.1%
NE AVG 73.3%
Rank #167 / 177
-43%
4.06
Facility 4.06
NE AVG 4.45
Rank #68 / 119
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -9%-9%
$87.4k
Facility $87.4k
NE AVG $38.1k
Rank #122 / 124
54
Facility 54
NE AVG 18.2
Rank #119 / 122
6.0
Facility 6.0
NE AVG 4.2
Rank #105 / 122
565-
27
Facility 27
NE AVG 47
Rank #225 / 285
Omaha Operations LLC
$7.5MFiscal year ending 12/2023
Facility $7.5MFiscal year ending 12/2023
NE AVG $7.6M
Rank #38 / 113
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
NE AVG $4.5M
Rank #39 / 113
59.1%Fiscal year ending 12/2023
Facility 59.1%Fiscal year ending 12/2023
NE AVG 61.4%
Rank #72 / 113
285097
Nursing Home Explorer

Financial Assistance for
Nursing Home in Nebraska

Emerald Nursing & Rehab Omaha 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 Omaha

Who is the owner of Emerald Nursing & Rehab Omaha?

Emerald Nursing & Rehab Omaha is legally operated by Omaha Operations, LLC, and administered by Kristina Pilege.

Is Emerald Nursing & Rehab Omaha in a walkable area?

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.

What is the occupancy rate at Emerald Nursing & Rehab Omaha?

Emerald Nursing & Rehab Omaha's occupancy is 42%.

Are pets allowed at Emerald Nursing & Rehab Omaha?

No, Emerald Nursing & Rehab Omaha has a no-pet policy.

Does Emerald Nursing & Rehab Omaha operate as a for-profit or non-profit?

Emerald Nursing & Rehab Omaha is registered as a for-profit in NE.

Who is the administrator of Emerald Nursing & Rehab Omaha?

Kristina Pilege is the administrator of Emerald Nursing & Rehab Omaha.

How many beds does Emerald Nursing & Rehab Omaha have?

Emerald Nursing & Rehab Omaha has 155 beds.

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